Data Exchange For Quality Measures STU3 for FHIR R4
3.0.0 - STU 3

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v3.0.0: STU 3) 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

: Gaps Parameters Open Individual MeasureReports - TTL Representation

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@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:Parameters;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "single-gaps-open-indv-report01"];
  fhir:Parameters.parameter [
     fhir:index 0;
     fhir:Parameters.parameter.name [ fhir:value "return" ];
     fhir:Parameters.parameter.resource [
       a fhir:Bundle;
       fhir:Resource.id [ fhir:value "single-gaps-open-indv-report01" ];
       fhir:Resource.meta [
         fhir:Meta.profile [
           fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm";
           fhir:index 0;
           fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm>         ]       ];
       fhir:Bundle.identifier [
         fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
         fhir:Identifier.value [ fhir:value "urn:uuid:77f43ef5-8c60-4222-ae58-36969063a093" ]       ];
       fhir:Bundle.type [ fhir:value "document" ];
       fhir:Bundle.timestamp [ fhir:value "2020-06-30T13:08:53+00:00"^^xsd:dateTime ];
       fhir:Bundle.entry [
         fhir:index 0;
         fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Composition/gaps-composition01" ];
         fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Composition/gaps-composition01>       ], [
         fhir:index 1;
         fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01" ];
         fhir:Bundle.entry.resource <http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01>       ], [
         fhir:index 2;
         fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02" ];
         fhir:Bundle.entry.resource <http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02>       ], [
         fhir:index 3;
         fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01" ];
         fhir:Bundle.entry.resource <http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01>       ], [
         fhir:index 4;
         fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02" ];
         fhir:Bundle.entry.resource <http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02>       ], [
         fhir:index 5;
         fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Encounter/gaps-encounter01" ];
         fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Encounter/gaps-encounter01>       ], [
         fhir:index 6;
         fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Patient/gaps-patient01" ];
         fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Patient/gaps-patient01>       ], [
         fhir:index 7;
         fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor" ];
         fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor>       ]     ]
  ].

<http://example.org/fhir/gaps/Composition/gaps-composition01> a fhir:Composition;
  fhir:Resource.id [ fhir:value "gaps-composition01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm>     ]
  ];
  fhir:Composition.status [ fhir:value "final"];
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:96315-7;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "96315-7" ];
       fhir:Coding.display [ fhir:value "Gaps in care report" ]     ]
  ];
  fhir:Composition.subject [
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
  ];
  fhir:Composition.date [ fhir:value "2020-06-30T13:08:53+00:00"^^xsd:dateTime];
  fhir:Composition.author [
     fhir:index 0;
     fhir:Reference.reference [ fhir:value "Organization/gaps-organization-reportingvendor" ]
  ];
  fhir:Composition.title [ fhir:value "Care Gap Report for patient gaps-patient01"];
  fhir:Composition.section [
     fhir:index 0;
     fhir:Composition.section.title [ fhir:value "Colorectal Cancer Screening" ];
     fhir:Composition.section.focus [
       fhir:Reference.reference [ fhir:value "MeasureReport/gaps-indv-measurereport01" ]     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "DetectedIssue/gaps-detectedissue01" ]     ]
  ], [
     fhir:index 1;
     fhir:Composition.section.title [ fhir:value "Cervical Cancer Screening" ];
     fhir:Composition.section.focus [
       fhir:Reference.reference [ fhir:value "MeasureReport/gaps-indv-measurereport02" ]     ];
     fhir:Composition.section.entry [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "DetectedIssue/gaps-detectedissue02" ]     ]
  ].

<http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport01> a fhir:MeasureReport;
  fhir:Resource.id [ fhir:value "gaps-indv-measurereport01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm>     ]
  ];
  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:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" ];
     fhir:Extension.valueIdentifier [
       fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.3.2074.1" ];
       fhir:Identifier.value [ fhir:value "0015HQN9BD3304E" ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "Organization/gaps-organization-reportingvendor" ]     ]
  ];
  fhir:MeasureReport.status [ fhir:value "complete"];
  fhir:MeasureReport.type [ fhir:value "individual"];
  fhir:MeasureReport.measure [
     fhir:value "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example";
     fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example>
  ];
  fhir:MeasureReport.subject [
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
  ];
  fhir:MeasureReport.date [ fhir:value "2020-06-30T13:08:52+00:00"^^xsd:dateTime];
  fhir:MeasureReport.reporter [
     fhir:Reference.reference [ fhir:value "Organization/organization01" ]
  ];
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2020-01-01T00:00:00+00:00"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2020-12-31T00:00:00+00:00"^^xsd:dateTime ]
  ];
  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:MeasureReport.group [
     fhir:index 0;
     fhir:Element.id [ fhir:value "group-exm130" ];
     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 "1"^^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 "0"^^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 "1"^^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 "0"^^xsd:integer ]     ];
     fhir:MeasureReport.group.measureScore [
       fhir:Quantity.value [ fhir:value "0"^^xsd:decimal ]     ]
  ];
  fhir:MeasureReport.evaluatedResource [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
       fhir:Extension.valueString [ fhir:value "initial-population" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
       fhir:Extension.valueString [ fhir:value "denominator" ]     ];
     fhir:Reference.reference [ fhir:value "Encounter/gaps-encounter01" ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
       fhir:Extension.valueString [ fhir:value "initial-population" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
       fhir:Extension.valueString [ fhir:value "denominator" ]     ];
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
  ].

<http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport02> a fhir:MeasureReport;
  fhir:Resource.id [ fhir:value "gaps-indv-measurereport02"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm>     ]
  ];
  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:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier" ];
     fhir:Extension.valueIdentifier [
       fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.3.2074.1" ];
       fhir:Identifier.value [ fhir:value "0015HQN9BD3304E" ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "Organization/gaps-organization-reportingvendor" ]     ]
  ];
  fhir:MeasureReport.status [ fhir:value "complete"];
  fhir:MeasureReport.type [ fhir:value "individual"];
  fhir:MeasureReport.measure [
     fhir:value "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example";
     fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm124-example>
  ];
  fhir:MeasureReport.subject [
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
  ];
  fhir:MeasureReport.date [ fhir:value "2020-07-02T13:08:52+00:00"^^xsd:dateTime];
  fhir:MeasureReport.reporter [
     fhir:Reference.reference [ fhir:value "Organization/organization01" ]
  ];
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2020-01-01T00:00:00+00:00"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2020-12-31T00:00:00+00:00"^^xsd:dateTime ]
  ];
  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:MeasureReport.group [
     fhir:index 0;
     fhir:Element.id [ fhir:value "group-exm124" ];
     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 "1"^^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 "0"^^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 "1"^^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 "0"^^xsd:integer ]     ];
     fhir:MeasureReport.group.measureScore [
       fhir:Quantity.value [ fhir:value "0"^^xsd:decimal ]     ]
  ];
  fhir:MeasureReport.evaluatedResource [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
       fhir:Extension.valueString [ fhir:value "initial-population" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
       fhir:Extension.valueString [ fhir:value "denominator" ]     ];
     fhir:Reference.reference [ fhir:value "Encounter/gaps-encounter01" ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
       fhir:Extension.valueString [ fhir:value "initial-population" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-populationReference" ];
       fhir:Extension.valueString [ fhir:value "denominator" ]     ];
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
  ].

<http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue01> a fhir:DetectedIssue;
  fhir:Resource.id [ fhir:value "gaps-detectedissue01"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm>     ]
  ];
  fhir:DomainResource.modifierExtension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status" ];
         fhir:Coding.code [ fhir:value "closed-gap" ]       ]     ]
  ];
  fhir:DetectedIssue.status [ fhir:value "final"];
  fhir:DetectedIssue.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
       fhir:Coding.code [ fhir:value "CAREGAP" ];
       fhir:Coding.display [ fhir:value "Care Gaps" ]     ]
  ];
  fhir:DetectedIssue.patient [
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
  ];
  fhir:DetectedIssue.evidence [
     fhir:index 0;
     fhir:DetectedIssue.evidence.detail [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "MeasureReport/gaps-indv-measurereport01" ]     ]
  ].

<http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue02> a fhir:DetectedIssue;
  fhir:Resource.id [ fhir:value "gaps-detectedissue02"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm>     ]
  ];
  fhir:DomainResource.modifierExtension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus" ];
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status" ];
         fhir:Coding.code [ fhir:value "closed-gap" ]       ]     ]
  ];
  fhir:DetectedIssue.status [ fhir:value "final"];
  fhir:DetectedIssue.code [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
       fhir:Coding.code [ fhir:value "CAREGAP" ];
       fhir:Coding.display [ fhir:value "Care Gaps" ]     ]
  ];
  fhir:DetectedIssue.patient [
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
  ];
  fhir:DetectedIssue.evidence [
     fhir:index 0;
     fhir:DetectedIssue.evidence.detail [
       fhir:index 0;
       fhir:Reference.reference [ fhir:value "MeasureReport/gaps-indv-measurereport02" ]     ]
  ].

<http://example.org/fhir/gaps/Encounter/gaps-encounter01> a fhir:Encounter;
  fhir:Resource.id [ fhir:value "gaps-encounter01"];
  fhir:Resource.meta [
     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: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 "99201" ];
       fhir:Coding.display [ fhir:value "Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family." ]     ]
  ];
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient01" ]
  ];
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2020-05-30T00:00:00-00:00"^^xsd:dateTime ];
     fhir:Period.end [ fhir:value "2020-05-31T00:00:00-00:00"^^xsd:dateTime ]
  ].

<http://example.org/fhir/gaps/Patient/gaps-patient01> a fhir:Patient;
  fhir:Resource.id [ fhir:value "gaps-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.extension [
     fhir:index 0;
     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 "2028-9" ];
         fhir:Coding.display [ fhir:value "Asian" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "Asian" ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ]
  ], [
     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 "2135-2" ];
         fhir:Coding.display [ fhir:value "Hispanic or Latino" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "text" ];
       fhir:Extension.valueString [ fhir:value "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.smarthealthit.org" ];
     fhir:Identifier.value [ fhir:value "999995992" ]
  ];
  fhir:Patient.name [
     fhir:index 0;
     fhir:HumanName.family [ fhir:value "Susan" ];
     fhir:HumanName.given [
       fhir:value "Parker";
       fhir:index 0     ]
  ];
  fhir:Patient.gender [ fhir:value "female"];
  fhir:Patient.birthDate [ fhir:value "1965-01-01"^^xsd:date].

<http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> a fhir:Organization;
  fhir:Resource.id [ fhir:value "gaps-organization-reportingvendor"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm>     ]
  ];
  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 "123446789" ];
     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 "pay" ];
       fhir:Coding.display [ fhir:value "Payer" ]     ]
  ];
  fhir:Organization.name [ fhir:value "GapsReportingVendor01"];
  fhir:Organization.telecom [
     fhir:index 0;
     fhir:ContactPoint.system [ fhir:value "phone" ];
     fhir:ContactPoint.value [ fhir:value "(+1) 401-545-1212" ]
  ];
  fhir:Organization.address [
     fhir:index 0;
     fhir:Address.line [
       fhir:value "13 Drive Street";
       fhir:index 0     ];
     fhir:Address.city [ fhir:value "Cityplace" ];
     fhir:Address.state [ fhir:value "MA" ];
     fhir:Address.postalCode [ fhir:value "01101" ];
     fhir:Address.country [ fhir:value "USA" ]
  ].

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

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