Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4 United States of America

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Gaps Bundle Open Individual MeasureReports - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "single-gaps-open-indv-report01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm>     ] )
  ] ; # 
  fhir:identifier [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:uuid:77f43ef5-8c60-4222-ae58-36969063a093" ]
  ] ; # 
  fhir:type [ fhir:v "document"] ; # 
  fhir:timestamp [ fhir:v "2020-06-30T13:08:53+00:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Composition/gaps-composition01"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/gaps/Composition/gaps-composition01> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01"^^xsd:anyURI ] ;
    ( fhir:_resource <http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02"^^xsd:anyURI ] ;
    ( fhir:_resource <http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Encounter/gaps-encounter01"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/gaps/Encounter/gaps-encounter01> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Patient/gaps-patient01"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/gaps/Patient/gaps-patient01> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> )
  ] ) . # 

<http://example.org/fhir/gaps/Composition/gaps-composition01> a fhir:Composition ;
  fhir:id [ fhir:v "gaps-composition01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"gaps-composition01\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Composition &quot;gaps-composition01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-gaps-composition-deqm.html\">DEQM Gaps In Care Composition Profile</a></p></div><p><b>status</b>: final</p><p><b>type</b>: Gaps in care report <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#96315-7)</span></p><p><b>date</b>: 2020-06-30 13:08:53+0000</p><p><b>author</b>: <a href=\"#Organization_gaps-organization-reportingvendor\">See above (Organization/gaps-organization-reportingvendor)</a></p><p><b>title</b>: Care Gap Report for patient gaps-patient01</p></div>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:96315-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "96315-7" ] ;
fhir:display [ fhir:v "Gaps in care report" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:date [ fhir:v "2020-06-30T13:08:53+00:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "Organization/gaps-organization-reportingvendor" ]
  ] ) ; # 
  fhir:title [ fhir:v "Care Gap Report for patient gaps-patient01"] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Colorectal Cancer Screening" ] ;
fhir:focus [
fhir:reference [ fhir:v "MeasureReport/gaps-indv-measurereport01" ]     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "DetectedIssue/gaps-detectedissue01" ]     ] )
  ] [
fhir:title [ fhir:v "Cervical Cancer Screening" ] ;
fhir:focus [
fhir:reference [ fhir:v "MeasureReport/gaps-indv-measurereport02" ]     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "DetectedIssue/gaps-detectedissue02" ]     ] )
  ] ) . # 

<http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01> a fhir:MeasureReport ;
  fhir:id [ fhir:v "gaps-indv-measurereport01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"gaps-indv-measurereport01\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MeasureReport &quot;gaps-indv-measurereport01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-indv-measurereport-deqm.html\">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>DEQM Certification Identifier Extension</b>: id: 0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"#Organization_gaps-organization-reportingvendor\">See above (Organization/gaps-organization-reportingvendor)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-measure-exm130-example.html\">Colorectal Cancer Screening Measure</a></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><p><b>date</b>: 2020-06-30 13:08:52+0000</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Organization/organization01</a> &quot;DaVinciHospital01&quot;</p><p><b>period</b>: 2020-01-01 --&gt; 2020-12-31</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-exm130</blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 0.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"#Encounter_gaps-encounter01\">See above (Encounter/gaps-encounter01)</a></li><li><a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></li></ul></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ;
fhir:code [ fhir:v "proportion" ]       ] )     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.3.2074.1"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0015HQN9BD3304E" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Organization/gaps-organization-reportingvendor" ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "complete"] ; # 
  fhir:type [ fhir:v "individual"] ; # 
  fhir:measure [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example>
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:date [ fhir:v "2020-06-30T13:08:52+00:00"^^xsd:dateTime] ; # 
  fhir:reporter [
fhir:reference [ fhir:v "Organization/organization01" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2020-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2020-12-31"^^xsd:date ]
  ] ; # 
  fhir:improvementNotation [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "increase" ]     ] )
  ] ; # 
  fhir:group ( [
fhir:id [ fhir:v "group-exm130" ] ;
    ( fhir:population [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "initial-population" ] ;
fhir:display [ fhir:v "Initial Population" ]         ] )       ] ;
fhir:count [ fhir:v "1"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator" ] ;
fhir:display [ fhir:v "Numerator" ]         ] )       ] ;
fhir:count [ fhir:v "0"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator" ] ;
fhir:display [ fhir:v "Denominator" ]         ] )       ] ;
fhir:count [ fhir:v "1"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator-exclusion" ] ;
fhir:display [ fhir:v "Denominator Exclusion" ]         ] )       ] ;
fhir:count [ fhir:v "0"^^xsd:integer ]     ] ) ;
fhir:measureScore [
fhir:value [ fhir:v "0.0"^^xsd:decimal ]     ]
  ] ) ; # 
  fhir:evaluatedResource ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "initial-population" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "denominator" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/gaps-encounter01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "initial-population" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "denominator" ]     ] ) ;
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ) . # 

<http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02> a fhir:MeasureReport ;
  fhir:id [ fhir:v "gaps-indv-measurereport02"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"gaps-indv-measurereport02\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MeasureReport &quot;gaps-indv-measurereport02&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-indv-measurereport-deqm.html\">DEQM Individual MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>DEQM Certification Identifier Extension</b>: id: 0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"#Organization_gaps-organization-reportingvendor\">See above (Organization/gaps-organization-reportingvendor)</a></p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-measure-exm124-example.html\">Cervical Cancer Screening Measure</a></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><p><b>date</b>: 2020-07-02 13:08:52+0000</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Organization/organization01</a> &quot;DaVinciHospital01&quot;</p><p><b>period</b>: 2020-01-01 --&gt; 2020-12-31</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-exm124</blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 0.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"#Encounter_gaps-encounter01\">See above (Encounter/gaps-encounter01)</a></li><li><a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></li></ul></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ;
fhir:code [ fhir:v "proportion" ]       ] )     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.3.2074.1"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0015HQN9BD3304E" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Organization/gaps-organization-reportingvendor" ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "complete"] ; # 
  fhir:type [ fhir:v "individual"] ; # 
  fhir:measure [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example>
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:date [ fhir:v "2020-07-02T13:08:52+00:00"^^xsd:dateTime] ; # 
  fhir:reporter [
fhir:reference [ fhir:v "Organization/organization01" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2020-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2020-12-31"^^xsd:date ]
  ] ; # 
  fhir:improvementNotation [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "increase" ]     ] )
  ] ; # 
  fhir:group ( [
fhir:id [ fhir:v "group-exm124" ] ;
    ( fhir:population [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "initial-population" ] ;
fhir:display [ fhir:v "Initial Population" ]         ] )       ] ;
fhir:count [ fhir:v "1"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator" ] ;
fhir:display [ fhir:v "Numerator" ]         ] )       ] ;
fhir:count [ fhir:v "0"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator" ] ;
fhir:display [ fhir:v "Denominator" ]         ] )       ] ;
fhir:count [ fhir:v "1"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator-exclusion" ] ;
fhir:display [ fhir:v "Denominator Exclusion" ]         ] )       ] ;
fhir:count [ fhir:v "0"^^xsd:integer ]     ] ) ;
fhir:measureScore [
fhir:value [ fhir:v "0.0"^^xsd:decimal ]     ]
  ] ) ; # 
  fhir:evaluatedResource ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "initial-population" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "denominator" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/gaps-encounter01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "initial-population" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "denominator" ]     ] ) ;
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ) . # 

<http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01> a fhir:DetectedIssue ;
  fhir:id [ fhir:v "gaps-detectedissue01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DetectedIssue</b><a name=\"gaps-detectedissue01\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource DetectedIssue &quot;gaps-detectedissue01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-gaps-detectedissue-deqm.html\">DEQM Gaps In Care Detected Issue Profile</a></p></div><blockquote><p><b>modifierExtension[http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus]</b></p></blockquote><p><b>status</b>: final</p><p><b>code</b>: Caregap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-ActCode.html\">ActCode</a>#CAREGAP)</span></p><p><b>patient</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#MeasureReport_gaps-indv-measurereport01\">See above (MeasureReport/gaps-indv-measurereport01)</a></td></tr></table></div>"
  ] ; # 
  fhir:modifierExtension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "closed-gap" ]       ] )     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "CAREGAP" ] ;
fhir:display [ fhir:v "Caregap" ]     ] )
  ] ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:evidence ( [
    ( fhir:detail [
fhir:reference [ fhir:v "MeasureReport/gaps-indv-measurereport01" ]     ] )
  ] ) . # 

<http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02> a fhir:DetectedIssue ;
  fhir:id [ fhir:v "gaps-detectedissue02"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: DetectedIssue</b><a name=\"gaps-detectedissue02\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource DetectedIssue &quot;gaps-detectedissue02&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-gaps-detectedissue-deqm.html\">DEQM Gaps In Care Detected Issue Profile</a></p></div><blockquote><p><b>modifierExtension[http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus]</b></p></blockquote><p><b>status</b>: final</p><p><b>code</b>: Caregap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-v3-ActCode.html\">ActCode</a>#CAREGAP)</span></p><p><b>patient</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"#MeasureReport_gaps-indv-measurereport02\">See above (MeasureReport/gaps-indv-measurereport02)</a></td></tr></table></div>"
  ] ; # 
  fhir:modifierExtension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "closed-gap" ]       ] )     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "CAREGAP" ] ;
fhir:display [ fhir:v "Caregap" ]     ] )
  ] ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:evidence ( [
    ( fhir:detail [
fhir:reference [ fhir:v "MeasureReport/gaps-indv-measurereport02" ]     ] )
  ] ) . # 

<http://example.org/fhir/gaps/Encounter/gaps-encounter01> a fhir:Encounter ;
  fhir:id [ fhir:v "gaps-encounter01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"gaps-encounter01\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Encounter &quot;gaps-encounter01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter. <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99202)</span></p><p><b>subject</b>: <a href=\"#Patient_gaps-patient01\">See above (Patient/gaps-patient01)</a></p><p><b>period</b>: 2020-05-30 00:00:00+0000 --&gt; 2020-05-31 00:00:00+0000</p></div>"
  ] ; # 
  fhir:status [ fhir:v "finished"] ; # 
  fhir:class [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "AMB" ] ;
fhir:display [ fhir:v "ambulatory" ]
  ] ; # 
  fhir:type ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://www.ama-assn.org/go/cpt"^^xsd:anyURI ] ;
fhir:code [ fhir:v "99202" ] ;
fhir:display [ fhir:v "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter." ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2020-05-30T00:00:00-00:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2020-05-31T00:00:00-00:00"^^xsd:dateTime ]
  ] . # 

<http://example.org/fhir/gaps/Patient/gaps-patient01> a fhir:Patient ;
  fhir:id [ fhir:v "gaps-patient01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"gaps-patient01\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient &quot;gaps-patient01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a></p></div><blockquote><p><b>US Core Race Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Asian (Details: urn:oid:2.16.840.1.113883.6.238 code 2028-9 = '2028-9', stated as 'Asian')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Asian</p></blockquote><blockquote><p><b>US Core Ethnicity Extension</b></p><blockquote><p><b>url</b></p><code>ombCategory</code></blockquote><p><b>value</b>: Hispanic or Latino (Details: urn:oid:2.16.840.1.113883.6.238 code 2135-2 = '2135-2', stated as 'Hispanic or Latino')</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Hispanic or Latino</p></blockquote><p><b>identifier</b>: Medical Record Number: 999995992 (use: USUAL)</p><p><b>name</b>: Parker Susan </p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1965-01-01</p></div>"
  ] ; # 
  fhir:extension ( [
    ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2028-9" ] ;
fhir:display [ fhir:v "Asian" ]       ]     ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Asian" ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2135-2" ] ;
fhir:display [ fhir:v "Hispanic or Latino" ]       ]     ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Hispanic or Latino" ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"^^xsd:anyURI ]
  ] ) ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ] ;
fhir:display [ fhir:v "Medical Record Number" ]       ] )     ] ;
fhir:system [ fhir:v "http://hospital.smarthealthit.org"^^xsd:anyURI ] ;
fhir:value [ fhir:v "999995992" ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Susan" ] ;
    ( fhir:given [ fhir:v "Parker" ] )
  ] ) ; # 
  fhir:gender [ fhir:v "female"] ; # 
  fhir:birthDate [ fhir:v "1965-01-01"^^xsd:date] . # 

<http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> a fhir:Organization ;
  fhir:id [ fhir:v "gaps-organization-reportingvendor"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"gaps-organization-reportingvendor\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization &quot;gaps-organization-reportingvendor&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number: 123446789 (use: OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Payer <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-organization-type.html\">Organization type</a>#pay)</span></p><p><b>name</b>: GapsReportingVendor01</p><p><b>telecom</b>: ph: (+1) 401-545-1212</p><p><b>address</b>: 13 Drive Street Cityplace MA 01101 USA </p></div>"
  ] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TAX" ] ;
fhir:display [ fhir:v "Tax ID number" ]       ] )     ] ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.4.4"^^xsd:anyURI ] ;
fhir:value [ fhir:v "123446789" ] ;
fhir:assigner [
fhir:display [ fhir:v "www.irs.gov" ]     ]
  ] ) ; # 
  fhir:active [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:type ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pay" ] ;
fhir:display [ fhir:v "Payer" ]     ] )
  ] ) ; # 
  fhir:name [ fhir:v "GapsReportingVendor01"] ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "(+1) 401-545-1212" ]
  ] ) ; # 
  fhir:address ( [
    ( fhir:line [ fhir:v "13 Drive Street" ] ) ;
fhir:city [ fhir:v "Cityplace" ] ;
fhir:state [ fhir:v "MA" ] ;
fhir:postalCode [ fhir:v "01101" ] ;
fhir:country [ fhir:v "USA" ]
  ] ) . #