Quality Measure Implementation Guide (STU3)
3.0.0 - STU 3 US

This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v3.0.0: STU3) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Terminology Library - TTL Representation

Draft as of 2022-04-28

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:Library;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "Terminology"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">Terminology</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\">http://hl7.org/fhir/us/cqfmeasures/Library/Terminology</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">1.0.0</td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Name: </b></th>\n            <td style=\"padding-left: 4px;\">Terminology</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">Terminology Library</td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td style=\"padding-left: 4px;\">draft</td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/library-type</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>logic-library</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2022-04-28T14:51:09+00:00</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">Clinical Quality Information WG</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\">This library is the primary measure library for the terminology example measure</td>\n        </tr>\n        \n        \n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Jurisdiction: </b></th>\n            <td style=\"padding-left: 4px;\">US</td>\n        </tr>\n        \n        \n        \n        \n        \n        \n        \n        \n        <tr>\n          <th scope=\"row\"><b>Related Artifacts: </b></th>\n          <td style=\"padding-left: 4px;\">\n            \n            \n            \n            <p><b>Dependencies</b></p>\n            <ul>\n              \n                <li>http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</li>\n              \n                <li>http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1</li>\n              \n                <li>http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929</li>\n              \n            </ul>\n            \n            \n            \n            \n            \n          </td>\n        </tr>\n        \n        \n        <tr>\n          <th scope=\"row\"><b>Parameters: </b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              <tr><th><b>Name</b></th><th><b>Type</b></th><th><b>Min</b></th><th><b>Max</b></th><th><b>In/Out</b></th></tr>\n              \n                <tr><th>Measurement Period</th><th>Period</th><th>0</th><th>1</th><th>in</th></tr>\n              \n                <tr><th>Inpatient Encounter</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n        \n        <tr>\n          <th scope=\"row\"><b>Data Requirements:</b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              <tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Encounter</th>\n                  <th></th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929</span>\n                      </span>\n                      \n                      \n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>status</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>system: </b> <span>http://hl7.org/fhir/encounter-status</span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>code: </b> <span>finished</span>\n                          </p>\n                          \n                          \n                      \n                    \n                  </th>\n                </tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n        \n        \n        <tr>\n          <td colspan=\"2\">\n            <table>\n              <tr><th><a id=\"cql-content\"><b>Content: </b></a> text/cql</th></tr>\n              <tr><td><pre><code class=\"language-cql\">/*\nThis example is purely for illustration purposes to show how all the elements of a\nFHIR-based quality measure are represented. It is intentionally simplified to show\nspecific aspects of a measure, and is not intended as an example of a clinically\nmeaningful measure.\n*/\nlibrary Terminology version '1.0.0'\n\nusing FHIR version '4.0.1'\n\ninclude FHIRHelpers version '4.0.1' called FHIRHelpers\n\n// NOTE: Versioning is used in this example to illustrate completely how versioning is applied\n// References to specific versions of code systems and value sets should be used only when necessary\n\ncodesystem \"SNOMED CT:2017-09\": 'http://snomed.info/sct'\n  version 'http://snomed.info/sct/731000124108/version/201709'\n\nvalueset \"Encounter Inpatient SNOMEDCT Value Set\":\n   'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929'\n\ncode \"Venous foot pump, device (physical object)\": '442023007' from \"SNOMED CT:2017-09\"\ncode \"Right foot\": '7769000' from \"SNOMED CT:2017-09\"\n\nparameter \"Measurement Period\" Interval&lt;DateTime&gt;\n\ndefine \"Inpatient Encounter\":\n  [\"Encounter\": type in \"Encounter Inpatient SNOMEDCT Value Set\"] E\n    where E.status = 'finished'\n\n// DeviceUseStatement has a known issue with the publication tooling\n// so it is removed to allow this IG to publish until that is fixed\n//define \"Venous Foot Pumps Applied\":\n//  [\"DeviceUseStatement\": code in \"Venous foot pump, device (physical object)\"] D\n//    where D.status = 'completed'\n//      and D.bodySite ~ ToConcept(\"Right foot\")\n</code></pre></td></tr>\n            </table>\n          </td>\n        </tr>\n        \n        \n        \n        \n        \n        <tr>\n          <td colspan=\"2\">\n            <table>\n              <tr><th><b>Content: </b> application/elm+xml</th></tr>\n              <tr><td><pre><code>Encoded data (10536 characters)</code></pre></td></tr>\n            </table>\n          </td>\n        </tr>\n        \n        \n    </table>\n</div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "Device/software-system-example" ]     ]
  ];
  fhir:Library.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/Terminology"];
  fhir:Library.version [ fhir:value "1.0.0"];
  fhir:Library.name [ fhir:value "Terminology"];
  fhir:Library.title [ fhir:value "Terminology Library"];
  fhir:Library.status [ fhir:value "draft"];
  fhir:Library.type [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/library-type" ];
       fhir:Coding.code [ fhir:value "logic-library" ]     ]
  ];
  fhir:Library.date [ fhir:value "2022-04-28T14:51:09+00:00"^^xsd:dateTime];
  fhir:Library.publisher [ fhir:value "Clinical Quality Information WG"];
  fhir:Library.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cqi" ]     ]
  ];
  fhir:Library.description [ fhir:value "This library is the primary measure library for the terminology example measure"];
  fhir:Library.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ];
  fhir:Library.relatedArtifact [
     fhir:index 0;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "FHIR model information" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1";
       fhir:link <http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1>     ]
  ], [
     fhir:index 1;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1";
       fhir:link <http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1>     ]
  ], [
     fhir:index 2;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Code system SNOMED CT:2017-09" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709";
       fhir:link <http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709>     ]
  ], [
     fhir:index 3;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Encounter Inpatient SNOMEDCT Value Set" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929>     ]
  ];
  fhir:Library.parameter [
     fhir:index 0;
     fhir:ParameterDefinition.name [ fhir:value "Measurement Period" ];
     fhir:ParameterDefinition.use [ fhir:value "in" ];
     fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
     fhir:ParameterDefinition.max [ fhir:value "1" ];
     fhir:ParameterDefinition.type [ fhir:value "Period" ]
  ], [
     fhir:index 1;
     fhir:ParameterDefinition.name [ fhir:value "Inpatient Encounter" ];
     fhir:ParameterDefinition.use [ fhir:value "out" ];
     fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
     fhir:ParameterDefinition.max [ fhir:value "*" ];
     fhir:ParameterDefinition.type [ fhir:value "Encounter" ]
  ];
  fhir:Library.dataRequirement [
     fhir:index 0;
     fhir:DataRequirement.type [ fhir:value "Encounter" ];
     fhir:DataRequirement.profile [
       fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>     ];
     fhir:DataRequirement.codeFilter [
       fhir:index 0;
       fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
       fhir:DataRequirement.codeFilter.valueSet [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929>       ]     ], [
       fhir:index 1;
       fhir:DataRequirement.codeFilter.path [ fhir:value "status" ];
       fhir:DataRequirement.codeFilter.code [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/encounter-status" ];
         fhir:Coding.code [ fhir:value "finished" ]       ]     ]
  ];
  fhir:Library.content [
     fhir:index 0;
     fhir:Attachment.contentType [ fhir:value "text/cql" ];
     fhir:Attachment.data [ fhir:value "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"^^xsd:base64Binary ]
  ], [
     fhir:index 1;
     fhir:Attachment.contentType [ fhir:value "application/elm+xml" ];
     fhir:Attachment.data [ fhir:value "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <annotation translatorVersion="1.3" translatorOptions="EnableAnnotations,EnableLocators,DisableListDemotion,DisableListPromotion" xsi:type="a:CqlToElmInfo"/>
   <annotation xsi:type="a:Annotation">
      <a:s r="19">
         <a:s>/*
This example is purely for illustration purposes to show how all the elements of a
FHIR-based quality measure are represented. It is intentionally simplified to show
specific aspects of a measure, and is not intended as an example of a clinically
meaningful measure.
*/library Terminology version '1.0.0'</a:s>
      </a:s>
   </annotation>
   <identifier id="Terminology" system="http://ecqi.healthit.gov/ecqms" version="1.0.0"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localId="1" locator="9:1-9:26" localIdentifier="FHIR" uri="http://hl7.org/fhir" version="4.0.1">
         <annotation xsi:type="a:Annotation">
            <a:s r="1">
               <a:s>using </a:s>
               <a:s>
                  <a:s>FHIR</a:s>
               </a:s>
               <a:s> version '4.0.1'</a:s>
            </a:s>
         </annotation>
      </def>
   </usings>
   <includes>
      <def localId="2" locator="11:1-11:54" localIdentifier="FHIRHelpers" path="http://ecqi.healthit.gov/ecqms/FHIRHelpers" version="4.0.1">
         <annotation xsi:type="a:Annotation">
            <a:s r="2">
               <a:s>include </a:s>
               <a:s>
                  <a:s>FHIRHelpers</a:s>
               </a:s>
               <a:s> version '4.0.1' called FHIRHelpers</a:s>
            </a:s>
         </annotation>
      </def>
   </includes>
   <parameters>
      <def localId="11" locator="25:1-25:49" name="Measurement Period" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="11">
               <a:s>parameter &quot;Measurement Period&quot; </a:s>
               <a:s r="10">
                  <a:s>Interval&lt;</a:s>
                  <a:s r="9">
                     <a:s>DateTime</a:s>
                  </a:s>
                  <a:s>></a:s>
               </a:s>
            </a:s>
         </annotation>
         <parameterTypeSpecifier localId="10" locator="25:32-25:49" xsi:type="IntervalTypeSpecifier">
            <pointType localId="9" locator="25:41-25:48" name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <codeSystems>
      <def localId="3" locator="16:1-17:62" name="SNOMED CT:2017-09" id="http://snomed.info/sct" version="http://snomed.info/sct/731000124108/version/201709" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="3">
               <a:s>// NOTE: Versioning is used in this example to illustrate completely how versioning is applied
// References to specific versions of code systems and value sets should be used only when necessarycodesystem &quot;SNOMED CT:2017-09&quot;: 'http://snomed.info/sct'
  version 'http://snomed.info/sct/731000124108/version/201709'</a:s>
            </a:s>
         </annotation>
      </def>
   </codeSystems>
   <valueSets>
      <def localId="4" locator="19:1-20:80" name="Encounter Inpatient SNOMEDCT Value Set" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="4">
               <a:s>valueset &quot;Encounter Inpatient SNOMEDCT Value Set&quot;:
   'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929'</a:s>
            </a:s>
         </annotation>
      </def>
   </valueSets>
   <codes>
      <def localId="6" locator="22:1-22:87" name="Venous foot pump, device (physical object)" id="442023007" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="6">
               <a:s>code &quot;Venous foot pump, device (physical object)&quot;: '442023007' from </a:s>
               <a:s r="5">
                  <a:s>&quot;SNOMED CT:2017-09&quot;</a:s>
               </a:s>
            </a:s>
         </annotation>
         <codeSystem localId="5" locator="22:69-22:87" name="SNOMED CT:2017-09"/>
      </def>
      <def localId="8" locator="23:1-23:53" name="Right foot" id="7769000" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="8">
               <a:s>code &quot;Right foot&quot;: '7769000' from </a:s>
               <a:s r="7">
                  <a:s>&quot;SNOMED CT:2017-09&quot;</a:s>
               </a:s>
            </a:s>
         </annotation>
         <codeSystem localId="7" locator="23:35-23:53" name="SNOMED CT:2017-09"/>
      </def>
   </codes>
   <statements>
      <def localId="19" locator="27:1-29:31" name="Inpatient Encounter" context="Patient" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="19">
               <a:s>define &quot;Inpatient Encounter&quot;:
  </a:s>
               <a:s r="18">
                  <a:s>
                     <a:s r="13">
                        <a:s r="12">
                           <a:s r="12">
                              <a:s>[&quot;Encounter&quot;: </a:s>
                              <a:s>
                                 <a:s>type</a:s>
                              </a:s>
                              <a:s> in </a:s>
                              <a:s>
                                 <a:s>&quot;Encounter Inpatient SNOMEDCT Value Set&quot;</a:s>
                              </a:s>
                              <a:s>]</a:s>
                           </a:s>
                        </a:s>
                        <a:s> E</a:s>
                     </a:s>
                  </a:s>
                  <a:s>
    </a:s>
                  <a:s r="17">
                     <a:s>where </a:s>
                     <a:s r="17">
                        <a:s r="15">
                           <a:s r="14">
                              <a:s>E</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="15">
                              <a:s>status</a:s>
                           </a:s>
                        </a:s>
                        <a:s> = </a:s>
                        <a:s r="16">
                           <a:s>'finished'</a:s>
                        </a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="18" locator="28:3-29:31" xsi:type="Query">
            <source localId="13" locator="28:3-28:67" alias="E">
               <expression localId="12" locator="28:3-28:65" dataType="fhir:Encounter" templateId="http://hl7.org/fhir/StructureDefinition/Encounter" codeProperty="type" codeComparator="in" xsi:type="Retrieve">
                  <codes locator="28:25-28:64" name="Encounter Inpatient SNOMEDCT Value Set" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where localId="17" locator="29:5-29:31" xsi:type="Equal">
               <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <operand localId="15" locator="29:11-29:18" path="status" scope="E" xsi:type="Property"/>
               </operand>
               <operand localId="16" locator="29:22-29:31" valueType="t:String" value="finished" xsi:type="Literal"/>
            </where>
         </expression>
      </def>
   </statements>
</library>
"^^xsd:base64Binary ]
  ].

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

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.