Quality Measure Implementation Guide
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Quality Measure Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 6.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. 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 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 "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/test-case-cqfm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/StructureDefinition/test-case-cqfm>     ] )
  ] ; # 
  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><a name=\"47709cc7-b3ec-4abc-9d26-3df3d3d57904-en-US\"> </a><p><b>Input parameters</b>: <a href=\"#hc47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters\">Parameters: subject</a></p><p><b>CQFM 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>CQFM 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-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-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-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57905\">Bundle: type = transaction</a></li><li><a href=\"Bundle-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906\">Bundle: type = transaction</a></li><li><a href=\"Bundle-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57907\">Bundle: type = transaction</a></li><li><a href=\"Bundle-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><a name=\"47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters-en-US\"> </a><h2>Parameters</h2><table class=\"grid\"><tr><td>subject</td><td>123</td></tr></table></blockquote></div>"
  ] ; # 
  fhir:contained ( [
a fhir:Parameters ;
fhir:id [ fhir:v "testcase-example-parameters" ] ;
    ( fhir:parameter [
fhir:name [ fhir:v "subject" ] ;
fhir:value [ 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/cqfm-testCaseDescription"^^xsd:anyURI ] ;
fhir:value [ 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/cqfm-isTestCase"^^xsd:anyURI ] ;
fhir:value [ fhir:v "true"^^xsd:boolean ]
  ] ) ; # 
  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"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator" ] ;
fhir:display [ fhir:v "Numerator" ]         ] )       ] ;
fhir:count [ fhir:v "1"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator" ] ;
fhir:display [ fhir:v "Denominator" ]         ] )       ] ;
fhir:count [ fhir:v "1"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator-exclusion" ] ;
fhir:display [ fhir:v "Denominator Exclusion" ]         ] )       ] ;
fhir:count [ fhir:v "0"^^xsd:integer ]     ] ) ;
fhir:measureScore [
fhir:value [ fhir:v "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: <code>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization</code></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>"
  ] ; # 
  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"^^xsd:boolean] ; # 
  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: <code>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient</code></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></table></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"^^xsd:anyURI ] ;
fhir:value [ fhir:v "F" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ 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 [ 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://hospital.davinci.org"^^xsd:anyURI ] ;
fhir:value [ fhir:v "67890" ]
  ] ) ; # 
  fhir:active [ fhir:v "true"^^xsd:boolean] ; # 
  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 [ fhir:v "false"^^xsd:boolean] ; # 
  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"^^xsd:boolean ]
  ] ) . # 

<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: <code>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner</code></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>"
  ] ; # 
  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"^^xsd:boolean] ; # 
  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: <code>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation</code></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-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-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57907\">Bundle: type = transaction</a></p></div>"
  ] ; # 
  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 [ fhir:v "2018-06-22"^^xsd:date] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907" ]
  ] ) . #