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 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

: Gaps Bundle Closed Individual MeasureReport01

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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/single-gaps-closed-indv-report01> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "single-gaps-closed-indv-report01"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincarebundle" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincarebundle>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:uuid:f119bdf2-eeb9-47b2-8dc1-e2068cc3c4ae" ]
  ] ;
  fhir:Bundle.type [ fhir:value "document"] ;
  fhir:Bundle.timestamp [ fhir:value "2020-06-30T13:08:53+00:00"^^xsd:dateTime] ;
  fhir:Bundle.entry [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Composition/gaps-composition02" ] ;
     fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Composition/gaps-composition02>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03" ] ;
     fhir:Bundle.entry.resource <http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03" ] ;
     fhir:Bundle.entry.resource <http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Encounter/gaps-encounter02" ] ;
     fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Encounter/gaps-encounter02>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Procedure/gaps-procedure01" ] ;
     fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Procedure/gaps-procedure01>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Patient/gaps-patient02" ] ;
     fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Patient/gaps-patient02>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor" ] ;
     fhir:Bundle.entry.resource <http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor>
  ] .

<http://example.org/fhir/gaps/Composition/gaps-composition02> a fhir:Composition ;
  fhir:Resource.id [ fhir:value "gaps-composition02"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincarecomposition" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincarecomposition>
     ]
  ] ;
  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=\"Composition_gaps-composition02\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition gaps-composition02</b></p><a name=\"gaps-composition02\"> </a><a name=\"hcgaps-composition02\"> </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-deqm-gapsincarecomposition.html\">DEQM Gaps In Care Composition Profile</a></p></div><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>: 2020-06-30 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-patient02</p></div>"
  ] ;
  fhir:Composition.status [ fhir:value "final"] ;
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:96315-7 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "96315-7" ] ;
       fhir:Coding.display [ fhir:value "Gaps in care report" ]
     ]
  ] ;
  fhir:Composition.subject [
     fhir:link <http://hl7.org/fhir/Patient/gaps-patient02> ;
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
  ] ;
  fhir:Composition.date [ fhir:value "2020-06-30T13:08:53+00:00"^^xsd:dateTime] ;
  fhir:Composition.author [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Organization/gaps-organization-reportingvendor> ;
     fhir:Reference.reference [ fhir:value "Organization/gaps-organization-reportingvendor" ]
  ] ;
  fhir:Composition.title [ fhir:value "Care Gap Report for patient gaps-patient02"] ;
  fhir:Composition.section [
     fhir:index -1 ;
     fhir:Composition.section.title [ fhir:value "Colorectal Cancer Screening" ] ;
     fhir:Composition.section.focus [
       fhir:link <http://hl7.org/fhir/MeasureReport/gaps-indv-measurereport03> ;
       fhir:Reference.reference [ fhir:value "MeasureReport/gaps-indv-measurereport03" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/DetectedIssue/gaps-detectedissue03> ;
       fhir:Reference.reference [ fhir:value "DetectedIssue/gaps-detectedissue03" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/gaps-patient02> a fhir:Patient .

<http://hl7.org/fhir/Organization/gaps-organization-reportingvendor> a fhir:Organization .

<http://hl7.org/fhir/MeasureReport/gaps-indv-measurereport03> a fhir:MeasureReport .

<http://hl7.org/fhir/DetectedIssue/gaps-detectedissue03> a fhir:DetectedIssue .

<http://example.org/fhir/gaps/DetectedIssue/gaps-detectedissue03> a fhir:DetectedIssue ;
  fhir:Resource.id [ fhir:value "gaps-detectedissue03"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincaredetectedissue" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapsincaredetectedissue>
     ]
  ] ;
  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=\"DetectedIssue_gaps-detectedissue03\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DetectedIssue gaps-detectedissue03</b></p><a name=\"gaps-detectedissue03\"> </a><a name=\"hcgaps-detectedissue03\"> </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-deqm-gapsincaredetectedissue.html\">DEQM Gaps In Care Detected Issue Profile</a></p></div><p><b>DEQM Gap Status Modifier Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/deqm/CodeSystem/deqm-gaps-status closed-gap}\">Closed 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-patient02.html\">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (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-measurereport03.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/uv/cqm/Measure/EXM130-FHIR|8.0.000; date = 2020-06-30 13:08:52+0000; period = 2020-01-01 --&gt; 2020-12-31; improvementNotation = Increased score indicates improvement</a></td></tr></table></div>"
  ] ;
  fhir:DomainResource.modifierExtension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-gapStatus" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/deqm/CodeSystem/deqm-gaps-status" ] ;
         fhir:Coding.code [ fhir:value "closed-gap" ]
       ]
     ]
  ] ;
  fhir:DetectedIssue.status [ fhir:value "final"] ;
  fhir:DetectedIssue.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
       fhir:Coding.code [ fhir:value "CAREGAP" ] ;
       fhir:Coding.display [ fhir:value "Caregap" ]
     ]
  ] ;
  fhir:DetectedIssue.patient [
     fhir:link <http://hl7.org/fhir/Patient/gaps-patient02> ;
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
  ] ;
  fhir:DetectedIssue.evidence [
     fhir:index -1 ;
     fhir:DetectedIssue.evidence.detail [
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/MeasureReport/gaps-indv-measurereport03> ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference" ] ;
         fhir:Extension.valueString [ fhir:value "numerator" ]
       ] ;
       fhir:Reference.reference [ fhir:value "MeasureReport/gaps-indv-measurereport03" ]
     ]
  ] .

<http://example.org/fhir/gaps/MeasureReport/gaps-indv-measurereport03> a fhir:MeasureReport ;
  fhir:Resource.id [ fhir:value "gaps-indv-measurereport03"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-individualmeasurereport" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-individualmeasurereport>
     ]
  ] ;
  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_gaps-indv-measurereport03\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport gaps-indv-measurereport03</b></p><a name=\"gaps-indv-measurereport03\"> </a><a name=\"hcgaps-indv-measurereport03\"> </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-deqm-individualmeasurereport.html\">DEQM Individual MeasureReport Profile</a></p></div><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=\"http://hl7.org/fhir/uv/cqm/2026May/Measure-EXM130-FHIR.html\">EXM130 - Colorectal Cancer Screening Measure</a> version: 8.0.000</p><p><b>subject</b>: <a href=\"Patient-gaps-patient02.html\">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></p><p><b>date</b>: 2020-06-30 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><p><b>Extension Definition for MeasureReport.group.linkId for Version 5.0</b>: group-exm130</p><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: initial-population</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>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: numerator</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>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: denominator</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>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: denominator-exclusion</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-encounter02.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 = 2020-03-05 07:00:00+0000 --&gt; 2020-03-05 10:00:00+0000</a></li><li><a href=\"Patient-gaps-patient02.html\">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></li><li><a href=\"Procedure-gaps-procedure01.html\">Procedure Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps</a></li></ul></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring" ] ;
     fhir:Extension.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ] ;
         fhir:Coding.code [ fhir:value "proportion" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-certificationIdentifier" ] ;
     fhir:Extension.valueIdentifier [
       fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.3.2074.1" ] ;
       fhir:Identifier.value [ fhir:value "0015HQN9BD3304E" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-reportingVendor" ] ;
     fhir:Extension.valueReference [
       fhir:link <http://hl7.org/fhir/Organization/gaps-organization-reportingvendor> ;
       fhir:Reference.reference [ fhir:value "Organization/gaps-organization-reportingvendor" ]
     ]
  ] ;
  fhir:MeasureReport.status [ fhir:value "complete"] ;
  fhir:MeasureReport.type [ fhir:value "individual"] ;
  fhir:MeasureReport.measure [
     fhir:value "http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000" ;
     fhir:link <http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000>
  ] ;
  fhir:MeasureReport.subject [
     fhir:link <http://hl7.org/fhir/Patient/gaps-patient02> ;
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
  ] ;
  fhir:MeasureReport.date [ fhir:value "2020-06-30T13:08:52+00:00"^^xsd:dateTime] ;
  fhir:MeasureReport.reporter [
     fhir:link <http://hl7.org/fhir/Organization/gaps-organization-reportingvendor> ;
     fhir:Reference.reference [ fhir:value "Organization/gaps-organization-reportingvendor" ]
  ] ;
  fhir:MeasureReport.period [
     fhir:Period.start [ fhir:value "2020-01-01"^^xsd:date ] ;
     fhir:Period.end [ fhir:value "2020-12-31"^^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:MeasureReport.group [
     fhir:index -1 ;
     fhir:Element.id [ fhir:value "group-exm130" ] ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId" ] ;
       fhir:Extension.valueString [ fhir:value "group-exm130" ]
     ] ;
     fhir:MeasureReport.group.population [
       fhir:index -1 ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId" ] ;
         fhir:Extension.valueString [ fhir:value "initial-population" ]
       ] ;
       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:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId" ] ;
         fhir:Extension.valueString [ fhir:value "numerator" ]
       ] ;
       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:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId" ] ;
         fhir:Extension.valueString [ fhir:value "denominator" ]
       ] ;
       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:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId" ] ;
         fhir:Extension.valueString [ fhir:value "denominator-exclusion" ]
       ] ;
       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 "1.0"^^xsd:decimal ]
     ]
  ] ;
  fhir:MeasureReport.evaluatedResource [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Encounter/gaps-encounter02> ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference" ] ;
       fhir:Extension.valueString [ fhir:value "initial-population" ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference" ] ;
       fhir:Extension.valueString [ fhir:value "denominator" ]
     ] ;
     fhir:Reference.reference [ fhir:value "Encounter/gaps-encounter02" ]
  ], [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Patient/gaps-patient02> ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference" ] ;
       fhir:Extension.valueString [ fhir:value "initial-population" ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference" ] ;
       fhir:Extension.valueString [ fhir:value "denominator" ]
     ] ;
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
  ], [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Procedure/gaps-procedure01> ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference" ] ;
       fhir:Extension.valueString [ fhir:value "numerator" ]
     ] ;
     fhir:Reference.reference [ fhir:value "Procedure/gaps-procedure01" ]
  ] .

<http://hl7.org/fhir/Encounter/gaps-encounter02> a fhir:Encounter .

<http://hl7.org/fhir/Procedure/gaps-procedure01> a fhir:Procedure .

<http://example.org/fhir/gaps/Encounter/gaps-encounter02> a fhir:Encounter ;
  fhir:Resource.id [ fhir:value "gaps-encounter02"] ;
  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_gaps-encounter02\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter gaps-encounter02</b></p><a name=\"gaps-encounter02\"> </a><a name=\"hcgaps-encounter02\"> </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-AMB\">ActCode: AMB</a> (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-patient02.html\">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></p><p><b>period</b>: 2020-03-05 07:00:00+0000 --&gt; 2020-03-05 10:00:00+0000</p></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 "AMB" ] ;
     fhir:Coding.display [ fhir:value "ambulatory" ]
  ] ;
  fhir:Encounter.type [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ] ;
       fhir:Coding.code [ fhir:value "99202" ] ;
       fhir:Coding.display [ fhir:value "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:Encounter.subject [
     fhir:link <http://hl7.org/fhir/Patient/gaps-patient02> ;
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
  ] ;
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2020-03-05T07:00:00-00:00"^^xsd:dateTime ] ;
     fhir:Period.end [ fhir:value "2020-03-05T10:00:00-00:00"^^xsd:dateTime ]
  ] .

<http://example.org/fhir/gaps/Procedure/gaps-procedure01> a fhir:Procedure ;
  fhir:Resource.id [ fhir:value "gaps-procedure01"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure>
     ]
  ] ;
  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=\"Procedure_gaps-procedure01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure gaps-procedure01</b></p><a name=\"gaps-procedure01\"> </a><a name=\"hcgaps-procedure01\"> </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-procedure.html\">QICore Procedure</a></p></div><p><b>Extension Definition for Procedure.recorded for Version 5.0</b>: 2018-09-10 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-patient02.html\">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (use: usual, ))</a></p><p><b>performed</b>: 2018-09-10 08:00:00+0000 --&gt; 2018-09-10 09:00:00+0000</p></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-Procedure.recorded" ] ;
     fhir:Extension.valueDateTime [ fhir:value "2018-09-10T09:00:00-00:00"^^xsd:dateTime ]
  ] ;
  fhir:Procedure.status [ fhir:value "completed"] ;
  fhir:Procedure.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ] ;
       fhir:Coding.code [ fhir:value "45384" ] ;
       fhir:Coding.display [ fhir:value "Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps" ]
     ]
  ] ;
  fhir:Procedure.subject [
     fhir:link <http://hl7.org/fhir/Patient/gaps-patient02> ;
     fhir:Reference.reference [ fhir:value "Patient/gaps-patient02" ]
  ] ;
  fhir:Procedure.performedPeriod [
     fhir:Period.start [ fhir:value "2018-09-10T08:00:00-00:00"^^xsd:dateTime ] ;
     fhir:Period.end [ fhir:value "2018-09-10T09:00:00-00:00"^^xsd:dateTime ]
  ] .

<http://example.org/fhir/gaps/Patient/gaps-patient02> a fhir:Patient ;
  fhir:Resource.id [ fhir:value "gaps-patient02"] ;
  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_gaps-patient02\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient gaps-patient02</b></p><a name=\"gaps-patient02\"> </a><a name=\"hcgaps-patient02\"> </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;\">Thomas Ludwich  Male, DoB: 1957-01-01 ( Medical Record Number: 999996992 (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/6.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2\">CDC Race and Ethnicity: 2135-2</a> (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:#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-2028-9\">CDC Race and Ethnicity: 2028-9</a> (Asian)</li><li>text: Asian</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 "2028-9" ] ;
         fhir:Coding.display [ fhir:value "Asian" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "text" ] ;
       fhir:Extension.valueString [ fhir:value "Asian" ]
     ] ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -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 "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.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://hospital.smarthealthit.org" ] ;
     fhir:Identifier.value [ fhir:value "999996992" ]
  ] ;
  fhir:Patient.name [
     fhir:index -1 ;
     fhir:HumanName.family [ fhir:value "Ludwich" ] ;
     fhir:HumanName.given [
       fhir:value "Thomas" ;
       fhir:index -1
     ]
  ] ;
  fhir:Patient.gender [ fhir:value "male"] ;
  fhir:Patient.birthDate [ fhir:value "1957-01-01"^^xsd:date] .

<http://example.org/fhir/gaps/Organization/gaps-organization-reportingvendor> a fhir:Organization ;
  fhir:Resource.id [ fhir:value "gaps-organization-reportingvendor"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/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_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><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-organization.html\">QICore Organization</a></p></div><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: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 "123446789" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "www.irs.gov" ]
     ]
  ] ;
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean] ;
  fhir:Organization.type [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ] ;
       fhir:Coding.code [ fhir:value "pay" ] ;
       fhir:Coding.display [ fhir:value "Payer" ]
     ]
  ] ;
  fhir:Organization.name [ fhir:value "GapsReportingVendor01"] ;
  fhir:Organization.telecom [
     fhir:index -1 ;
     fhir:ContactPoint.system [ fhir:value "phone" ] ;
     fhir:ContactPoint.value [ fhir:value "(+1) 401-545-1212" ]
  ] ;
  fhir:Organization.address [
     fhir:index -1 ;
     fhir:Address.line [
       fhir:value "13 Drive Street" ;
       fhir:index -1
     ] ;
     fhir:Address.city [ fhir:value "Cityplace" ] ;
     fhir:Address.state [ fhir:value "MA" ] ;
     fhir:Address.postalCode [ fhir:value "01101" ] ;
     fhir:Address.country [ fhir:value "USA" ]
  ] .

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

<http://hl7.org/fhir/Bundle/single-gaps-closed-indv-report01.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Bundle/single-gaps-closed-indv-report01.ttl> .