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
Active as of 2022-02-22 |
@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 -------------------------------------------------------------------
a fhir:Measure;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "measure-ratio-exm"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/ratio-measure-cqfm";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/ratio-measure-cqfm> ], [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm";
fhir:index 1;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm> ]
];
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;\">measure-ratio-exm</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\">http://example.org/fhir/measures/measure-ratio-exm</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">2.0.0</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Identifier: </b></th>\n <td style=\"padding-left: 4px;\">\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>value: </b> <span>EXMRatio</span>\n </p>\n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Name: </b></th>\n <td style=\"padding-left: 4px;\">EXMRatioMeasure</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">EXM Ratio Measure</td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">active</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Experimental: </b></th>\n <td style=\"padding-left: 4px;\">true</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Scoring: </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/measure-scoring</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>ratio</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>display: </b> <span>Ratio</span>\n </p>\n \n \n \n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Improvement Notation: </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/measure-improvement-notation</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>decrease</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>display: </b> <span>Decreased score indicates improvement</span>\n </p>\n \n \n \n \n </td>\n </tr>\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/measure-type</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>process</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;\">2022-02-22</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;\">An example FHIR-based publishable measure</td>\n </tr>\n \n \n \n \n \n \n \n \n <tr>\n <th scope=\"row\"><b>Use Context: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>code</b></th><th><b>value</b></th></tr>\n \n <tr>\n <td>program</td>\n <td>eligible-provider</td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Jurisdiction: </b></th>\n <td style=\"padding-left: 25px;\">US</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Topic: </b></th>\n <td style=\"padding-left: 25px;\">57024-2</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Purpose: </b></th>\n <td style=\"padding-left: 4px;\">The purpose of this measure is to...</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Usage: </b></th>\n <td style=\"padding-left: 4px;\">Users of this measure should be aware of...</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Copyright: </b></th>\n <td style=\"padding-left: 25px;\">Example Copyright Statement</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Disclaimer: </b></th>\n <td style=\"padding-left: 25px;\">Example disclaimer</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Approval Date: </b></th>\n <td style=\"padding-left: 4px;\">2019-02-17</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Last Review Date: </b></th>\n <td style=\"padding-left: 4px;\">2019-02-17</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Effective Period: </b></th>\n <td style=\"padding-left: 4px;\">2018-01-01..2018-12-31</td>\n </tr>\n \n \n \n \n \n \n </table>\n</div>"
];
fhir:DomainResource.contained [
a fhir:Library;
fhir:index 0;
fhir:Resource.id [ fhir:value "effective-data-requirements" ];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMRatio" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Qualifying Encounters" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Qualifying Encounters\": [\"Encounter\": \"Inpatient\"]" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ], [
fhir:index 1;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMRatio" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Initial Population" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Initial Population\": \"Qualifying Encounters\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ], [
fhir:index 2;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMRatio" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Numerator" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Numerator\": \"Initial Population\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ], [
fhir:index 3;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "libraryName" ];
fhir:Extension.valueString [ fhir:value "EXMRatio" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "name" ];
fhir:Extension.valueString [ fhir:value "Denominator" ] ], [
fhir:index 2;
fhir:Extension.url [ fhir:value "statement" ];
fhir:Extension.valueString [ fhir:value "define \"Denominator\": \"Initial Population\"" ] ], [
fhir:index 3;
fhir:Extension.url [ fhir:value "displaySequence" ];
fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ] ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ] ];
fhir:Library.name [ fhir:value "EffectiveDataRequirements" ];
fhir:Library.status [ fhir:value "active" ];
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 "module-definition" ] ] ];
fhir:Library.date [ fhir:value "2022-02-22T10:37:04-07:00"^^xsd:dateTime ];
fhir:Library.relatedArtifact [
fhir:index 0;
fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
fhir:RelatedArtifact.display [ fhir:value "Value set Inpatient" ];
fhir:RelatedArtifact.resource [
fhir:value "http://example.org/fhir/ValueSet/inpatient";
fhir:link <http://example.org/fhir/ValueSet/inpatient> ] ];
fhir:Library.parameter [
fhir:index 0;
fhir:ParameterDefinition.name [ fhir:value "Numerator" ];
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:index 1;
fhir:ParameterDefinition.name [ fhir:value "Denominator" ];
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:index 2;
fhir:ParameterDefinition.name [ fhir:value "Initial Population" ];
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.mustSupport [
fhir:value "type";
fhir:index 0 ];
fhir:DataRequirement.codeFilter [
fhir:index 0;
fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
fhir:DataRequirement.codeFilter.valueSet [
fhir:value "http://example.org/fhir/ValueSet/inpatient";
fhir:link <http://example.org/fhir/ValueSet/inpatient> ] ] ]
];
fhir:DomainResource.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
fhir:Extension.valueCode [ fhir:value "Encounter" ]
], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit" ];
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Coding.code [ fhir:value "/1000.d" ] ] ]
], [
fhir:index 2;
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:index 3;
fhir:Element.id [ fhir:value "effective-data-requirements" ];
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements" ];
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "#effective-data-requirements" ] ]
];
fhir:Measure.url [ fhir:value "http://example.org/fhir/measures/measure-ratio-exm"];
fhir:Measure.identifier [
fhir:index 0;
fhir:Identifier.system [ fhir:value "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm" ];
fhir:Identifier.value [ fhir:value "EXMRatio" ]
];
fhir:Measure.version [ fhir:value "2.0.0"];
fhir:Measure.name [ fhir:value "EXMRatioMeasure"];
fhir:Measure.title [ fhir:value "EXM Ratio Measure"];
fhir:Measure.status [ fhir:value "active"];
fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean];
fhir:Measure.date [ fhir:value "2022-02-22"^^xsd:date];
fhir:Measure.publisher [ fhir:value "Clinical Quality Information WG"];
fhir:Measure.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:Measure.description [ fhir:value "An example FHIR-based publishable measure"];
fhir:Measure.useContext [
fhir:index 0;
fhir:UsageContext.code [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
fhir:Coding.code [ fhir:value "program" ] ];
fhir:UsageContext.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs" ];
fhir:Coding.code [ fhir:value "ep-ec" ] ];
fhir:CodeableConcept.text [ fhir:value "eligible-provider" ] ]
];
fhir:Measure.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:Measure.purpose [ fhir:value "The purpose of this measure is to..."];
fhir:Measure.usage [ fhir:value "Users of this measure should be aware of..."];
fhir:Measure.copyright [ fhir:value "Example Copyright Statement"];
fhir:Measure.approvalDate [ fhir:value "2019-02-17"^^xsd:date];
fhir:Measure.lastReviewDate [ fhir:value "2019-02-17"^^xsd:date];
fhir:Measure.effectivePeriod [
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor" ];
fhir:Extension.valueDateTime [ fhir:value "2018-01-01"^^xsd:date ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration" ];
fhir:Extension.valueDuration [
fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "a" ] ] ];
fhir:Period.start [ fhir:value "2018-01-01"^^xsd:date ];
fhir:Period.end [ fhir:value "2018-12-31"^^xsd:date ]
];
fhir:Measure.topic [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:57024-2;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "57024-2" ] ];
fhir:CodeableConcept.text [ fhir:value "Health Quality Measure Document" ]
];
fhir:Measure.author [
fhir:index 0;
fhir:ContactDetail.name [ fhir:value "Example Measure Content Developer" ]
];
fhir:Measure.library [
fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/EXMRatio";
fhir:index 0;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/EXMRatio>
];
fhir:Measure.disclaimer [ fhir:value "Example disclaimer"];
fhir:Measure.scoring [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
fhir:Coding.code [ fhir:value "ratio" ];
fhir:Coding.display [ fhir:value "Ratio" ] ]
];
fhir:Measure.type [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
fhir:Coding.code [ fhir:value "process" ] ]
];
fhir:Measure.improvementNotation [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
fhir:Coding.code [ fhir:value "decrease" ];
fhir:Coding.display [ fhir:value "Decreased score indicates improvement" ] ]
];
fhir:Measure.group [
fhir:index 0;
fhir:Element.id [ fhir:value "group-1" ];
fhir:Measure.group.population [
fhir:index 0;
fhir:Element.id [ fhir:value "initial-population" ];
fhir:Measure.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
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:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "Initial Population" ] ] ], [
fhir:index 1;
fhir:Element.id [ fhir:value "numerator" ];
fhir:Measure.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
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:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "Numerator" ] ] ], [
fhir:index 2;
fhir:Element.id [ fhir:value "denominator" ];
fhir:Measure.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
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:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "Denominator" ] ] ], [
fhir:index 3;
fhir:Element.id [ fhir:value "denominator-observation" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference" ];
fhir:Extension.valueString [ fhir:value "denominator" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod" ];
fhir:Extension.valueCode [ fhir:value "sum" ] ];
fhir:Measure.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
fhir:Coding.code [ fhir:value "measure-observation" ];
fhir:Coding.display [ fhir:value "Measure Observation" ] ] ];
fhir:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "Measure Denominator Observation" ] ] ], [
fhir:index 4;
fhir:Element.id [ fhir:value "numerator-observation" ];
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference" ];
fhir:Extension.valueString [ fhir:value "numerator" ] ], [
fhir:index 1;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod" ];
fhir:Extension.valueCode [ fhir:value "sum" ] ];
fhir:Measure.group.population.code [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
fhir:Coding.code [ fhir:value "measure-observation" ];
fhir:Coding.display [ fhir:value "Measure Observation" ] ] ];
fhir:Measure.group.population.criteria [
fhir:Expression.language [ fhir:value "text/cql-identifier" ];
fhir:Expression.expression [ fhir:value "Measure Numerator Observation" ] ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.