Additional Supplemental Data Example - Patient Bundle - TTL Representation - Data Exchange For Quality Measures Implementation Guide v1.0.0-cibuild

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 1.0.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions
: Additional Supplemental Data Example - Patient Bundle

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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 sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Bundle/sde-example-patient-data-bundle> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "sde-example-patient-data-bundle"] ;
  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:050deac6-0544-43df-bff9-7506f8687469" ] ;
     fhir:Bundle.entry.resource <urn:uuid:050deac6-0544-43df-bff9-7506f8687469> ;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ] ;
       fhir:Bundle.entry.request.url [ fhir:value "Patient/patient04" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369" ] ;
     fhir:Bundle.entry.resource <urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369> ;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ] ;
       fhir:Bundle.entry.request.url [ fhir:value "Encounter/encounter04" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037" ] ;
     fhir:Bundle.entry.resource <urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037> ;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ] ;
       fhir:Bundle.entry.request.url [ fhir:value "MedicationRequest/nhsn-iip-add101" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c" ] ;
     fhir:Bundle.entry.resource <urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c> ;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ] ;
       fhir:Bundle.entry.request.url [ fhir:value "MedicationRequest/nhsn-iip-add101-10" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc" ] ;
     fhir:Bundle.entry.resource <urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc> ;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ] ;
       fhir:Bundle.entry.request.url [ fhir:value "ServiceRequest/nhsn-iip-sr-sde" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:b7075a17-98a5-429b-a464-3da906001492" ] ;
     fhir:Bundle.entry.resource <urn:uuid:b7075a17-98a5-429b-a464-3da906001492> ;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ] ;
       fhir:Bundle.entry.request.url [ fhir:value "Location/nhsn-iip-loc101" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69" ] ;
     fhir:Bundle.entry.resource <urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69> ;
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ] ;
       fhir:Bundle.entry.request.url [ fhir:value "Condition/condition04" ]
     ]
  ] .

<urn:uuid:050deac6-0544-43df-bff9-7506f8687469> a fhir:Patient ;
  fhir:Resource.id [ fhir:value "patient04"] ;
  fhir:Resource.meta [
     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_patient04\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient04</b></p><a name=\"patient04\"> </a><a name=\"hcpatient04\"> </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=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-patient.html\">QICore Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Jane E. Doe  Female, DoB: 1987-02-19 ( http://example.org#patient04)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</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>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2\">CDC Race and Ethnicity: 2135-2</a> (Hispanic or Latino)</li><li>detailed: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2184-0\">CDC Race and Ethnicity: 2184-0</a> (Dominican)</li><li>detailed: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2148-5\">CDC Race and Ethnicity: 2148-5</a> (Mexican)</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:#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>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2106-3\">CDC Race and Ethnicity: 2106-3</a> (White)</li><li>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-1002-5\">CDC Race and Ethnicity: 1002-5</a> (American Indian or Alaska Native)</li><li>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2028-9\">CDC Race and Ethnicity: 2028-9</a> (Asian)</li><li>detailed: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-1586-7\">CDC Race and Ethnicity: 1586-7</a> (Shoshone)</li><li>detailed: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2036-2\">CDC Race and Ethnicity: 2036-2</a> (Filipino)</li><li>text: Mixed</li></ul></td></tr></table></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       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 "2106-3" ] ;
         fhir:Coding.display [ fhir:value "White" ]
       ]
     ], [
       fhir:index -1 ;
       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 "1002-5" ] ;
         fhir:Coding.display [ fhir:value "American Indian or Alaska Native" ]
       ]
     ], [
       fhir:index -1 ;
       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 "detailed" ] ;
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ] ;
         fhir:Coding.code [ fhir:value "1586-7" ] ;
         fhir:Coding.display [ fhir:value "Shoshone" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "detailed" ] ;
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ] ;
         fhir:Coding.code [ fhir:value "2036-2" ] ;
         fhir:Coding.display [ fhir:value "Filipino" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "text" ] ;
       fhir:Extension.valueString [ fhir:value "Mixed" ]
     ] ;
     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 "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 "detailed" ] ;
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ] ;
         fhir:Coding.code [ fhir:value "2184-0" ] ;
         fhir:Coding.display [ fhir:value "Dominican" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "detailed" ] ;
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ] ;
         fhir:Coding.code [ fhir:value "2148-5" ] ;
         fhir:Coding.display [ fhir:value "Mexican" ]
       ]
     ], [
       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 -1 ;
     fhir:Identifier.system [ fhir:value "http://example.org" ] ;
     fhir:Identifier.value [ fhir:value "patient04" ]
  ] ;
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean] ;
  fhir:Patient.name [
     fhir:index -1 ;
     fhir:HumanName.family [ fhir:value "Doe" ] ;
     fhir:HumanName.given [
       fhir:value "Jane" ;
       fhir:index -1
     ], [
       fhir:value "E." ;
       fhir:index -1
     ]
  ] ;
  fhir:Patient.gender [ fhir:value "female"] ;
  fhir:Patient.birthDate [ fhir:value "1987-02-19"^^xsd:date] .

<urn:uuid:a8979769-9271-4b5d-a320-3e7c16619369> a fhir:Encounter ;
  fhir:Resource.id [ fhir:value "encounter04"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>
     ]
  ] ;
  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=\"Encounter_encounter04\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter encounter04</b></p><a name=\"encounter04\"> </a><a name=\"hcencounter04\"> </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=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-encounter.html\">QICore Encounter</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 185347001}\">Encounter for problem (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient01.html\">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>period</b>: 2022-01-01 --&gt; 2022-01-31</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Condition</b></td><td><b>Use</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Condition-nhsn-iip-con101.html\">Condition: clinicalStatus = Active; verificationStatus = Confirmed; category = Encounter Diagnosis; onset[x] = 2022-01-08 11:00:00+0000</a></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/diagnosis-role CC}\">Chief complaint</span></td></tr></table><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/discharge-disposition home}\">home</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-location01.html\">Location DaVinciClinic01</a></td></tr></table></div>"
  ] ;
  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 "IMP" ] ;
     fhir:Coding.display [ fhir:value "inpatient encounter" ]
  ] ;
  fhir:Encounter.type [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:185347001 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "185347001" ] ;
       fhir:Coding.display [ fhir:value "Encounter for problem (procedure)" ]
     ]
  ] ;
  fhir:Encounter.subject [
     fhir:link <http://hl7.org/fhir/Patient/patient01> ;
     fhir:Reference.reference [ fhir:value "Patient/patient01" ]
  ] ;
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2022-01-01"^^xsd:date ] ;
     fhir:Period.end [ fhir:value "2022-01-31"^^xsd:date ]
  ] ;
  fhir:Encounter.diagnosis [
     fhir:index -1 ;
     fhir:Encounter.diagnosis.condition [
       fhir:link <http://hl7.org/fhir/Condition/nhsn-iip-con101> ;
       fhir:Reference.reference [ fhir:value "Condition/nhsn-iip-con101" ]
     ] ;
     fhir:Encounter.diagnosis.use [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/diagnosis-role" ] ;
         fhir:Coding.code [ fhir:value "CC" ]
       ]
     ]
  ] ;
  fhir:Encounter.hospitalization [
     fhir:Encounter.hospitalization.dischargeDisposition [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/discharge-disposition" ] ;
         fhir:Coding.code [ fhir:value "home" ] ;
         fhir:Coding.display [ fhir:value "home" ]
       ]
     ]
  ] ;
  fhir:Encounter.location [
     fhir:index -1 ;
     fhir:Encounter.location.location [
       fhir:link <http://hl7.org/fhir/Location/location01> ;
       fhir:Reference.reference [ fhir:value "Location/location01" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/patient01> a fhir:Patient .

<http://hl7.org/fhir/Condition/nhsn-iip-con101> a fhir:Condition .

<http://hl7.org/fhir/Location/location01> a fhir:Location .

<urn:uuid:62e296a7-1690-469c-ab8b-2a8b81359037> a fhir:MedicationRequest ;
  fhir:Resource.id [ fhir:value "nhsn-iip-add101"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest>
     ]
  ] ;
  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=\"MedicationRequest_nhsn-iip-add101\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest nhsn-iip-add101</b></p><a name=\"nhsn-iip-add101\"> </a><a name=\"hcnhsn-iip-add101\"> </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=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1161609}\">metFORMIN Oral Liquid Product</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Jane E. Doe</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --&gt; 2022-01-31 08:00:00+0000</a></p><p><b>authoredOn</b>: 2022-01-01</p><p><b>requester</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner Ronald Bone </a></p></div>"
  ] ;
  fhir:MedicationRequest.status [ fhir:value "active"] ;
  fhir:MedicationRequest.intent [ fhir:value "proposal"] ;
  fhir:MedicationRequest.medicationCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ] ;
       fhir:Coding.code [ fhir:value "1161609" ] ;
       fhir:Coding.display [ fhir:value "metFORMIN Oral Liquid Product" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "metFORMIN Oral Liquid Product" ]
  ] ;
  fhir:MedicationRequest.subject [
     fhir:link <http://hl7.org/fhir/Patient/nhsn-iip-ip101> ;
     fhir:Reference.reference [ fhir:value "Patient/nhsn-iip-ip101" ] ;
     fhir:Reference.display [ fhir:value "Jane E. Doe" ]
  ] ;
  fhir:MedicationRequest.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/nhsn-iip-en101> ;
     fhir:Reference.reference [ fhir:value "Encounter/nhsn-iip-en101" ]
  ] ;
  fhir:MedicationRequest.authoredOn [ fhir:value "2022-01-01"^^xsd:date] ;
  fhir:MedicationRequest.requester [
     fhir:link <http://hl7.org/fhir/Practitioner/practitioner01> ;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner01" ]
  ] .

<http://hl7.org/fhir/Patient/nhsn-iip-ip101> a fhir:Patient .

<http://hl7.org/fhir/Encounter/nhsn-iip-en101> a fhir:Encounter .

<http://hl7.org/fhir/Practitioner/practitioner01> a fhir:Practitioner .

<urn:uuid:66e0be40-6dab-4d76-be1d-85610de3783c> a fhir:MedicationRequest ;
  fhir:Resource.id [ fhir:value "nhsn-iip-add101-10"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest>
     ]
  ] ;
  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=\"MedicationRequest_nhsn-iip-add101-10\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest nhsn-iip-add101-10</b></p><a name=\"nhsn-iip-add101-10\"> </a><a name=\"hcnhsn-iip-add101-10\"> </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=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></p></div><p><b>identifier</b>: <code>http://example.org</code>/336609269 (use: usual, )</p><p><b>status</b>: Active</p><p><b>intent</b>: Proposal</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category inpatient}\">Inpatient</span></p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1161609}\">metFORMIN Oral Liquid Product</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Amy Shaw</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --&gt; 2022-01-31 08:00:00+0000</a></p><p><b>authoredOn</b>: 2022-01-15 16:50:26+0000</p><p><b>requester</b>: <a href=\"Practitioner-practitioner01.html\">Practitioner Ronald Bone </a></p><p><b>recorder</b>: <a href=\"Practitioner-practitioner02.html\">Practitioner Emile Zieme(official)</a></p><p><b>courseOfTherapyType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy acute}\">Short course (acute) therapy</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>timing</b>: Code , Once per 1 day</p><p><b>asNeeded</b>: true</p><blockquote><p><b>doseAndRate</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type calculated}\">calculated</span></p><p><b>dose</b>: 1 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></p></blockquote><blockquote><p><b>doseAndRate</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/dose-rate-type ordered}\">ordered</span></p><p><b>dose</b>: 1 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span></p></blockquote></blockquote></div>"
  ] ;
  fhir:MedicationRequest.identifier [
     fhir:index -1 ;
     fhir:Identifier.use [ fhir:value "usual" ] ;
     fhir:Identifier.system [ fhir:value "http://example.org" ] ;
     fhir:Identifier.value [ fhir:value "336609269" ]
  ] ;
  fhir:MedicationRequest.status [ fhir:value "active"] ;
  fhir:MedicationRequest.intent [ fhir:value "proposal"] ;
  fhir:MedicationRequest.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-category" ] ;
       fhir:Coding.code [ fhir:value "inpatient" ] ;
       fhir:Coding.display [ fhir:value "Inpatient" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Inpatient" ]
  ] ;
  fhir:MedicationRequest.medicationCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ] ;
       fhir:Coding.code [ fhir:value "1161609" ] ;
       fhir:Coding.display [ fhir:value "metFORMIN Oral Liquid Product" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "metFORMIN Oral Liquid Product" ]
  ] ;
  fhir:MedicationRequest.subject [
     fhir:link <http://hl7.org/fhir/Patient/nhsn-iip-ip101> ;
     fhir:Reference.reference [ fhir:value "Patient/nhsn-iip-ip101" ] ;
     fhir:Reference.display [ fhir:value "Amy Shaw" ]
  ] ;
  fhir:MedicationRequest.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/nhsn-iip-en101> ;
     fhir:Reference.reference [ fhir:value "Encounter/nhsn-iip-en101" ]
  ] ;
  fhir:MedicationRequest.authoredOn [ fhir:value "2022-01-15T16:50:26Z"^^xsd:dateTime] ;
  fhir:MedicationRequest.requester [
     fhir:link <http://hl7.org/fhir/Practitioner/practitioner01> ;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner01" ]
  ] ;
  fhir:MedicationRequest.recorder [
     fhir:link <http://hl7.org/fhir/Practitioner/practitioner02> ;
     fhir:Reference.reference [ fhir:value "Practitioner/practitioner02" ]
  ] ;
  fhir:MedicationRequest.courseOfTherapyType [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy" ] ;
       fhir:Coding.code [ fhir:value "acute" ] ;
       fhir:Coding.display [ fhir:value "Short course (acute) therapy" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Short course (acute) therapy" ]
  ] ;
  fhir:MedicationRequest.dosageInstruction [
     fhir:index -1 ;
     fhir:Dosage.timing [
       fhir:Timing.repeat [
         fhir:Timing.repeat.boundsPeriod [
           fhir:Period.start [ fhir:value "2021-02-15T16:43:55Z"^^xsd:dateTime ] ;
           fhir:Period.end [ fhir:value "2021-02-22T21:32:24Z"^^xsd:dateTime ]
         ] ;
         fhir:Timing.repeat.frequency [ fhir:value "1"^^xsd:positiveInteger ] ;
         fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ] ;
         fhir:Timing.repeat.periodUnit [ fhir:value "d" ]
       ] ;
       fhir:Timing.code [
         fhir:CodeableConcept.text [ fhir:value "PRN" ]
       ]
     ] ;
     fhir:Dosage.asNeededBoolean [ fhir:value "true"^^xsd:boolean ] ;
     fhir:Dosage.doseAndRate [
       fhir:index -1 ;
       fhir:Dosage.doseAndRate.type [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/dose-rate-type" ] ;
           fhir:Coding.code [ fhir:value "calculated" ] ;
           fhir:Coding.display [ fhir:value "calculated" ]
         ] ;
         fhir:CodeableConcept.text [ fhir:value "calculated" ]
       ] ;
       fhir:Dosage.doseAndRate.doseQuantity [
         fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "mg" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "mg" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Dosage.doseAndRate.type [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/dose-rate-type" ] ;
           fhir:Coding.code [ fhir:value "ordered" ] ;
           fhir:Coding.display [ fhir:value "ordered" ]
         ] ;
         fhir:CodeableConcept.text [ fhir:value "ordered" ]
       ] ;
       fhir:Dosage.doseAndRate.doseQuantity [
         fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "mg" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "mg" ]
       ]
     ]
  ] .

<http://hl7.org/fhir/Practitioner/practitioner02> a fhir:Practitioner .

<urn:uuid:ecf9d58f-4b89-4981-b832-6e6ba6eb89bc> a fhir:ServiceRequest ;
  fhir:Resource.id [ fhir:value "nhsn-iip-sr-sde"] ;
  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=\"ServiceRequest_nhsn-iip-sr-sde\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest nhsn-iip-sr-sde</b></p><a name=\"nhsn-iip-sr-sde\"> </a><a name=\"hcnhsn-iip-sr-sde\"> </a><p><b>identifier</b>: Placer/2345234234234</p><p><b>status</b>: Active</p><p><b>intent</b>: Original Order</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 57698-3}\">Lipid Panel</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><p><b>encounter</b>: <a href=\"Encounter-nhsn-iip-en101.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --&gt; 2022-01-31 08:00:00+0000</a></p><p><b>occurrence</b>: 2013-05-02 16:16:00-0700</p><p><b>reasonCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-9-cm V17.3}\">Fam hx-ischem heart dis</span></p><p><b>supportingInfo</b>: <a href=\"#hcnhsn-iip-sr-sde/fasting\">Fasting status</a></p><p><b>specimen</b>: <a href=\"#hcnhsn-iip-sr-sde/serum\">Serum specimen</a></p><p><b>note</b>: </p><blockquote><div><p>patient is afraid of needles</p>\n</div></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Observation #fasting</b></p><a name=\"nhsn-iip-sr-sde/fasting\"> </a><a name=\"hcnhsn-iip-sr-sde/fasting\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 49541-6}\">Fasting status - Reported</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</span></p></blockquote><hr/><blockquote><p class=\"res-header-id\"><b>Generated Narrative: Specimen #serum</b></p><a name=\"nhsn-iip-sr-sde/serum\"> </a><a name=\"hcnhsn-iip-sr-sde/serum\"> </a><p><b>identifier</b>: <code>http://acme.org/specimens</code>/20150107-0012</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 119364003}\">Serum sample</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><h3>Collections</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Collected[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>2015-08-16 06:40:17+0000</td></tr></table></blockquote></div>"
  ] ;
  fhir:DomainResource.contained [
     a fhir:Observation ;
     fhir:index -1 ;
     fhir:Resource.id [ fhir:value "fasting" ] ;
     fhir:Observation.status [ fhir:value "final" ] ;
     fhir:Observation.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:49541-6 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "49541-6" ] ;
         fhir:Coding.display [ fhir:value "Fasting status - Reported" ]
       ]
     ] ;
     fhir:Observation.subject [
       fhir:link <http://hl7.org/fhir/Patient/nhsn-iip-ip101> ;
       fhir:Reference.reference [ fhir:value "Patient/nhsn-iip-ip101" ]
     ] ;
     fhir:Observation.effectivePeriod [
       fhir:Period.start [ fhir:value "2022-01-01T09:30:10+01:00"^^xsd:dateTime ]
     ] ;
     fhir:Observation.performer [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/Organization/organization01> ;
       fhir:Reference.reference [ fhir:value "Organization/organization01" ]
     ] ;
     fhir:Observation.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0136" ] ;
         fhir:Coding.code [ fhir:value "Y" ] ;
         fhir:Coding.display [ fhir:value "Yes" ]
       ]
     ]
  ], [
     a fhir:Specimen ;
     fhir:index -1 ;
     fhir:Resource.id [ fhir:value "serum" ] ;
     fhir:Specimen.identifier [
       fhir:index -1 ;
       fhir:Identifier.system [ fhir:value "http://acme.org/specimens" ] ;
       fhir:Identifier.value [ fhir:value "20150107-0012" ]
     ] ;
     fhir:Specimen.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a sct:119364003 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "119364003" ] ;
         fhir:Coding.display [ fhir:value "Serum sample" ]
       ]
     ] ;
     fhir:Specimen.subject [
       fhir:link <http://hl7.org/fhir/Patient/nhsn-iip-ip101> ;
       fhir:Reference.reference [ fhir:value "Patient/nhsn-iip-ip101" ]
     ] ;
     fhir:Specimen.collection [
       fhir:Specimen.collection.collectedDateTime [ fhir:value "2015-08-16T06:40:17Z"^^xsd:dateTime ]
     ]
  ] ;
  fhir:ServiceRequest.identifier [
     fhir:index -1 ;
     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 "PLAC" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Placer" ]
     ] ;
     fhir:Identifier.system [ fhir:value "http://example.org" ] ;
     fhir:Identifier.value [ fhir:value "2345234234234" ]
  ] ;
  fhir:ServiceRequest.status [ fhir:value "active"] ;
  fhir:ServiceRequest.intent [ fhir:value "original-order"] ;
  fhir:ServiceRequest.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:57698-3 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "57698-3" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Lipid Panel" ]
  ] ;
  fhir:ServiceRequest.subject [
     fhir:link <http://hl7.org/fhir/Patient/nhsn-iip-ip101> ;
     fhir:Reference.reference [ fhir:value "Patient/nhsn-iip-ip101" ]
  ] ;
  fhir:ServiceRequest.encounter [
     fhir:link <http://hl7.org/fhir/Encounter/nhsn-iip-en101> ;
     fhir:Reference.reference [ fhir:value "Encounter/nhsn-iip-en101" ]
  ] ;
  fhir:ServiceRequest.occurrenceDateTime [ fhir:value "2013-05-02T16:16:00-07:00"^^xsd:dateTime] ;
  fhir:ServiceRequest.reasonCode [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/icd-9-cm" ] ;
       fhir:Coding.code [ fhir:value "V17.3" ] ;
       fhir:Coding.display [ fhir:value "Fam hx-ischem heart dis" ]
     ]
  ] ;
  fhir:ServiceRequest.supportingInfo [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "#fasting" ] ;
     fhir:Reference.display [ fhir:value "Fasting status" ]
  ] ;
  fhir:ServiceRequest.specimen [
     fhir:index -1 ;
     fhir:Reference.reference [ fhir:value "#serum" ] ;
     fhir:Reference.display [ fhir:value "Serum specimen" ]
  ] ;
  fhir:ServiceRequest.note [
     fhir:index -1 ;
     fhir:Annotation.text [ fhir:value "patient is afraid of needles" ]
  ] .

<http://hl7.org/fhir/Organization/organization01> a fhir:Organization .

<urn:uuid:b7075a17-98a5-429b-a464-3da906001492> a fhir:Location ;
  fhir:Resource.id [ fhir:value "nhsn-iip-loc101"] ;
  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=\"Location_nhsn-iip-loc101\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Location nhsn-iip-loc101</b></p><a name=\"nhsn-iip-loc101\"> </a><a name=\"hcnhsn-iip-loc101\"> </a><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode RADO}\">Radiation oncology unit</span></p></div>"
  ] ;
  fhir:Location.type [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ] ;
       fhir:Coding.code [ fhir:value "RADO" ] ;
       fhir:Coding.display [ fhir:value "Radiation oncology unit" ]
     ]
  ] .

<urn:uuid:16976a70-59a2-4bbf-aa8b-8835226d9b69> a fhir:Condition ;
  fhir:Resource.id [ fhir:value "condition04"] ;
  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=\"Condition_condition04\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition condition04</b></p><a name=\"condition04\"> </a><a name=\"hccondition04\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}, {http://snomed.info/sct 439401001}\">Encounter Diagnosis</span></p><p><b>subject</b>: <a href=\"Patient-nhsn-iip-ip101.html\">Anonymous Patient Female, DoB: 1987-02-19 ( http://example.org#nhsn-iip-ip101)</a></p><p><b>onset</b>: 2022-01-08</p></div>"
  ] ;
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ] ;
       fhir:Coding.code [ fhir:value "active" ]
     ]
  ] ;
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ] ;
       fhir:Coding.code [ fhir:value "confirmed" ]
     ]
  ] ;
  fhir:Condition.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ] ;
       fhir:Coding.code [ fhir:value "encounter-diagnosis" ] ;
       fhir:Coding.display [ fhir:value "Encounter Diagnosis" ]
     ], [
       fhir:index -1 ;
       a sct:439401001 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "439401001" ] ;
       fhir:Coding.display [ fhir:value "Diagnosis" ]
     ]
  ] ;
  fhir:Condition.subject [
     fhir:link <http://hl7.org/fhir/Patient/nhsn-iip-ip101> ;
     fhir:Reference.reference [ fhir:value "Patient/nhsn-iip-ip101" ]
  ] ;
  fhir:Condition.onsetDateTime [ fhir:value "2022-01-08"^^xsd:date] .

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

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