Data Exchange For Quality Measures Implementation Guide
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Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

: Gaps Bundle Closed Individual MeasureReport02 - 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 "single-gaps-closed-indv-report02"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-bundle-deqm>     ] )
  ] ; # 
  fhir:identifier [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:uuid:e2eaf470-f7ca-453f-8fd7-232a07f1b63c" ]
  ] ; # 
  fhir:type [ fhir:v "document"] ; # 
  fhir:timestamp [ fhir:v "2020-07-07T13:08:53+00:00"^^xsd:dateTime] ; # 
  fhir:entry ( [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Composition/gaps-composition03"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/gaps/Composition/gaps-composition03> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue04"^^xsd:anyURI ] ;
    ( fhir:_resource <http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue04> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport04"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport04> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Encounter/gaps-encounter03"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/gaps/Encounter/gaps-encounter03> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Procedure/gaps-procedure02"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/gaps/Procedure/gaps-procedure02> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Patient/gaps-patient01"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/gaps/Patient/gaps-patient01> )
  ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor"^^xsd:anyURI ] ;
    ( fhir:resource <http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> )
  ] ) . # 

<http://example.org/fhir/gaps/Composition/gaps-composition03> a fhir:Composition ;
  fhir:id [ fhir:v "gaps-composition03"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-composition-deqm>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_gaps-composition03\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition gaps-composition03</b></p><a name=\"gaps-composition03\"> </a><a name=\"hcgaps-composition03\"> </a><a name=\"gaps-composition03-en-US\"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 96315-7}\">Gaps in care report</span></p><p><b>date</b>: 2020-07-07 13:08:53+0000</p><p><b>author</b>: <a href=\"Organization-gaps-organization-reportingvendor.html\">Organization GapsReportingVendor01</a></p><p><b>title</b>: Care Gap Report for patient gaps-patient01</p></div>"
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:96315-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "96315-7" ] ;
fhir:display [ fhir:v "Gaps in care report" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:date [ fhir:v "2020-07-07T13:08:53+00:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "Organization/gaps-organization-reportingvendor" ]
  ] ) ; # 
  fhir:title [ fhir:v "Care Gap Report for patient gaps-patient01"] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Colorectal Cancer Screening" ] ;
fhir:focus [
fhir:reference [ fhir:v "MeasureReport/gaps-indv-measurereport04" ]     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "DetectedIssue/gaps-detectedissue04" ]     ] )
  ] ) . # 

<http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue04> a fhir:DetectedIssue ;
  fhir:id [ fhir:v "gaps-detectedissue04"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/gaps-detectedissue-deqm>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DetectedIssue_gaps-detectedissue04\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DetectedIssue gaps-detectedissue04</b></p><a name=\"gaps-detectedissue04\"> </a><a name=\"hcgaps-detectedissue04\"> </a><a name=\"gaps-detectedissue04-en-US\"> </a><p><b>DEQM Gap Status Modifier Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status open-gap}\">Open Gap</span></p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode CAREGAP}\">Caregap</span></p><p><b>patient</b>: <a href=\"Patient-gaps-patient01.html\">Parker Susan  Female, DoB: 1965-01-01 ( Medical Record Number: 999995992 (use: usual, ))</a></p><h3>Evidences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Detail</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"MeasureReport-gaps-indv-measurereport04.html\">MeasureReport: extension = Proportion,urn:oid:2.16.840.1.113883.3.2074.1#0015HQN9BD3304E,-&gt;Organization GapsReportingVendor01; status = complete; type = individual; measure = http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example; date = 2020-07-07 13:08:52+0000; period = 2020-01-01 --&gt; 2020-12-31; improvementNotation = Increased score indicates improvement</a></td></tr></table></div>"
  ] ; # 
  fhir:modifierExtension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-gapStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/CodeSystem/gaps-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "open-gap" ]       ] )     ]
  ] ) ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "CAREGAP" ] ;
fhir:display [ fhir:v "Caregap" ]     ] )
  ] ; # 
  fhir:patient [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:evidence ( [
    ( fhir:detail [
fhir:reference [ fhir:v "MeasureReport/gaps-indv-measurereport04" ]     ] )
  ] ) . # 

<http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport04> a fhir:MeasureReport ;
  fhir:id [ fhir:v "gaps-indv-measurereport04"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_gaps-indv-measurereport04\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport gaps-indv-measurereport04</b></p><a name=\"gaps-indv-measurereport04\"> </a><a name=\"hcgaps-indv-measurereport04\"> </a><a name=\"gaps-indv-measurereport04-en-US\"> </a><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></p><p><b>DEQM Certification Identifier Extension</b>: <code>urn:oid:2.16.840.1.113883.3.2074.1</code>/0015HQN9BD3304E</p><p><b>DEQM Reporting Vendor Extension</b>: <a href=\"Organization-gaps-organization-reportingvendor.html\">Organization GapsReportingVendor01</a></p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Measure-measure-exm130-example.html\">Colorectal Cancer Screening Measure</a></p><p><b>subject</b>: <a href=\"Patient-gaps-patient01.html\">Parker Susan  Female, DoB: 1965-01-01 ( Medical Record Number: 999995992 (use: usual, ))</a></p><p><b>date</b>: 2020-07-07 13:08:52+0000</p><p><b>reporter</b>: <a href=\"Organization-gaps-organization-reportingvendor.html\">Organization GapsReportingVendor01</a></p><p><b>period</b>: 2020-01-01 --&gt; 2020-12-31</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><blockquote><p><b>id</b></p>group-exm130</blockquote><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>: 1.0</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Encounter-gaps-encounter03.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.; period = 2020-07-06 07:07:00+0000 --&gt; 2020-07-06 10:11:00+0000</a></li><li><a href=\"Patient-gaps-patient01.html\">Parker Susan  Female, DoB: 1965-01-01 ( Medical Record Number: 999995992 (use: usual, ))</a></li><li><a href=\"Procedure-gaps-procedure02.html\">Procedure Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps</a></li></ul></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ;
fhir:code [ fhir:v "proportion" ]       ] )     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-certificationIdentifier"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.3.2074.1"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0015HQN9BD3304E" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reportingVendor"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Organization/gaps-organization-reportingvendor" ]     ]
  ] ) ; # 
  fhir:status [ fhir:v "complete"] ; # 
  fhir:type [ fhir:v "individual"] ; # 
  fhir:measure [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example>
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:date [ fhir:v "2020-07-07T13:08:52+00:00"^^xsd:dateTime] ; # 
  fhir:reporter [
fhir:reference [ fhir:v "Organization/gaps-organization-reportingvendor" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2020-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2020-12-31"^^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:group ( [
fhir:id [ fhir:v "group-exm130" ] ;
    ( 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 "1.0"^^xsd:decimal ]     ]
  ] ) ; # 
  fhir:evaluatedResource ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "initial-population" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "denominator" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/gaps-encounter03" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "initial-population" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "denominator" ]     ] ) ;
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "numerator" ]     ] ) ;
fhir:reference [ fhir:v "Procedure/gaps-procedure02" ]
  ] ) . # 

<http://example.org/fhir/gaps/Encounter/gaps-encounter03> a fhir:Encounter ;
  fhir:id [ fhir:v "gaps-encounter03"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_gaps-encounter03\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter gaps-encounter03</b></p><a name=\"gaps-encounter03\"> </a><a name=\"hcgaps-encounter03\"> </a><a name=\"gaps-encounter03-en-US\"> </a><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode</a> AMB: ambulatory</p><p><b>type</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 99202}\">Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter.</span></p><p><b>subject</b>: <a href=\"Patient-gaps-patient01.html\">Parker Susan  Female, DoB: 1965-01-01 ( Medical Record Number: 999995992 (use: usual, ))</a></p><p><b>period</b>: 2020-07-06 07:07:00+0000 --&gt; 2020-07-06 10:11:00+0000</p></div>"
  ] ; # 
  fhir:status [ fhir:v "finished"] ; # 
  fhir:class [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "AMB" ] ;
fhir:display [ fhir:v "ambulatory" ]
  ] ; # 
  fhir:type ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://www.ama-assn.org/go/cpt"^^xsd:anyURI ] ;
fhir:code [ fhir:v "99202" ] ;
fhir:display [ fhir:v "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total time is spent on the date of the encounter." ]     ] )
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2020-07-06T07:07:00-00:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2020-07-06T10:11:00-00:00"^^xsd:dateTime ]
  ] . # 

<http://example.org/fhir/gaps/Procedure/gaps-procedure02> a fhir:Procedure ;
  fhir:id [ fhir:v "gaps-procedure02"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_gaps-procedure02\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure gaps-procedure02</b></p><a name=\"gaps-procedure02\"> </a><a name=\"hcgaps-procedure02\"> </a><a name=\"gaps-procedure02-en-US\"> </a><p><b>QICore Not Done Recorded</b>: 2020-07-06 09:00:00+0000</p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 45384}\">Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps</span></p><p><b>subject</b>: <a href=\"Patient-gaps-patient01.html\">Parker Susan  Female, DoB: 1965-01-01 ( Medical Record Number: 999995992 (use: usual, ))</a></p><p><b>performed</b>: 2020-07-06 08:00:00+0000 --&gt; 2020-07-06 09:00:00+0000</p></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-recorded"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2020-07-06T09:00:00-00:00"^^xsd:dateTime ]
  ] ) ; # 
  fhir:status [ fhir:v "completed"] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://www.ama-assn.org/go/cpt"^^xsd:anyURI ] ;
fhir:code [ fhir:v "45384" ] ;
fhir:display [ fhir:v "Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/gaps-patient01" ]
  ] ; # 
  fhir:performed [
a fhir:Period ;
fhir:start [ fhir:v "2020-07-06T08:00:00-00:00"^^xsd:dateTime ] ;
fhir:end [ fhir:v "2020-07-06T09:00:00-00:00"^^xsd:dateTime ]
  ] . # 

<http://example.org/fhir/gaps/Patient/gaps-patient01> a fhir:Patient ;
  fhir:id [ fhir:v "gaps-patient01"] ; # 
  fhir:meta [
    ( 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_gaps-patient01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient gaps-patient01</b></p><a name=\"gaps-patient01\"> </a><a name=\"hcgaps-patient01\"> </a><a name=\"gaps-patient01-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Parker Susan  Female, DoB: 1965-01-01 ( Medical Record Number: 999995992 (use: usual, ))</p><hr/><table class=\"grid\"><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>ombCategory: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2\">CDC Race and Ethnicity</a> 2135-2: Hispanic or Latino</li><li>text: Hispanic or Latino</li></ul></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:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2028-9\">CDC Race and Ethnicity</a> 2028-9: Asian</li><li>text: Asian</li></ul></td></tr></table></div>"
  ] ; # 
  fhir:extension ( [
    ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2028-9" ] ;
fhir:display [ fhir:v "Asian" ]       ]     ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Asian" ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2135-2" ] ;
fhir:display [ fhir:v "Hispanic or Latino" ]       ]     ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "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.smarthealthit.org"^^xsd:anyURI ] ;
fhir:value [ fhir:v "999995992" ]
  ] ) ; # 
  fhir:name ( [
fhir:family [ fhir:v "Susan" ] ;
    ( fhir:given [ fhir:v "Parker" ] )
  ] ) ; # 
  fhir:gender [ fhir:v "female"] ; # 
  fhir:birthDate [ fhir:v "1965-01-01"^^xsd:date] . # 

<http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> a fhir:Organization ;
  fhir:id [ fhir:v "gaps-organization-reportingvendor"] ; # 
  fhir:meta [
    ( 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_gaps-organization-reportingvendor\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization gaps-organization-reportingvendor</b></p><a name=\"gaps-organization-reportingvendor\"> </a><a name=\"hcgaps-organization-reportingvendor\"> </a><a name=\"gaps-organization-reportingvendor-en-US\"> </a><p><b>identifier</b>: Tax ID number/123446789 (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type pay}\">Payer</span></p><p><b>name</b>: GapsReportingVendor01</p><p><b>telecom</b>: ph: (+1) 401-545-1212</p><p><b>address</b>: 13 Drive Street Cityplace MA 01101 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 "123446789" ] ;
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 "pay" ] ;
fhir:display [ fhir:v "Payer" ]     ] )
  ] ) ; # 
  fhir:name [ fhir:v "GapsReportingVendor01"] ; # 
  fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "(+1) 401-545-1212" ]
  ] ) ; # 
  fhir:address ( [
    ( fhir:line [ fhir:v "13 Drive Street" ] ) ;
fhir:city [ fhir:v "Cityplace" ] ;
fhir:state [ fhir:v "MA" ] ;
fhir:postalCode [ fhir:v "01101" ] ;
fhir:country [ fhir:v "USA" ]
  ] ) . #