Data Exchange For Quality Measures Implementation Guide
4.0.0-ballot - STU Ballot US

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0-ballot: STU4 (v4.0.0) Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions

: Multiple Summ Report - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@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 "multiple-summ-report"]; # 
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ]
  ]; # 
  fhir:Bundle.type [ fhir:value "transaction"]; # 
  fhir:Bundle.timestamp [ fhir:value "2020-06-18T20:16:02.653993Z"^^xsd:dateTime]; # 
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:884bd27a-b1a0-11ea-b615-a4d18ccf5172" ];
     fhir:Bundle.entry.resource <urn:uuid:884bd27a-b1a0-11ea-b615-a4d18ccf5172>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "MeasureReport" ]     ]
  ], [
     fhir:index 1;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172" ];
     fhir:Bundle.entry.resource <urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "Organization" ]     ]
  ], [
     fhir:index 2;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:884cd4e0-b1a0-11ea-b615-a4d18ccf5172" ];
     fhir:Bundle.entry.resource <urn:uuid:884cd4e0-b1a0-11ea-b615-a4d18ccf5172>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "MeasureReport" ]     ]
  ], [
     fhir:index 3;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:884ec872-b1a0-11ea-b615-a4d18ccf5172" ];
     fhir:Bundle.entry.resource <urn:uuid:884ec872-b1a0-11ea-b615-a4d18ccf5172>;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ];
       fhir:Bundle.entry.request.url [ fhir:value "MeasureReport" ]     ]
  ]. # 

<urn:uuid:884bd27a-b1a0-11ea-b615-a4d18ccf5172> a fhir:MeasureReport;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</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\">Information Source: http://example.org/fhir/server!</p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href=\"http://example.org/fhir/Measure/measure-medicare-stratification-example\">http://example.org/fhir/Measure/measure-medicare-stratification-example</a></p><p><b>period</b>: 2018-01-01 --&gt; 2018-12-31</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 10000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 8000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 4000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-administrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-administrative)</span></p><p><b>count</b>: 2000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-medical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-medical)</span></p><p><b>count</b>: 1000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-supplemental <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-supplemental)</span></p><p><b>count</b>: 1000</p></blockquote><p><b>measureScore</b>: 0.50</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: Coverage Type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (stratifier-classifications#CoverageType)</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Medicare <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (SOP#MEDICARE)</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1747</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 392</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 243</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-administrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-administrative)</span></p><p><b>count</b>: 154</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-medical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-medical)</span></p><p><b>count</b>: 12</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-supplemental <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-supplemental)</span></p><p><b>count</b>: 77</p></blockquote><p><b>measureScore</b>: 0.62</p></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: Coverage Type and Class <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (stratifier-classifications#CoverageTypeAndClass)</span></p><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Coverage Type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (stratifier-classifications#CoverageType)</span></p><p><b>value</b>: Medicare <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (SOP#MEDICARE)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Coverage Class <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (stratifier-classifications#CoverageClass)</span></p><p><b>value</b>: Non-LIS/DE,Nondisability <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (medicare-subgroup#Non-LIS/DE,Nondisability)</span></p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 745</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 150</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 103</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-administrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-administrative)</span></p><p><b>count</b>: 77</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-medical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-medical)</span></p><p><b>count</b>: 7</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-supplemental <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-supplemental)</span></p><p><b>count</b>: 19</p></blockquote><p><b>measureScore</b>: 0.69</p></blockquote></blockquote></blockquote></div>"
  ]; # 
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
         fhir:Coding.code [ fhir:value "proportion" ]       ]     ]
  ]; # 
  fhir:MeasureReport.status [ fhir:value "complete"]; # 
  fhir:MeasureReport.type [ fhir:value "summary"]; # 
  fhir:MeasureReport.measure [
     fhir:value "http://example.org/fhir/Measure/measure-medicare-stratification-example";
     fhir:link <http://example.org/fhir/Measure/measure-medicare-stratification-example>
  ]; # 
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2018-01-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2018-12-31"^^xsd:date ]
  ]; # 
  fhir:MeasureReport.improvementNotation [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
       fhir:Coding.code [ fhir:value "increase" ];
       fhir:Coding.display [ fhir:value "Increased score indicates improvement" ]     ]
  ]; # 
  fhir:MeasureReport.group [
     fhir:index 0;
     fhir:MeasureReport.group.population [
       fhir:index 0;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "10000"^^xsd:integer ]     ], [
       fhir:index 1;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "8000"^^xsd:integer ]     ], [
       fhir:index 2;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "4000"^^xsd:integer ]     ], [
       fhir:index 3;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/measure-population-type" ];
           fhir:Coding.code [ fhir:value "numerator-administrative" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "2000"^^xsd:integer ]     ], [
       fhir:index 4;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/measure-population-type" ];
           fhir:Coding.code [ fhir:value "numerator-medical" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1000"^^xsd:integer ]     ], [
       fhir:index 5;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/measure-population-type" ];
           fhir:Coding.code [ fhir:value "numerator-supplemental" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "1000"^^xsd:integer ]     ];
     fhir:MeasureReport.group.measureScore [
       fhir:Quantity.value [ fhir:value "0.50"^^xsd:decimal ]     ];
     fhir:MeasureReport.group.stratifier [
       fhir:index 0;
       fhir:MeasureReport.group.stratifier.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/stratifier-classifications" ];
           fhir:Coding.code [ fhir:value "CoverageType" ];
           fhir:Coding.display [ fhir:value "Coverage Type" ]         ]       ];
       fhir:MeasureReport.group.stratifier.stratum [
         fhir:index 0;
         fhir:MeasureReport.group.stratifier.stratum.value [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/SOP" ];
             fhir:Coding.code [ fhir:value "MEDICARE" ];
             fhir:Coding.display [ fhir:value "Medicare" ]           ]         ];
         fhir:MeasureReport.group.stratifier.stratum.population [
           fhir:index 0;
           fhir:MeasureReport.group.stratifier.stratum.population.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
               fhir:Coding.code [ fhir:value "initial-population" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.population.count [ fhir:value "1747"^^xsd:integer ]         ], [
           fhir:index 1;
           fhir:MeasureReport.group.stratifier.stratum.population.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
               fhir:Coding.code [ fhir:value "denominator" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.population.count [ fhir:value "392"^^xsd:integer ]         ], [
           fhir:index 2;
           fhir:MeasureReport.group.stratifier.stratum.population.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
               fhir:Coding.code [ fhir:value "numerator" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.population.count [ fhir:value "243"^^xsd:integer ]         ], [
           fhir:index 3;
           fhir:MeasureReport.group.stratifier.stratum.population.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/measure-population-type" ];
               fhir:Coding.code [ fhir:value "numerator-administrative" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.population.count [ fhir:value "154"^^xsd:integer ]         ], [
           fhir:index 4;
           fhir:MeasureReport.group.stratifier.stratum.population.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/measure-population-type" ];
               fhir:Coding.code [ fhir:value "numerator-medical" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.population.count [ fhir:value "12"^^xsd:integer ]         ], [
           fhir:index 5;
           fhir:MeasureReport.group.stratifier.stratum.population.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/measure-population-type" ];
               fhir:Coding.code [ fhir:value "numerator-supplemental" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.population.count [ fhir:value "77"^^xsd:integer ]         ];
         fhir:MeasureReport.group.stratifier.stratum.measureScore [
           fhir:Quantity.value [ fhir:value "0.62"^^xsd:decimal ]         ]       ]     ], [
       fhir:index 1;
       fhir:MeasureReport.group.stratifier.code [
         fhir:index 0;
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/stratifier-classifications" ];
           fhir:Coding.code [ fhir:value "CoverageTypeAndClass" ];
           fhir:Coding.display [ fhir:value "Coverage Type and Class" ]         ]       ];
       fhir:MeasureReport.group.stratifier.stratum [
         fhir:index 0;
         fhir:MeasureReport.group.stratifier.stratum.component [
           fhir:index 0;
           fhir:MeasureReport.group.stratifier.stratum.component.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/stratifier-classifications" ];
               fhir:Coding.code [ fhir:value "CoverageType" ];
               fhir:Coding.display [ fhir:value "Coverage Type" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.component.value [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/SOP" ];
               fhir:Coding.code [ fhir:value "MEDICARE" ];
               fhir:Coding.display [ fhir:value "Medicare" ]             ]           ]         ], [
           fhir:index 1;
           fhir:MeasureReport.group.stratifier.stratum.component.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/stratifier-classifications" ];
               fhir:Coding.code [ fhir:value "CoverageClass" ];
               fhir:Coding.display [ fhir:value "Coverage Class" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.component.value [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/medicare-subgroup" ];
               fhir:Coding.code [ fhir:value "Non-LIS/DE,Nondisability" ];
               fhir:Coding.display [ fhir:value "Non-LIS/DE,Nondisability" ]             ]           ]         ];
         fhir:MeasureReport.group.stratifier.stratum.population [
           fhir:index 0;
           fhir:MeasureReport.group.stratifier.stratum.population.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
               fhir:Coding.code [ fhir:value "initial-population" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.population.count [ fhir:value "745"^^xsd:integer ]         ], [
           fhir:index 1;
           fhir:MeasureReport.group.stratifier.stratum.population.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
               fhir:Coding.code [ fhir:value "denominator" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.population.count [ fhir:value "150"^^xsd:integer ]         ], [
           fhir:index 2;
           fhir:MeasureReport.group.stratifier.stratum.population.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
               fhir:Coding.code [ fhir:value "numerator" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.population.count [ fhir:value "103"^^xsd:integer ]         ], [
           fhir:index 3;
           fhir:MeasureReport.group.stratifier.stratum.population.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/measure-population-type" ];
               fhir:Coding.code [ fhir:value "numerator-administrative" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.population.count [ fhir:value "77"^^xsd:integer ]         ], [
           fhir:index 4;
           fhir:MeasureReport.group.stratifier.stratum.population.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/measure-population-type" ];
               fhir:Coding.code [ fhir:value "numerator-medical" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.population.count [ fhir:value "7"^^xsd:integer ]         ], [
           fhir:index 5;
           fhir:MeasureReport.group.stratifier.stratum.population.code [
             fhir:CodeableConcept.coding [
               fhir:index 0;
               fhir:Coding.system [ fhir:value "http://example.org/CodeSystem/measure-population-type" ];
               fhir:Coding.code [ fhir:value "numerator-supplemental" ]             ]           ];
           fhir:MeasureReport.group.stratifier.stratum.population.count [ fhir:value "19"^^xsd:integer ]         ];
         fhir:MeasureReport.group.stratifier.stratum.measureScore [
           fhir:Quantity.value [ fhir:value "0.69"^^xsd:decimal ]         ]       ]     ]
  ]. # 

<urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172> a fhir:Organization;
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "4" ];
     fhir:Meta.lastUpdated [ fhir:value "2019-02-21T01:47:54.000+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><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\">Resource Organization Version &quot;4&quot; Updated &quot;2019-02-21 01:47:54+0000&quot; </p><p style=\"margin-bottom: 0px\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qi-core/2022Sep/StructureDefinition-qicore-organization.html\">QICoreOrganization</a></p></div><p><b>identifier</b>: Tax ID number: 123456789 (use: OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</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>"
  ]; # 
  fhir:Organization.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     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 "TAX" ];
         fhir:Coding.display [ fhir:value "Tax ID number" ]       ]     ];
     fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.4.4" ];
     fhir:Identifier.value [ fhir:value "123456789" ];
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "www.irs.gov" ]     ]
  ]; # 
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean]; # 
  fhir:Organization.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ];
       fhir:Coding.code [ fhir:value "prov" ];
       fhir:Coding.display [ fhir:value "Healthcare Provider" ]     ]
  ]; # 
  fhir:Organization.name [ fhir:value "DaVinciHospital01"]; # 
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "(+1) 401-555-1212" ]
  ]; # 
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "73 Lakewood Street";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Warwick" ];
     fhir:Address.state [ fhir:value "RI" ];
     fhir:Address.postalCode [ fhir:value "02886" ];
     fhir:Address.country [ fhir:value "USA" ]
  ]. # 

<urn:uuid:884cd4e0-b1a0-11ea-b615-a4d18ccf5172> a fhir:MeasureReport;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-summary-measurereport-deqm.html\">DEQM Summary MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/cqfmeasures/STU3/Measure-measure-exm130-FHIR.html\">EXM130 - Colorectal Cancer Screening Measure</a></p><p><b>date</b>: 2019-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"#urnuuid884cb1a4-b1a0-11ea-b615-a4d18ccf5172\">See above (urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172)</a></p><p><b>period</b>: 2019-08-01 --&gt; 2019-09-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: group-1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (#group-1)</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 60</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 10</p></blockquote><p><b>measureScore</b>: 0.66</p></blockquote></div>"
  ]; # 
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
         fhir:Coding.code [ fhir:value "proportion" ]       ]     ]
  ]; # 
  fhir:MeasureReport.status [ fhir:value "complete"]; # 
  fhir:MeasureReport.type [ fhir:value "summary"]; # 
  fhir:MeasureReport.measure [
     fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR";
     fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR>
  ]; # 
  fhir:MeasureReport.date [ fhir:value "2019-09-05T16:59:52.404Z"^^xsd:dateTime]; # 
  fhir:MeasureReport.reporter [
     fhir:Reference.reference [ fhir:value "urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172" ]
  ]; # 
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2019-08-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2019-09-01"^^xsd:date ]
  ]; # 
  fhir:MeasureReport.improvementNotation [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
       fhir:Coding.code [ fhir:value "increase" ];
       fhir:Coding.display [ fhir:value "Increased score indicates improvement" ]     ]
  ]; # 
  fhir:MeasureReport.group [
     fhir:index 0;
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://example.org/fhir/" ];
         fhir:Coding.code [ fhir:value "group-1" ];
         fhir:Coding.display [ fhir:value "group-1" ]       ]     ];
     fhir:MeasureReport.group.population [
       fhir:index 0;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "100"^^xsd:integer ]     ], [
       fhir:index 1;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ];
           fhir:Coding.display [ fhir:value "Numerator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "60"^^xsd:integer ]     ], [
       fhir:index 2;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ];
           fhir:Coding.display [ fhir:value "Denominator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "100"^^xsd:integer ]     ], [
       fhir:index 3;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator-exclusion" ];
           fhir:Coding.display [ fhir:value "Denominator Exclusion" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "10"^^xsd:integer ]     ];
     fhir:MeasureReport.group.measureScore [
       fhir:Quantity.value [ fhir:value "0.66"^^xsd:decimal ]     ]
  ]. # 

<urn:uuid:884ec872-b1a0-11ea-b615-a4d18ccf5172> a fhir:MeasureReport;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-summary-measurereport-deqm.html\">DEQM Summary MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href=\"Measure-measure-mrp-example.html\">MRP Measure</a></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"#urnuuid884cb1a4-b1a0-11ea-b615-a4d18ccf5172\">See above (urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: MRP Group <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (#mrp-group)</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 80</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 100</p></blockquote><p><b>measureScore</b>: 0.8</p></blockquote></div>"
  ]; # 
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
         fhir:Coding.code [ fhir:value "proportion" ]       ]     ]
  ]; # 
  fhir:MeasureReport.status [ fhir:value "complete"]; # 
  fhir:MeasureReport.type [ fhir:value "summary"]; # 
  fhir:MeasureReport.measure [
     fhir:value "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example";
     fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example>
  ]; # 
  fhir:MeasureReport.date [ fhir:value "2018-09-05T16:59:52.404Z"^^xsd:dateTime]; # 
  fhir:MeasureReport.reporter [
     fhir:Reference.reference [ fhir:value "urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172" ]
  ]; # 
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2018-08-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2018-09-01"^^xsd:date ]
  ]; # 
  fhir:MeasureReport.improvementNotation [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
       fhir:Coding.code [ fhir:value "increase" ];
       fhir:Coding.display [ fhir:value "Increased score indicates improvement" ]     ]
  ]; # 
  fhir:MeasureReport.group [
     fhir:index 0;
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://example.org/fhir/" ];
         fhir:Coding.code [ fhir:value "mrp-group" ];
         fhir:Coding.display [ fhir:value "MRP Group" ]       ];
       fhir:CodeableConcept.text [ fhir:value "MRP Group" ]     ];
     fhir:MeasureReport.group.population [
       fhir:index 0;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "100"^^xsd:integer ]     ], [
       fhir:index 1;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ];
           fhir:Coding.display [ fhir:value "Numerator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "80"^^xsd:integer ]     ], [
       fhir:index 2;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ];
           fhir:Coding.display [ fhir:value "Denominator" ]         ]       ];
       fhir:MeasureReport.group.population.count [ fhir:value "100"^^xsd:integer ]     ];
     fhir:MeasureReport.group.measureScore [
       fhir:Quantity.value [ fhir:value "0.8"^^xsd:decimal ]     ]
  ]. # 

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

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