Quality Measure Implementation Guide
1.0.0 - STU 1

Quality Measure Implementation Guide - Downloaded Version null See the Directory of published versions

## : Bundle example - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

     a fhir:Bundle ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "measurereport-bundle-example"] ; #
      fhir:meta [
    fhir:source [ fhir:v "http://example.org/fhir/server"^^xsd:anyURI ]
      ] ; #
      fhir:type [ fhir:v "transaction"] ; #
      fhir:entry ( [
    fhir:fullUrl [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904"^^xsd:anyURI ] ;
        ( fhir:_resource <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [ fhir:v "MeasureReport"^^xsd:anyURI ]     ]
      ] [
    fhir:fullUrl [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"^^xsd:anyURI ] ;
        ( fhir:resource <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [ fhir:v "Organization"^^xsd:anyURI ]     ]
      ] [
    fhir:fullUrl [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"^^xsd:anyURI ] ;
        ( fhir:resource <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [ fhir:v "Patient"^^xsd:anyURI ]     ]
      ] [
    fhir:fullUrl [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"^^xsd:anyURI ] ;
        ( fhir:resource <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [ fhir:v "Practitioner"^^xsd:anyURI ]     ]
      ] [
    fhir:fullUrl [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908"^^xsd:anyURI ] ;
        ( fhir:resource <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908> ) ;
    fhir:request [
    fhir:method [ fhir:v "POST" ] ;
    fhir:url [ fhir:v "Observation"^^xsd:anyURI ]     ]
      ] ) . #

    <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904> a fhir:MeasureReport ;
      fhir:id [ fhir:v "47709cc7-b3ec-4abc-9d26-3df3d3d57904"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testcase"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testcase>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_47709cc7-b3ec-4abc-9d26-3df3d3d57904\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport 47709cc7-b3ec-4abc-9d26-3df3d3d57904</b></p><a name=\"47709cc7-b3ec-4abc-9d26-3df3d3d57904\"> </a><a name=\"hc47709cc7-b3ec-4abc-9d26-3df3d3d57904\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cqm-testcase.html\">CQM Test Case</a></p></div><p><b>Input parameters</b>: <a href=\"#hc47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters\">Parameters: subject</a></p><p><b>CQM Test Case Description</b>: </p><div><p>Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources.</p>\n</div><p><b>CQM Is Test Case</b>: true</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Measure-EXM130-FHIR.html\">EXM130 - Colorectal Cancer Screening Measure</a></p><p><b>subject</b>: <a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906\">Bundle: type = transaction</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57905\">Bundle: type = transaction</a></p><p><b>period</b>: 2018-12-31 --&gt; 2019-01-01</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/ group-1}\">group-1</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57905\">Bundle: type = transaction</a></li><li><a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906\">Bundle: type = transaction</a></li><li><a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57907\">Bundle: type = transaction</a></li><li><a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57908\">Bundle: type = transaction</a></li></ul><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Parameters #testcase-example-parameters</b></p><a name=\"47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters\"> </a><a name=\"hc47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters\"> </a><h2>Parameters</h2><table class=\"grid\"><tr><td>subject</td><td>123</td></tr></table></blockquote></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:contained ( [
    a fhir:Parameters ;
    fhir:id [ fhir:v "testcase-example-parameters" ] ;
        ( fhir:parameter [
    fhir:name [ fhir:v "subject" ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "123"       ]     ] )
      ] ) ; #
      fhir:extension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-inputParameters"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:reference [ fhir:v "#testcase-example-parameters" ]     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testCaseDescription"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:markdown ;
    fhir:v "Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources."     ]
      ] ) ; #
      fhir:modifierExtension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-isTestCase"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v true     ]
      ] ) ; #
      fhir:status [ fhir:v "complete"] ; #
      fhir:type [ fhir:v "individual"] ; #
      fhir:measure [
    fhir:v "http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR>
      ] ; #
      fhir:subject [
    fhir:reference [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906" ]
      ] ; #
      fhir:date [ fhir:v "2019-03-14"^^xsd:date] ; #
      fhir:reporter [
    fhir:reference [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905" ]
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2018-12-31"^^xsd:date ] ;
    fhir:end [ fhir:v "2019-01-01"^^xsd:date ]
      ] ; #
      fhir:improvementNotation [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "increase" ] ;
    fhir:display [ fhir:v "Increased score indicates improvement" ]     ] )
      ] ; #
      fhir:group ( [
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://example.org/fhir/"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "group-1" ] ;
    fhir:display [ fhir:v "group-1" ]       ] )     ] ;
        ( fhir:population [
    fhir:code [
            ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "initial-population" ] ;
    fhir:display [ fhir:v "Initial Population" ]         ] )       ] ;
    fhir:count [ fhir:v 1 ]     ] [
    fhir:code [
            ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "numerator" ] ;
    fhir:display [ fhir:v "Numerator" ]         ] )       ] ;
    fhir:count [ fhir:v 1 ]     ] [
    fhir:code [
            ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "denominator" ] ;
    fhir:display [ fhir:v "Denominator" ]         ] )       ] ;
    fhir:count [ fhir:v 1 ]     ] [
    fhir:code [
            ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "denominator-exclusion" ] ;
    fhir:display [ fhir:v "Denominator Exclusion" ]         ] )       ] ;
    fhir:count [ fhir:v 0 ]     ] ) ;
    fhir:measureScore [
    fhir:value [ fhir:v "1"^^xsd:decimal ]     ]
      ] ) ; #
      fhir:evaluatedResource ( [
    fhir:reference [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905" ]
      ] [
    fhir:reference [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906" ]
      ] [
    fhir:reference [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907" ]
      ] [
    fhir:reference [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908" ]
      ] ) . #

    <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905> a fhir:Organization ;
      fhir:meta [
    fhir:source [ fhir:v "http://example.org/fhir/server"^^xsd:anyURI ] ;
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization </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\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number/123456789 (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:identifier ( [
    fhir:use [ fhir:v "official" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "TAX" ] ;
    fhir:display [ fhir:v "Tax ID number" ]       ] )     ] ;
    fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.4.4"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "123456789" ] ;
    fhir:assigner [
    fhir:display [ fhir:v "www.irs.gov" ]     ]
      ] ) ; #
      fhir:active [ fhir:v true] ; #
      fhir:type ( [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/organization-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "prov" ] ;
    fhir:display [ fhir:v "Healthcare Provider" ]     ] )
      ] ) ; #
      fhir:name [ fhir:v "DaVinciHospital01"] ; #
      fhir:telecom ( [
    fhir:system [ fhir:v "phone" ] ;
    fhir:value [ fhir:v "(+1) 401-555-1212" ]
      ] ) ; #
      fhir:address ( [
        ( fhir:line [ fhir:v "73 Lakewood Street" ] ) ;
    fhir:city [ fhir:v "Warwick" ] ;
    fhir:state [ fhir:v "RI" ] ;
    fhir:postalCode [ fhir:v "02886" ] ;
    fhir:country [ fhir:v "USA" ]
      ] ) . #

    <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906> a fhir:Patient ;
      fhir:meta [
    fhir:source [ fhir:v "http://example.org/fhir/server"^^xsd:anyURI ] ;
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient </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\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-patient.html\">QICore Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Thelma Webster (official) Female, DoB: 1948-04-28 ( Medical record number: 67890 (use: usual, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td>false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">7496 Beaver Ridge Ave Thornton NJ 07003 USA (home)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en-US}\">English (Region=United States)</span> (preferred)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*.\"><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">F</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>text: White</li></ul></td></tr></table></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:extension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "F"     ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "White"       ]     ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "Not Hispanic or Latino"       ]     ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"^^xsd:anyURI ]
      ] ) ; #
      fhir:identifier ( [
    fhir:use [ fhir:v "usual" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "MR" ] ;
    fhir:display [ fhir:v "Medical record number" ]       ] )     ] ;
    fhir:system [ fhir:v "http://example.org/hospital/davinci"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "67890" ]
      ] ) ; #
      fhir:active [ fhir:v true] ; #
      fhir:name ( [
    fhir:use [ fhir:v "official" ] ;
    fhir:family [ fhir:v "Webster" ] ;
        ( fhir:given [ fhir:v "Thelma" ] )
      ] ) ; #
      fhir:gender [ fhir:v "female"] ; #
      fhir:birthDate [ fhir:v "1948-04-28"^^xsd:date] ; #
      fhir:deceased [
    a fhir:boolean ;
    fhir:v false
      ] ; #
      fhir:address ( [
    fhir:use [ fhir:v "home" ] ;
        ( fhir:line [ fhir:v "7496 Beaver Ridge Ave" ] ) ;
    fhir:city [ fhir:v "Thornton" ] ;
    fhir:state [ fhir:v "NJ" ] ;
    fhir:postalCode [ fhir:v "07003" ] ;
    fhir:country [ fhir:v "USA" ]
      ] ) ; #
      fhir:maritalStatus [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "M" ] ;
    fhir:display [ fhir:v "Married" ]     ] )
      ] ; #
      fhir:communication ( [
    fhir:language [
          ( fhir:coding [
    fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "en-US" ] ;
    fhir:display [ fhir:v "English (Region=United States)" ]       ] )     ] ;
    fhir:preferred [ fhir:v true ]
      ] ) . #

    <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907> a fhir:Practitioner ;
      fhir:meta [
    fhir:source [ fhir:v "http://example.org/fhir/server"^^xsd:anyURI ] ;
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner </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\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-practitioner.html\">QICore Practitioner</a></p></div><p><b>identifier</b>: Provider number/1881665057 (use: official, )</p><p><b>active</b>: true</p><p><b>name</b>: Nia Akers </p><p><b>gender</b>: Female</p></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:identifier ( [
    fhir:use [ fhir:v "official" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "PRN" ] ;
    fhir:display [ fhir:v "Provider number" ]       ] )     ] ;
    fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "1881665057" ]
      ] ) ; #
      fhir:active [ fhir:v true] ; #
      fhir:name ( [
    fhir:family [ fhir:v "Akers" ] ;
        ( fhir:given [ fhir:v "Nia" ] ) ;
        ( fhir:suffix [ fhir:v "MD" ] )
      ] ) ; #
      fhir:gender [ fhir:v "female"] . #

    <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908> a fhir:Observation ;
      fhir:meta [
    fhir:source [ fhir:v "http://example.org/fhir/server"^^xsd:anyURI ] ;
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation </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\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-simple-observation.html\">QICore Simple Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 77353-1}\">Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative</span></p><p><b>subject</b>: <a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906\">Bundle: type = transaction</a></p><p><b>effective</b>: 2018-06-22</p><p><b>performer</b>: <a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57907\">Bundle: type = transaction</a></p></div>"^^rdf:XMLLiteral
      ] ; #
      fhir:status [ fhir:v "final"] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "laboratory" ] ;
    fhir:display [ fhir:v "Laboratory" ]     ] )
      ] ) ; #
      fhir:code [
        ( fhir:coding [
    a loinc:77353-1 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "77353-1" ] ;
    fhir:display [ fhir:v "Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative" ]     ] )
      ] ; #
      fhir:subject [
    fhir:reference [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906" ]
      ] ; #
      fhir:effective [
    a fhir:dateTime ;
    fhir:v "2018-06-22"^^xsd:date
      ] ; #
      fhir:performer ( [
    fhir:reference [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907" ]
      ] ) . #