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 2.0.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-cqm/ and changes regularly. See the Directory of published versions

: Bundle example

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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 -------------------------------------------------------------------

<http://hl7.org/fhir/Bundle/measurereport-bundle-example> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "measurereport-bundle-example"] ;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:Bundle.type [ fhir:value "transaction"] ;
  fhir:Bundle.entry [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904" ] ;
     fhir:Bundle.entry.resource <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904> ;
     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:47709cc7-b3ec-4abc-9d26-3df3d3d57905" ] ;
     fhir:Bundle.entry.resource <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905> ;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ] ;
       fhir:Bundle.entry.request.url [ fhir:value "Organization" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906" ] ;
     fhir:Bundle.entry.resource <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906> ;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ] ;
       fhir:Bundle.entry.request.url [ fhir:value "Patient" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907" ] ;
     fhir:Bundle.entry.resource <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907> ;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ] ;
       fhir:Bundle.entry.request.url [ fhir:value "Practitioner" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908" ] ;
     fhir:Bundle.entry.resource <urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908> ;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "POST" ] ;
       fhir:Bundle.entry.request.url [ fhir:value "Observation" ]
     ]
  ] .

<urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904> a fhir:MeasureReport ;
  fhir:Resource.id [ fhir:value "47709cc7-b3ec-4abc-9d26-3df3d3d57904"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testcase" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testcase>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_47709cc7-b3ec-4abc-9d26-3df3d3d57904\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport 47709cc7-b3ec-4abc-9d26-3df3d3d57904</b></p><a name=\"47709cc7-b3ec-4abc-9d26-3df3d3d57904\"> </a><a name=\"hc47709cc7-b3ec-4abc-9d26-3df3d3d57904\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-cqm-testcase.html\">CQM Test Case</a></p></div><p><b>Input parameters</b>: <a href=\"#hc47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters\">Parameters: subject</a></p><p><b>CQM Test Case Description</b>: </p><div><p>Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources.</p>\n</div><p><b>CQM Is Test Case</b>: true</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Measure-EXM130-FHIR.html\">EXM130 - Colorectal Cancer Screening Measure</a></p><p><b>subject</b>: <a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906\">Thelma Webster (official) Female, DoB: 1948-04-28 ( Medical record number: 67890 (use: usual, ))</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57905\">Organization DaVinciHospital01</a></p><p><b>period</b>: 2018-12-31 --&gt; 2019-01-01</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/ group-1}\">group-1</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57905\">Organization DaVinciHospital01</a></li><li><a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906\">Thelma Webster (official) Female, DoB: 1948-04-28 ( Medical record number: 67890 (use: usual, ))</a></li><li><a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57907\">Practitioner Nia Akers </a></li><li><a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57908\">Observation Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative</a></li></ul><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Parameters #testcase-example-parameters</b></p><a name=\"47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters\"> </a><a name=\"hc47709cc7-b3ec-4abc-9d26-3df3d3d57904/testcase-example-parameters\"> </a><h2>Parameters</h2><table class=\"grid\"><tr><td>subject</td><td>123</td></tr></table></blockquote></div>"
  ] ;
  fhir:DomainResource.contained [
     a fhir:Parameters ;
     fhir:index -1 ;
     fhir:Resource.id [ fhir:value "testcase-example-parameters" ] ;
     fhir:Parameters.parameter [
       fhir:index -1 ;
       fhir:Parameters.parameter.name [ fhir:value "subject" ] ;
       fhir:Parameters.parameter.valueString [ fhir:value "123" ]
     ]
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-inputParameters" ] ;
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "#testcase-example-parameters" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testCaseDescription" ] ;
     fhir:Extension.valueMarkdown [ fhir:value "Example test case in a bundle illustrating expected input parameters and expected output results given those input parameters along with evaluatedResources." ]
  ] ;
  fhir:DomainResource.modifierExtension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-isTestCase" ] ;
     fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]
  ] ;
  fhir:MeasureReport.status [ fhir:value "complete"] ;
  fhir:MeasureReport.type [ fhir:value "individual"] ;
  fhir:MeasureReport.measure [
     fhir:value "http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR" ;
     fhir:link <http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR>
  ] ;
  fhir:MeasureReport.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906" ]
  ] ;
  fhir:MeasureReport.date [ fhir:value "2019-03-14"^^xsd:date] ;
  fhir:MeasureReport.reporter [
     fhir:Reference.reference [ fhir:value "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905" ]
  ] ;
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2018-12-31"^^xsd:date ] ;
     fhir:Period.end [ fhir:value "2019-01-01"^^xsd:date ]
  ] ;
  fhir:MeasureReport.improvementNotation [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       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 -1 ;
     fhir:MeasureReport.group.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         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 -1 ;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           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 -1 ;
           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 "1"^^xsd:integer ]
     ], [
       fhir:index -1 ;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           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 -1 ;
       fhir:MeasureReport.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           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 "1"^^xsd:decimal ]
     ]
  ] ;
  fhir:MeasureReport.evaluatedResource [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905" ]
  ], [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906" ]
  ], [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907" ]
  ], [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908" ]
  ] .

<urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905> a fhir:Organization ;
  fhir:Resource.meta [
     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 -1 ;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number/123456789 (use: official, )</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>"
  ] ;
  fhir:Organization.identifier [
     fhir:index -1 ;
     fhir:Identifier.use [ fhir:value "official" ] ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         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 -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       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 -1 ;
     fhir:ContactPoint.system [ fhir:value "phone" ] ;
     fhir:ContactPoint.value [ fhir:value "(+1) 401-555-1212" ]
  ] ;
  fhir:Organization.address [
     fhir:index -1 ;
     fhir:Address.line [
       fhir:value "73 Lakewood Street" ;
       fhir:index -1
     ] ;
     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:47709cc7-b3ec-4abc-9d26-3df3d3d57906> a fhir:Patient ;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ] ;
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-patient.html\">QICore Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Thelma Webster (official) Female, DoB: 1948-04-28 ( Medical record number: 67890 (use: usual, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td>false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">7496 Beaver Ridge Ave Thornton NJ 07003 USA (home)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en-US}\">English (Region=United States)</span> (preferred)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*.\"><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">F</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>text: White</li></ul></td></tr></table></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex" ] ;
     fhir:Extension.valueCode [ fhir:value "F" ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "text" ] ;
       fhir:Extension.valueString [ fhir:value "White" ]
     ] ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "text" ] ;
       fhir:Extension.valueString [ fhir:value "Not Hispanic or Latino" ]
     ] ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ]
  ] ;
  fhir:Patient.identifier [
     fhir:index -1 ;
     fhir:Identifier.use [ fhir:value "usual" ] ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         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://example.org/hospital/davinci" ] ;
     fhir:Identifier.value [ fhir:value "67890" ]
  ] ;
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean] ;
  fhir:Patient.name [
     fhir:index -1 ;
     fhir:HumanName.use [ fhir:value "official" ] ;
     fhir:HumanName.family [ fhir:value "Webster" ] ;
     fhir:HumanName.given [
       fhir:value "Thelma" ;
       fhir:index -1
     ]
  ] ;
  fhir:Patient.gender [ fhir:value "female"] ;
  fhir:Patient.birthDate [ fhir:value "1948-04-28"^^xsd:date] ;
  fhir:Patient.deceasedBoolean [ fhir:value "false"^^xsd:boolean] ;
  fhir:Patient.address [
     fhir:index -1 ;
     fhir:Address.use [ fhir:value "home" ] ;
     fhir:Address.line [
       fhir:value "7496 Beaver Ridge Ave" ;
       fhir:index -1
     ] ;
     fhir:Address.city [ fhir:value "Thornton" ] ;
     fhir:Address.state [ fhir:value "NJ" ] ;
     fhir:Address.postalCode [ fhir:value "07003" ] ;
     fhir:Address.country [ fhir:value "USA" ]
  ] ;
  fhir:Patient.maritalStatus [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus" ] ;
       fhir:Coding.code [ fhir:value "M" ] ;
       fhir:Coding.display [ fhir:value "Married" ]
     ]
  ] ;
  fhir:Patient.communication [
     fhir:index -1 ;
     fhir:Patient.communication.language [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "urn:ietf:bcp:47" ] ;
         fhir:Coding.code [ fhir:value "en-US" ] ;
         fhir:Coding.display [ fhir:value "English (Region=United States)" ]
       ]
     ] ;
     fhir:Patient.communication.preferred [ fhir:value "true"^^xsd:boolean ]
  ] .

<urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907> a fhir:Practitioner ;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ] ;
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-practitioner.html\">QICore Practitioner</a></p></div><p><b>identifier</b>: Provider number/1881665057 (use: official, )</p><p><b>active</b>: true</p><p><b>name</b>: Nia Akers </p><p><b>gender</b>: Female</p></div>"
  ] ;
  fhir:Practitioner.identifier [
     fhir:index -1 ;
     fhir:Identifier.use [ fhir:value "official" ] ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "PRN" ] ;
         fhir:Coding.display [ fhir:value "Provider number" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
     fhir:Identifier.value [ fhir:value "1881665057" ]
  ] ;
  fhir:Practitioner.active [ fhir:value "true"^^xsd:boolean] ;
  fhir:Practitioner.name [
     fhir:index -1 ;
     fhir:HumanName.family [ fhir:value "Akers" ] ;
     fhir:HumanName.given [
       fhir:value "Nia" ;
       fhir:index -1
     ] ;
     fhir:HumanName.suffix [
       fhir:value "MD" ;
       fhir:index -1
     ]
  ] ;
  fhir:Practitioner.gender [ fhir:value "female"] .

<urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908> a fhir:Observation ;
  fhir:Resource.meta [
     fhir:Meta.source [ fhir:value "http://example.org/fhir/server" ] ;
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-simple-observation.html\">QICore Simple Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 77353-1}\">Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative</span></p><p><b>subject</b>: <a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57906\">Thelma Webster (official) Female, DoB: 1948-04-28 ( Medical record number: 67890 (use: usual, ))</a></p><p><b>effective</b>: 2018-06-22</p><p><b>performer</b>: <a href=\"Bundle-measurereport-bundle-example.html#urn-uuid-47709cc7-b3ec-4abc-9d26-3df3d3d57907\">Practitioner Nia Akers </a></p></div>"
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "laboratory" ] ;
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:77353-1 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "77353-1" ] ;
       fhir:Coding.display [ fhir:value "Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative" ]
     ]
  ] ;
  fhir:Observation.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2018-06-22"^^xsd:date] ;
  fhir:Observation.performer [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907" ]
  ] .

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

<http://hl7.org/fhir/Bundle/measurereport-bundle-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Bundle/measurereport-bundle-example.ttl> .