Da Vinci Risk Adjustment Implementation Guide
1.0.0 - STU 1 US

This page is part of the Da Vinci Risk Adjustment FHIR Implementation Guide (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: ra-bundle01: Risk Adjustment Bundle - TTL Representation

Raw ttl | Download


@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://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:Resource.id [ fhir:value "ra-bundle01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport-bundle";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport-bundle>     ]
  ];
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:uuid:8d3e72d9-9d74-4cbb-b797-a1cab0d13492" ]
  ];
  fhir:Bundle.type [ fhir:value "collection"];
  fhir:Bundle.timestamp [ fhir:value "2021-11-16T06:17:58.172+00:00"^^xsd:dateTime];
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/MeasureReport/ra-measurereport01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/MeasureReport/ra-measurereport01>
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition33pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition33pat01>
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Patient/ra-patient01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Patient/ra-patient01>
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition10pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition10pat01>
  ], [
     fhir:index 4;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter03pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter03pat01>
  ], [
     fhir:index 5;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition09pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition09pat01>
  ], [
     fhir:index 6;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition02pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition02pat01>
  ], [
     fhir:index 7;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter11pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter11pat01>
  ], [
     fhir:index 8;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Observation/ra-obs21pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Observation/ra-obs21pat01>
  ], [
     fhir:index 9;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition18pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition18pat01>
  ], [
     fhir:index 10;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter08pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter08pat01>
  ], [
     fhir:index 11;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition44pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition44pat01>
  ], [
     fhir:index 12;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter02pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter02pat01>
  ], [
     fhir:index 13;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter44pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter44pat01>
  ], [
     fhir:index 14;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition08pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition08pat01>
  ], [
     fhir:index 15;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition43pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition43pat01>
  ], [
     fhir:index 16;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition03pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition03pat01>
  ], [
     fhir:index 17;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition11pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition11pat01>
  ], [
     fhir:index 18;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter43pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter43pat01>
  ], [
     fhir:index 19;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter09pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter09pat01>
  ], [
     fhir:index 20;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition17pat01" ];
     fhir:Bundle.entry.resource <https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition17pat01>
  ].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/MeasureReport/ra-measurereport01> a fhir:MeasureReport;
  fhir:Resource.id [ fhir:value "ra-measurereport01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-measurereport01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ra-measurereport.html\">Risk Adjustment Coding Gap Report Profile</a></p></div><p><b>Risk Adjustment Clinical Data Collection Deadline Extension</b>: 2022-03-31</p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-RAModelExample01.html\">Risk Adjustment Model Version 24 - CMS Hierarchical Category Condition (CMS-HCC)</a></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>date</b>: 2021-10-18</p><p><b>reporter</b>: <a href=\"Organization-ra-payer01.html\">Organization/ra-payer01</a> \"ABC Payer\"</p><p><b>period</b>: 2021-01-01 --&gt; 2021-09-30</p><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#historic)</span></p><p><b>Evidence Status Extension</b>: Closed Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-04-01</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 18: Diabetes with Chronic Complications <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#18 \"Diabetes with Chronic Complications\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#historic)</span></p><p><b>Evidence Status Extension</b>: Pending Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-29</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 111: Chronic Obstructive Pulmonary Disease <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#111 \"Chronic Obstructive Pulmonary Disease\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#historic)</span></p><p><b>Evidence Status Extension</b>: Open Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2020-07-15</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 59: Major Depressive, Bipolar, and Paranoid Disorders <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#59 \"Major Depressive, Bipolar, and Paranoid Disorders\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#historic)</span></p><p><b>Evidence Status Extension</b>: Closed Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-04-27</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-superseded)</span></p><p><b>code</b>: HCC 112: Fibrosis of lung and other chronic lung disorders <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#112 \"Fibrosis of lung and other chronic lung disorders\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#historic)</span></p><p><b>Evidence Status Extension</b>: Pending Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-27</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-superseded)</span></p><p><b>code</b>: HCC 19: Diabetes without Complications <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#19 \"Diabetes without Complications\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#historic)</span></p><p><b>Evidence Status Extension</b>: Open Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2020-12-15</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-superseded)</span></p><p><b>code</b>: HCC 84: Cardio-Respiratory Failure and Shock <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#84 \"Cardio-Respiratory Failure and Shock\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Suspected Condtion Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#suspected)</span></p><p><b>Evidence Status Extension</b>: Closed Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-03-15</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 22: Morbid Obesity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#22 \"Morbid Obesity\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Suspected Condtion Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#suspected)</span></p><p><b>Evidence Status Extension</b>: Pending Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-27</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 96: Specified Heart Arrhythmias <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#96 \"Specified Heart Arrhythmias\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Suspected Condtion Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#suspected)</span></p><p><b>Evidence Status Extension</b>: Open Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2020-07-15</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 110: Cystic Fibrosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#110 \"Cystic Fibrosis\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Net-New Condition Category <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#net-new)</span></p><p><b>Evidence Status Extension</b>: Pending Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-28</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 110: Cystic Fibrosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#83 \"Respiratory Arrest\")</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"#Condition_ra-condition02pat01\">See above (Condition/ra-condition02pat01)</a></li><li><a href=\"#Condition_ra-condition03pat01\">See above (Condition/ra-condition03pat01)</a></li><li><a href=\"#Condition_ra-condition08pat01\">See above (Condition/ra-condition08pat01)</a></li><li><a href=\"#Condition_ra-condition09pat01\">See above (Condition/ra-condition09pat01)</a></li><li><a href=\"#Condition_ra-condition10pat01\">See above (Condition/ra-condition10pat01)</a></li><li><a href=\"#Condition_ra-condition11pat01\">See above (Condition/ra-condition11pat01)</a></li><li><a href=\"#Condition_ra-condition17pat01\">See above (Condition/ra-condition17pat01)</a></li><li><a href=\"#Condition_ra-condition18pat01\">See above (Condition/ra-condition18pat01)</a></li><li><a href=\"#Condition_ra-condition33pat01\">See above (Condition/ra-condition33pat01)</a></li><li><a href=\"#Condition_ra-condition43pat01\">See above (Condition/ra-condition43pat01)</a></li><li><a href=\"#Condition_ra-condition44pat01\">See above (Condition/ra-condition44pat01)</a></li><li><a href=\"#Encounter_ra-encounter02pat01\">See above (Encounter/ra-encounter02pat01)</a></li><li><a href=\"#Encounter_ra-encounter03pat01\">See above (Encounter/ra-encounter03pat01)</a></li><li><a href=\"#Encounter_ra-encounter08pat01\">See above (Encounter/ra-encounter08pat01)</a></li><li><a href=\"#Encounter_ra-encounter09pat01\">See above (Encounter/ra-encounter09pat01)</a></li><li><a href=\"#Encounter_ra-encounter11pat01\">See above (Encounter/ra-encounter11pat01)</a></li><li><a href=\"#Encounter_ra-encounter43pat01\">See above (Encounter/ra-encounter43pat01)</a></li><li><a href=\"#Encounter_ra-encounter44pat01\">See above (Encounter/ra-encounter44pat01)</a></li><li><a href=\"#Observation_ra-obs21pat01\">See above (Observation/ra-obs21pat01)</a></li></ul></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline" ];
     fhir:Extension.valueDate [ fhir:value "2022-03-31"^^xsd:date ]
  ];
  fhir:MeasureReport.status [ fhir:value "complete"];
  fhir:MeasureReport.type [ fhir:value "individual"];
  fhir:MeasureReport.measure [
     fhir:value "https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01";
     fhir:link <https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01>
  ];
  fhir:MeasureReport.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:MeasureReport.date [ fhir:value "2021-10-18"^^xsd:date];
  fhir:MeasureReport.reporter [
     fhir:Reference.reference [ fhir:value "Organization/ra-payer01" ]
  ];
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2021-01-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2021-09-30"^^xsd:date ]
  ];
  fhir:MeasureReport.group [
     fhir:index 0;
     fhir:Element.id [ fhir:value "group-001" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type" ];
           fhir:Coding.code [ fhir:value "historic" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status" ];
           fhir:Coding.code [ fhir:value "closed-gap" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate" ];
       fhir:Extension.valueDate [ fhir:value "2021-04-01"^^xsd:date ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status" ];
           fhir:Coding.code [ fhir:value "applied-not-superseded" ]         ]       ]     ];
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/cmshcc" ];
         fhir:Coding.version [ fhir:value "24" ];
         fhir:Coding.code [ fhir:value "18" ];
         fhir:Coding.display [ fhir:value "Diabetes with Chronic Complications" ]       ];
       fhir:CodeableConcept.text [ fhir:value "HCC 18: Diabetes with Chronic Complications" ]     ]
  ], [
     fhir:index 1;
     fhir:Element.id [ fhir:value "group-002" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type" ];
           fhir:Coding.code [ fhir:value "historic" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status" ];
           fhir:Coding.code [ fhir:value "pending" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate" ];
       fhir:Extension.valueDate [ fhir:value "2021-09-29"^^xsd:date ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status" ];
           fhir:Coding.code [ fhir:value "applied-not-superseded" ]         ]       ]     ];
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/cmshcc" ];
         fhir:Coding.version [ fhir:value "24" ];
         fhir:Coding.code [ fhir:value "111" ];
         fhir:Coding.display [ fhir:value "Chronic Obstructive Pulmonary Disease" ]       ];
       fhir:CodeableConcept.text [ fhir:value "HCC 111: Chronic Obstructive Pulmonary Disease" ]     ]
  ], [
     fhir:index 2;
     fhir:Element.id [ fhir:value "group-003" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type" ];
           fhir:Coding.code [ fhir:value "historic" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status" ];
           fhir:Coding.code [ fhir:value "open-gap" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate" ];
       fhir:Extension.valueDate [ fhir:value "2020-07-15"^^xsd:date ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status" ];
           fhir:Coding.code [ fhir:value "applied-not-superseded" ]         ]       ]     ];
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/cmshcc" ];
         fhir:Coding.version [ fhir:value "24" ];
         fhir:Coding.code [ fhir:value "59" ];
         fhir:Coding.display [ fhir:value "Major Depressive, Bipolar, and Paranoid Disorders" ]       ];
       fhir:CodeableConcept.text [ fhir:value "HCC 59: Major Depressive, Bipolar, and Paranoid Disorders" ]     ]
  ], [
     fhir:index 3;
     fhir:Element.id [ fhir:value "group-004" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type" ];
           fhir:Coding.code [ fhir:value "historic" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status" ];
           fhir:Coding.code [ fhir:value "closed-gap" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate" ];
       fhir:Extension.valueDate [ fhir:value "2021-04-27"^^xsd:date ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status" ];
           fhir:Coding.code [ fhir:value "applied-superseded" ]         ]       ]     ];
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/cmshcc" ];
         fhir:Coding.version [ fhir:value "24" ];
         fhir:Coding.code [ fhir:value "112" ];
         fhir:Coding.display [ fhir:value "Fibrosis of lung and other chronic lung disorders" ]       ];
       fhir:CodeableConcept.text [ fhir:value "HCC 112: Fibrosis of lung and other chronic lung disorders" ]     ]
  ], [
     fhir:index 4;
     fhir:Element.id [ fhir:value "group-005" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type" ];
           fhir:Coding.code [ fhir:value "historic" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status" ];
           fhir:Coding.code [ fhir:value "pending" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate" ];
       fhir:Extension.valueDate [ fhir:value "2021-09-27"^^xsd:date ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status" ];
           fhir:Coding.code [ fhir:value "applied-superseded" ]         ]       ]     ];
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/cmshcc" ];
         fhir:Coding.version [ fhir:value "24" ];
         fhir:Coding.code [ fhir:value "19" ];
         fhir:Coding.display [ fhir:value "Diabetes without Complications" ]       ];
       fhir:CodeableConcept.text [ fhir:value "HCC 19: Diabetes without Complications" ]     ]
  ], [
     fhir:index 5;
     fhir:Element.id [ fhir:value "group-006" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type" ];
           fhir:Coding.code [ fhir:value "historic" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status" ];
           fhir:Coding.code [ fhir:value "open-gap" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate" ];
       fhir:Extension.valueDate [ fhir:value "2020-12-15"^^xsd:date ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status" ];
           fhir:Coding.code [ fhir:value "applied-superseded" ]         ]       ]     ];
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/cmshcc" ];
         fhir:Coding.version [ fhir:value "24" ];
         fhir:Coding.code [ fhir:value "84" ];
         fhir:Coding.display [ fhir:value "Cardio-Respiratory Failure and Shock" ]       ];
       fhir:CodeableConcept.text [ fhir:value "HCC 84: Cardio-Respiratory Failure and Shock" ]     ]
  ], [
     fhir:index 6;
     fhir:Element.id [ fhir:value "group-007" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type" ];
           fhir:Coding.code [ fhir:value "suspected" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status" ];
           fhir:Coding.code [ fhir:value "closed-gap" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate" ];
       fhir:Extension.valueDate [ fhir:value "2021-03-15"^^xsd:date ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status" ];
           fhir:Coding.code [ fhir:value "applied-not-superseded" ]         ]       ]     ];
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/cmshcc" ];
         fhir:Coding.version [ fhir:value "24" ];
         fhir:Coding.code [ fhir:value "22" ];
         fhir:Coding.display [ fhir:value "Morbid Obesity" ]       ];
       fhir:CodeableConcept.text [ fhir:value "HCC 22: Morbid Obesity" ]     ]
  ], [
     fhir:index 7;
     fhir:Element.id [ fhir:value "group-008" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type" ];
           fhir:Coding.code [ fhir:value "suspected" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status" ];
           fhir:Coding.code [ fhir:value "pending" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate" ];
       fhir:Extension.valueDate [ fhir:value "2021-09-27"^^xsd:date ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status" ];
           fhir:Coding.code [ fhir:value "applied-not-superseded" ]         ]       ]     ];
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/cmshcc" ];
         fhir:Coding.version [ fhir:value "24" ];
         fhir:Coding.code [ fhir:value "96" ];
         fhir:Coding.display [ fhir:value "Specified Heart Arrhythmias" ]       ];
       fhir:CodeableConcept.text [ fhir:value "HCC 96: Specified Heart Arrhythmias" ]     ]
  ], [
     fhir:index 8;
     fhir:Element.id [ fhir:value "group-009" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type" ];
           fhir:Coding.code [ fhir:value "suspected" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status" ];
           fhir:Coding.code [ fhir:value "open-gap" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate" ];
       fhir:Extension.valueDate [ fhir:value "2020-07-15"^^xsd:date ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status" ];
           fhir:Coding.code [ fhir:value "applied-not-superseded" ]         ]       ]     ];
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/cmshcc" ];
         fhir:Coding.version [ fhir:value "24" ];
         fhir:Coding.code [ fhir:value "110" ];
         fhir:Coding.display [ fhir:value "Cystic Fibrosis" ]       ];
       fhir:CodeableConcept.text [ fhir:value "HCC 110: Cystic Fibrosis" ]     ]
  ], [
     fhir:index 9;
     fhir:Element.id [ fhir:value "group-010" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type" ];
           fhir:Coding.code [ fhir:value "net-new" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status" ];
           fhir:Coding.code [ fhir:value "pending" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate" ];
       fhir:Extension.valueDate [ fhir:value "2021-09-28"^^xsd:date ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status" ];
           fhir:Coding.code [ fhir:value "applied-not-superseded" ]         ]       ]     ];
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/cmshcc" ];
         fhir:Coding.version [ fhir:value "24" ];
         fhir:Coding.code [ fhir:value "83" ];
         fhir:Coding.display [ fhir:value "Respiratory Arrest" ]       ];
       fhir:CodeableConcept.text [ fhir:value "HCC 110: Cystic Fibrosis" ]     ]
  ];
  fhir:MeasureReport.evaluatedResource [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-001" ]     ];
     fhir:Reference.reference [ fhir:value "Condition/ra-condition02pat01" ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-002" ]     ];
     fhir:Reference.reference [ fhir:value "Condition/ra-condition03pat01" ]
  ], [
     fhir:index 2;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-003" ]     ];
     fhir:Reference.reference [ fhir:value "Condition/ra-condition08pat01" ]
  ], [
     fhir:index 3;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-004" ]     ];
     fhir:Reference.reference [ fhir:value "Condition/ra-condition09pat01" ]
  ], [
     fhir:index 4;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-005" ]     ];
     fhir:Reference.reference [ fhir:value "Condition/ra-condition10pat01" ]
  ], [
     fhir:index 5;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-006" ]     ];
     fhir:Reference.reference [ fhir:value "Condition/ra-condition11pat01" ]
  ], [
     fhir:index 6;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-007" ]     ];
     fhir:Reference.reference [ fhir:value "Condition/ra-condition17pat01" ]
  ], [
     fhir:index 7;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-008" ]     ];
     fhir:Reference.reference [ fhir:value "Condition/ra-condition18pat01" ]
  ], [
     fhir:index 8;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-010" ]     ];
     fhir:Reference.reference [ fhir:value "Condition/ra-condition33pat01" ]
  ], [
     fhir:index 9;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-001" ]     ];
     fhir:Reference.reference [ fhir:value "Condition/ra-condition43pat01" ]
  ], [
     fhir:index 10;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-004" ]     ];
     fhir:Reference.reference [ fhir:value "Condition/ra-condition44pat01" ]
  ], [
     fhir:index 11;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-001" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-007" ]     ];
     fhir:Reference.reference [ fhir:value "Encounter/ra-encounter02pat01" ]
  ], [
     fhir:index 12;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-002" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-005" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-008" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-010" ]     ];
     fhir:Reference.reference [ fhir:value "Encounter/ra-encounter03pat01" ]
  ], [
     fhir:index 13;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-003" ]     ];
     fhir:Reference.reference [ fhir:value "Encounter/ra-encounter08pat01" ]
  ], [
     fhir:index 14;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-004" ]     ];
     fhir:Reference.reference [ fhir:value "Encounter/ra-encounter09pat01" ]
  ], [
     fhir:index 15;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-006" ]     ];
     fhir:Reference.reference [ fhir:value "Encounter/ra-encounter11pat01" ]
  ], [
     fhir:index 16;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-001" ]     ];
     fhir:Reference.reference [ fhir:value "Encounter/ra-encounter43pat01" ]
  ], [
     fhir:index 17;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-004" ]     ];
     fhir:Reference.reference [ fhir:value "Encounter/ra-encounter44pat01" ]
  ], [
     fhir:index 18;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference" ];
       fhir:Extension.valueString [ fhir:value "group-009" ]     ];
     fhir:Reference.reference [ fhir:value "Observation/ra-obs21pat01" ]
  ].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition33pat01> a fhir:Condition;
  fhir:Resource.id [ fhir:value "ra-condition33pat01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-condition33pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: R09.2: Respiratory arrest <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#R09.2 \"Respiratory arrest\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-09-26</p></div>"
  ];
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ];
       fhir:Coding.display [ fhir:value "Active" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ];
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "confirmed" ];
       fhir:Coding.display [ fhir:value "Confirmed" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Problem" ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
       fhir:Coding.code [ fhir:value "R09.2" ];
       fhir:Coding.display [ fhir:value "Respiratory arrest" ]     ];
     fhir:CodeableConcept.text [ fhir:value "R09.2: Respiratory arrest" ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2021-09-26"^^xsd:date].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Patient/ra-patient01> a fhir:Patient;
  fhir:Resource.id [ fhir:value "ra-patient01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Eve <b>EVERYWOMAN </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>12345</td></tr><tr><td>Address</td><td><span>2222 Home Street </span><br/><span>Ann Arbor </span><span>MI </span><span>USA </span></td></tr><tr><td>Date of birth</td><td><span>16 January 1975</span></td></tr></tbody></table></div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" ];
     fhir:Extension.valueCode [ fhir:value "F" ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2106-3" ];
         fhir:Coding.display [ fhir:value "White" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "White" ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ]
  ], [
     fhir:index 2;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "ombCategory" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ];
         fhir:Coding.code [ fhir:value "2186-5" ];
         fhir:Coding.display [ fhir:value "Not Hispanic or Latino" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Not Hispanic or Latino" ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ]
  ];
  fhir:Patient.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "usual" ];
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ];
         fhir:Coding.code [ fhir:value "MR" ];
         fhir:Coding.display [ fhir:value "Medical record number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "http://hospital.davinci.org" ];
     fhir:Identifier.value [ fhir:value "12345" ]
  ];
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.use [ fhir:value "official" ];
     fhir:HumanName.family [ fhir:value "Everywoman" ];
     fhir:HumanName.given [
       fhir:value "Eve";
       fhir:index 0     ]
  ];
  fhir:Patient.gender [ fhir:value "female"];
  fhir:Patient.birthDate [ fhir:value "1975-01-16"^^xsd:date];
  fhir:Patient.deceasedBoolean [ fhir:value "false"^^xsd:boolean];
  fhir:Patient.address [
     fhir:index 0;
     fhir:Address.use [ fhir:value "home" ];
     fhir:Address.line [
       fhir:value "2222 Home Street";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Ann Arbor" ];
     fhir:Address.state [ fhir:value "MI" ];
     fhir:Address.postalCode [ fhir:value "99999" ];
     fhir:Address.country [ fhir:value "USA" ]
  ];
  fhir:Patient.maritalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus" ];
       fhir:Coding.code [ fhir:value "M" ];
       fhir:Coding.display [ fhir:value "Married" ]     ]
  ];
  fhir:Patient.communication [
     fhir:index 0;
     fhir:Patient.communication.language [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "urn:ietf:bcp:47" ];
         fhir:Coding.code [ fhir:value "en-US" ];
         fhir:Coding.display [ fhir:value "English (Region=United States)" ]       ]     ];
     fhir:Patient.communication.preferred [ fhir:value "true"^^xsd:boolean ]
  ].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition10pat01> a fhir:Condition;
  fhir:Resource.id [ fhir:value "ra-condition10pat01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-condition10pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: J44.1: Chronic obstructive pulmonary disease with (acute) exacerbation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#J44.1 \"Chronic obstructive pulmonary disease with (acute) exacerbation\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-09-26</p></div>"
  ];
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ];
       fhir:Coding.display [ fhir:value "Active" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ];
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "confirmed" ];
       fhir:Coding.display [ fhir:value "Confirmed" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Problem" ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
       fhir:Coding.code [ fhir:value "J44.1" ];
       fhir:Coding.display [ fhir:value "Chronic obstructive pulmonary disease with (acute) exacerbation" ]     ];
     fhir:CodeableConcept.text [ fhir:value "J44.1: Chronic obstructive pulmonary disease with (acute) exacerbation" ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2021-09-26"^^xsd:date].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter03pat01> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "ra-encounter03pat01"];
  fhir:Resource.meta [
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-name" ];
       fhir:Extension.valueString [ fhir:value "Encounter with Dr Howell on 20210714 for Patient 03" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-description" ];
       fhir:Extension.valueMarkdown [ fhir:value "This is Encounter with Dr Howell on 20210714 for Patient 03." ]     ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-encounter03pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/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 Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2021-09-26 --&gt; 2021-09-26</p><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"#Condition_ra-condition03pat01\">See above (Condition/ra-condition03pat01)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"#Condition_ra-condition10pat01\">See above (Condition/ra-condition10pat01)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"#Condition_ra-condition18pat01\">See above (Condition/ra-condition18pat01)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"#Condition_ra-condition33pat01\">See above (Condition/ra-condition33pat01)</a></p></blockquote><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
  ];
  fhir:Encounter.status [ fhir:value "finished"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "AMB" ];
     fhir:Coding.display [ fhir:value "ambulatory" ]
  ];
  fhir:Encounter.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "99215" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Office Visit, High Complexity" ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Encounter.participant [
     fhir:index 0;
     fhir:Encounter.participant.individual [
       fhir:Reference.reference [ fhir:value "Practitioner/ra-prac01pat01" ]     ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2021-09-26"^^xsd:date ];
     fhir:Period.end [ fhir:value "2021-09-26"^^xsd:date ]
  ];
  fhir:Encounter.diagnosis [
     fhir:index 0;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/ra-condition03pat01" ]     ]
  ], [
     fhir:index 1;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/ra-condition10pat01" ]     ]
  ], [
     fhir:index 2;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/ra-condition18pat01" ]     ]
  ], [
     fhir:index 3;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/ra-condition33pat01" ]     ]
  ];
  fhir:Encounter.serviceProvider [
     fhir:Reference.reference [ fhir:value "Organization/ra-org01pat01" ]
  ].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition09pat01> a fhir:Condition;
  fhir:Resource.id [ fhir:value "ra-condition09pat01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-condition09pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: B44.81: Allergic bronchopulmonary aspergillosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#B44.81 \"Allergic bronchopulmonary aspergillosis\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-03-27</p></div>"
  ];
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ];
       fhir:Coding.display [ fhir:value "Active" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ];
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "confirmed" ];
       fhir:Coding.display [ fhir:value "Confirmed" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Problem" ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
       fhir:Coding.code [ fhir:value "B44.81" ];
       fhir:Coding.display [ fhir:value "Allergic bronchopulmonary aspergillosis" ]     ];
     fhir:CodeableConcept.text [ fhir:value "B44.81: Allergic bronchopulmonary aspergillosis" ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2021-03-27"^^xsd:date].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition02pat01> a fhir:Condition;
  fhir:Resource.id [ fhir:value "ra-condition02pat01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-condition02pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: E08.29: Diabetes mellitus due to underlying condition with other diabetic kidney complication <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#E08.29 \"Diabetes mellitus due to underlying condition with other diabetic kidney complication\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-01-31</p></div>"
  ];
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ];
       fhir:Coding.display [ fhir:value "Active" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ];
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "confirmed" ];
       fhir:Coding.display [ fhir:value "Confirmed" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Problem" ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
       fhir:Coding.code [ fhir:value "E08.29" ];
       fhir:Coding.display [ fhir:value "Diabetes mellitus due to underlying condition with other diabetic kidney complication" ]     ];
     fhir:CodeableConcept.text [ fhir:value "E08.29: Diabetes mellitus due to underlying condition with other diabetic kidney complication" ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2021-01-31"^^xsd:date].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter11pat01> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "ra-encounter11pat01"];
  fhir:Resource.meta [
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-name" ];
       fhir:Extension.valueString [ fhir:value "Encounter with Dr Howell on 20210714 for Patient 03" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-description" ];
       fhir:Extension.valueMarkdown [ fhir:value "This is Encounter with Dr Howell on 20210714 for Patient 03." ]     ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-encounter11pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/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 Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2020-11-02 --&gt; 2020-11-02</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"#Condition_ra-condition11pat01\">See above (Condition/ra-condition11pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
  ];
  fhir:Encounter.status [ fhir:value "finished"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "AMB" ];
     fhir:Coding.display [ fhir:value "ambulatory" ]
  ];
  fhir:Encounter.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "99215" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Office Visit, High Complexity" ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Encounter.participant [
     fhir:index 0;
     fhir:Encounter.participant.individual [
       fhir:Reference.reference [ fhir:value "Practitioner/ra-prac01pat01" ]     ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2020-11-02"^^xsd:date ];
     fhir:Period.end [ fhir:value "2020-11-02"^^xsd:date ]
  ];
  fhir:Encounter.diagnosis [
     fhir:index 0;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/ra-condition11pat01" ]     ]
  ];
  fhir:Encounter.serviceProvider [
     fhir:Reference.reference [ fhir:value "Organization/ra-org01pat01" ]
  ].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Observation/ra-obs21pat01> a fhir:Observation;
  fhir:Resource.id [ fhir:value "ra-obs21pat01"];
  fhir:Resource.meta [
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-name" ];
       fhir:Extension.valueString [ fhir:value "Trypsin [Mass/volume] in Serum or Plasma for Pat01" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-description" ];
       fhir:Extension.valueMarkdown [ fhir:value "Trypsin [Mass/volume] in Serum or Plasma for Pat01*." ]     ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-obs21pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Trypsin [Mass/volume] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#33325-2)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01: Eve Everywoman)</a></p><p><b>effective</b>: 2019-06-17</p><p><b>value</b>: 770 ng/mL</p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>169 ng/mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ng/mL = 'ng/mL')</span></td><td>773 ng/mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></td><td>Normal Range <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-referencerange-meaning.html\">Observation Reference Range Meaning Codes</a>#normal)</span></td></tr></table></div>"
  ];
  fhir:Observation.status [ fhir:value "final"];
  fhir:Observation.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ];
       fhir:Coding.code [ fhir:value "laboratory" ];
       fhir:Coding.display [ fhir:value "Laboratory" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Laboratory" ]
  ];
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:33325-2;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "33325-2" ];
       fhir:Coding.display [ fhir:value "Trypsin [Mass/volume] in Serum or Plasma" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Trypsin [Mass/volume] in Serum or Plasma" ]
  ];
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ];
     fhir:Reference.display [ fhir:value "Eve Everywoman" ]
  ];
  fhir:Observation.effectiveDateTime [ fhir:value "2019-06-17"^^xsd:date];
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "770"^^xsd:decimal ];
     fhir:Quantity.unit [ fhir:value "ng/mL" ];
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]
  ];
  fhir:Observation.referenceRange [
     fhir:index 0;
     fhir:Observation.referenceRange.low [
       fhir:Quantity.value [ fhir:value "169"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "ng/mL" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "ng/mL" ]     ];
     fhir:Observation.referenceRange.high [
       fhir:Quantity.value [ fhir:value "773"^^xsd:decimal ];
       fhir:Quantity.unit [ fhir:value "ng/mL" ];
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
       fhir:Quantity.code [ fhir:value "mg/dL" ]     ];
     fhir:Observation.referenceRange.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/referencerange-meaning" ];
         fhir:Coding.code [ fhir:value "normal" ];
         fhir:Coding.display [ fhir:value "Normal Range" ]       ];
       fhir:CodeableConcept.text [ fhir:value "Normal Range" ]     ]
  ].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition18pat01> a fhir:Condition;
  fhir:Resource.id [ fhir:value "ra-condition18pat01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-condition18pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: I48.11: Longstanding persistent atrial fibrillation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#I48.11 \"Longstanding persistent atrial fibrillation\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-09-26</p></div>"
  ];
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ];
       fhir:Coding.display [ fhir:value "Active" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ];
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "confirmed" ];
       fhir:Coding.display [ fhir:value "Confirmed" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Problem" ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
       fhir:Coding.code [ fhir:value "I48.11" ];
       fhir:Coding.display [ fhir:value "Longstanding persistent atrial fibrillation" ]     ];
     fhir:CodeableConcept.text [ fhir:value "I48.11: Longstanding persistent atrial fibrillation" ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2021-09-26"^^xsd:date].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter08pat01> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "ra-encounter08pat01"];
  fhir:Resource.meta [
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-name" ];
       fhir:Extension.valueString [ fhir:value "Encounter with Dr Howell on 20210714 for Patient 03" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-description" ];
       fhir:Extension.valueMarkdown [ fhir:value "This is Encounter with Dr Howell on 20210714 for Patient 03." ]     ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-encounter08pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/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 Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2017-02-03 --&gt; 2017-02-03</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"#Condition_ra-condition08pat01\">See above (Condition/ra-condition08pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
  ];
  fhir:Encounter.status [ fhir:value "finished"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "AMB" ];
     fhir:Coding.display [ fhir:value "ambulatory" ]
  ];
  fhir:Encounter.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "99215" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Office Visit, High Complexity" ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Encounter.participant [
     fhir:index 0;
     fhir:Encounter.participant.individual [
       fhir:Reference.reference [ fhir:value "Practitioner/ra-prac01pat01" ]     ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2017-02-03"^^xsd:date ];
     fhir:Period.end [ fhir:value "2017-02-03"^^xsd:date ]
  ];
  fhir:Encounter.diagnosis [
     fhir:index 0;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/ra-condition08pat01" ]     ]
  ];
  fhir:Encounter.serviceProvider [
     fhir:Reference.reference [ fhir:value "Organization/ra-org01pat01" ]
  ].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition44pat01> a fhir:Condition;
  fhir:Resource.id [ fhir:value "ra-condition44pat01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-condition44pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: B44.81: Allergic bronchopulmonary aspergillosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#B44.81 \"Allergic bronchopulmonary aspergillosis\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2017-01-18</p></div>"
  ];
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ];
       fhir:Coding.display [ fhir:value "Active" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ];
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "confirmed" ];
       fhir:Coding.display [ fhir:value "Confirmed" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Problem" ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
       fhir:Coding.code [ fhir:value "B44.81" ];
       fhir:Coding.display [ fhir:value "Allergic bronchopulmonary aspergillosis" ]     ];
     fhir:CodeableConcept.text [ fhir:value "B44.81: Allergic bronchopulmonary aspergillosis" ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2017-01-18"^^xsd:date].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter02pat01> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "ra-encounter02pat01"];
  fhir:Resource.meta [
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-name" ];
       fhir:Extension.valueString [ fhir:value "Encounter with Dr Howell on 20210714 for Patient 03" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-description" ];
       fhir:Extension.valueMarkdown [ fhir:value "This is Encounter with Dr Howell on 20210714 for Patient 03." ]     ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-encounter02pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/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 Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2021-01-31 --&gt; 2021-01-31</p><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"#Condition_ra-condition02pat01\">See above (Condition/ra-condition02pat01)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"#Condition_ra-condition17pat01\">See above (Condition/ra-condition17pat01)</a></p></blockquote><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
  ];
  fhir:Encounter.status [ fhir:value "finished"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "AMB" ];
     fhir:Coding.display [ fhir:value "ambulatory" ]
  ];
  fhir:Encounter.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "99215" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Office Visit, High Complexity" ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Encounter.participant [
     fhir:index 0;
     fhir:Encounter.participant.individual [
       fhir:Reference.reference [ fhir:value "Practitioner/ra-prac01pat01" ]     ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2021-01-31"^^xsd:date ];
     fhir:Period.end [ fhir:value "2021-01-31"^^xsd:date ]
  ];
  fhir:Encounter.diagnosis [
     fhir:index 0;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/ra-condition02pat01" ]     ]
  ], [
     fhir:index 1;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/ra-condition17pat01" ]     ]
  ];
  fhir:Encounter.serviceProvider [
     fhir:Reference.reference [ fhir:value "Organization/ra-org01pat01" ]
  ].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter44pat01> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "ra-encounter44pat01"];
  fhir:Resource.meta [
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-name" ];
       fhir:Extension.valueString [ fhir:value "Encounter with Dr Howell on 20210714 for Patient 03" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-description" ];
       fhir:Extension.valueMarkdown [ fhir:value "This is Encounter with Dr Howell on 20210714 for Patient 03." ]     ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-encounter44pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/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 Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2017-01-18 --&gt; 2017-01-18</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"#Condition_ra-condition44pat01\">See above (Condition/ra-condition44pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
  ];
  fhir:Encounter.status [ fhir:value "finished"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "AMB" ];
     fhir:Coding.display [ fhir:value "ambulatory" ]
  ];
  fhir:Encounter.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "99215" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Office Visit, High Complexity" ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Encounter.participant [
     fhir:index 0;
     fhir:Encounter.participant.individual [
       fhir:Reference.reference [ fhir:value "Practitioner/ra-prac01pat01" ]     ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2017-01-18"^^xsd:date ];
     fhir:Period.end [ fhir:value "2017-01-18"^^xsd:date ]
  ];
  fhir:Encounter.diagnosis [
     fhir:index 0;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/ra-condition44pat01" ]     ]
  ];
  fhir:Encounter.serviceProvider [
     fhir:Reference.reference [ fhir:value "Organization/ra-org01pat01" ]
  ].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition08pat01> a fhir:Condition;
  fhir:Resource.id [ fhir:value "ra-condition08pat01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-condition08pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: Bipolar disorder, current episode mixed, mild <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#F31.61)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2017-02-03</p></div>"
  ];
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ];
       fhir:Coding.display [ fhir:value "Active" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ];
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "confirmed" ];
       fhir:Coding.display [ fhir:value "Confirmed" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Problem" ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
       fhir:Coding.code [ fhir:value "F31.61" ];
       fhir:Coding.display [ fhir:value "Bipolar disorder, current episode mixed, mild" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Bipolar disorder, current episode mixed, mild" ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2017-02-03"^^xsd:date].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition43pat01> a fhir:Condition;
  fhir:Resource.id [ fhir:value "ra-condition43pat01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-condition43pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: E08.29: Diabetes mellitus due to underlying condition with other diabetic kidney complication <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#E08.29 \"Diabetes mellitus due to underlying condition with other diabetic kidney complication\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2019-02-10</p></div>"
  ];
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ];
       fhir:Coding.display [ fhir:value "Active" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ];
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "confirmed" ];
       fhir:Coding.display [ fhir:value "Confirmed" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Problem" ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
       fhir:Coding.code [ fhir:value "E08.29" ];
       fhir:Coding.display [ fhir:value "Diabetes mellitus due to underlying condition with other diabetic kidney complication" ]     ];
     fhir:CodeableConcept.text [ fhir:value "E08.29: Diabetes mellitus due to underlying condition with other diabetic kidney complication" ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2019-02-10"^^xsd:date].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition03pat01> a fhir:Condition;
  fhir:Resource.id [ fhir:value "ra-condition03pat01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-condition03pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: J44.1: Chronic obstructive pulmonary disease with (acute) exacerbation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#J44.1 \"Chronic obstructive pulmonary disease with (acute) exacerbation\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-09-26</p></div>"
  ];
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ];
       fhir:Coding.display [ fhir:value "Active" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ];
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "confirmed" ];
       fhir:Coding.display [ fhir:value "Confirmed" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Problem" ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
       fhir:Coding.code [ fhir:value "J44.1" ];
       fhir:Coding.display [ fhir:value "Chronic obstructive pulmonary disease with (acute) exacerbation" ]     ];
     fhir:CodeableConcept.text [ fhir:value "J44.1: Chronic obstructive pulmonary disease with (acute) exacerbation" ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2021-09-26"^^xsd:date].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition11pat01> a fhir:Condition;
  fhir:Resource.id [ fhir:value "ra-condition11pat01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-condition11pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: J81.0: Acute pulmonary edema <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#J81.0 \"Acute pulmonary edema\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2020-11-02</p></div>"
  ];
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ];
       fhir:Coding.display [ fhir:value "Active" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ];
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "confirmed" ];
       fhir:Coding.display [ fhir:value "Confirmed" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Problem" ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
       fhir:Coding.code [ fhir:value "J81.0" ];
       fhir:Coding.display [ fhir:value "Acute pulmonary edema" ]     ];
     fhir:CodeableConcept.text [ fhir:value "J81.0: Acute pulmonary edema" ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2020-11-02"^^xsd:date].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter43pat01> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "ra-encounter43pat01"];
  fhir:Resource.meta [
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-name" ];
       fhir:Extension.valueString [ fhir:value "Encounter with Dr Howell on 20210714 for Patient 03" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-description" ];
       fhir:Extension.valueMarkdown [ fhir:value "This is Encounter with Dr Howell on 20210714 for Patient 03." ]     ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-encounter43pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/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 Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2019-02-10 --&gt; 2019-02-10</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"#Condition_ra-condition43pat01\">See above (Condition/ra-condition43pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
  ];
  fhir:Encounter.status [ fhir:value "finished"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "AMB" ];
     fhir:Coding.display [ fhir:value "ambulatory" ]
  ];
  fhir:Encounter.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "99215" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Office Visit, High Complexity" ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Encounter.participant [
     fhir:index 0;
     fhir:Encounter.participant.individual [
       fhir:Reference.reference [ fhir:value "Practitioner/ra-prac01pat01" ]     ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2019-02-10"^^xsd:date ];
     fhir:Period.end [ fhir:value "2019-02-10"^^xsd:date ]
  ];
  fhir:Encounter.diagnosis [
     fhir:index 0;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/ra-condition43pat01" ]     ]
  ];
  fhir:Encounter.serviceProvider [
     fhir:Reference.reference [ fhir:value "Organization/ra-org01pat01" ]
  ].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter09pat01> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "ra-encounter09pat01"];
  fhir:Resource.meta [
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-name" ];
       fhir:Extension.valueString [ fhir:value "Encounter with Dr Howell on 20210714 for Patient 03" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/instance-description" ];
       fhir:Extension.valueMarkdown [ fhir:value "This is Encounter with Dr Howell on 20210714 for Patient 03." ]     ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-encounter09pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/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 Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2021-03-27 --&gt; 2021-03-27</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"#Condition_ra-condition09pat01\">See above (Condition/ra-condition09pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
  ];
  fhir:Encounter.status [ fhir:value "finished"];
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
     fhir:Coding.code [ fhir:value "AMB" ];
     fhir:Coding.display [ fhir:value "ambulatory" ]
  ];
  fhir:Encounter.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "99215" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Office Visit, High Complexity" ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Encounter.participant [
     fhir:index 0;
     fhir:Encounter.participant.individual [
       fhir:Reference.reference [ fhir:value "Practitioner/ra-prac01pat01" ]     ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2021-03-27"^^xsd:date ];
     fhir:Period.end [ fhir:value "2021-03-27"^^xsd:date ]
  ];
  fhir:Encounter.diagnosis [
     fhir:index 0;
     fhir:Encounter.diagnosis.condition [
       fhir:Reference.reference [ fhir:value "Condition/ra-condition09pat01" ]     ]
  ];
  fhir:Encounter.serviceProvider [
     fhir:Reference.reference [ fhir:value "Organization/ra-org01pat01" ]
  ].

<https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition17pat01> a fhir:Condition;
  fhir:Resource.id [ fhir:value "ra-condition17pat01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"ra-condition17pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: Z68.42: Body mass index [BMI] 45.0-49.9, adult <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#Z68.42 \"Body mass index [BMI] 45.0-49.9, adult\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-01-31</p></div>"
  ];
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ];
       fhir:Coding.display [ fhir:value "Active" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ];
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ];
       fhir:Coding.code [ fhir:value "confirmed" ];
       fhir:Coding.display [ fhir:value "Confirmed" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ];
  fhir:Condition.category [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ];
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ];
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Problem" ]
  ];
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-10-cm" ];
       fhir:Coding.code [ fhir:value "Z68.42" ];
       fhir:Coding.display [ fhir:value "Body mass index [BMI] 45.0-49.9, adult" ]     ];
     fhir:CodeableConcept.text [ fhir:value "Z68.42: Body mass index [BMI] 45.0-49.9, adult" ]
  ];
  fhir:Condition.subject [
     fhir:Reference.reference [ fhir:value "Patient/ra-patient01" ]
  ];
  fhir:Condition.onsetDateTime [ fhir:value "2021-01-31"^^xsd:date].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.