Quality Measure STU2 for FHIR R4 Implementation Guide

This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v2.0.0: STU 2) based on FHIR R4. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

AdultOutpatientEncounters

@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 "AdultOutpatientEncounters"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/library-cqfm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/library-cqfm>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\r\n    <table class=\"grid dict\">\r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Id: </b></th>\r\n            <td style=\"padding-left: 25px;\">AdultOutpatientEncounters</td>\r\n        </tr>\r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Url: </b></th>\r\n            <td style=\"padding-left: 25px;\">http://hl7.org/fhir/us/cqfmeasures/Library/AdultOutpatientEncounters</td>\r\n        </tr>\r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Version: </b></th>\r\n            <td style=\"padding-left: 25px;\">2.0.000</td>\r\n        </tr>\r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Identifier: </b></th>\r\n            <td style=\"padding-left: 25px;\">\r\n                \r\n                \r\n                <p style=\"margin-bottom: 5px;\">\r\n                    <b>value: </b> <span>AdultOutpatientEncounters</span>\r\n                </p>\r\n                \r\n            </td>\r\n        </tr>\r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Name: </b></th>\r\n            <td style=\"padding-left: 25px;\">AdultOutpatientEncounters</td>\r\n        </tr>\r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Title: </b></th>\r\n            <td style=\"padding-left: 25px;\">Adult Outpatient Encounters Common Library</td>\r\n        </tr>\r\n        \r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Status: </b></th>\r\n            <td style=\"padding-left: 25px;\">active</td>\r\n        </tr>\r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Experimental: </b></th>\r\n            <td style=\"padding-left: 25px;\">true</td>\r\n        </tr>\r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Type: </b></th>\r\n            <td style=\"padding-left: 25px;\">\r\n                \r\n                    \r\n                        \r\n                        <p style=\"margin-bottom: 5px;\">\r\n                            <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/library-type</span>\r\n                        </p>\r\n                        \r\n                        \r\n                        <p style=\"margin-bottom: 5px;\">\r\n                            <b>code: </b> <span>logic-library</span>\r\n                        </p>\r\n                        \r\n                        \r\n                    \r\n                \r\n                \r\n            </td>\r\n        </tr>\r\n        \r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Date: </b></th>\r\n            <td style=\"padding-left: 25px;\">2019-09-03</td>\r\n        </tr>\r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Publisher: </b></th>\r\n            <td style=\"padding-left: 25px;\">Health Level 7 International - Clinical Quality Information Work Group</td>\r\n        </tr>\r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Description: </b></th>\r\n            <td style=\"padding-left: 25px;\">This library is used as an example in the FHIR Quality Measure Implementation Guide</td>\r\n        </tr>\r\n        \r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Jurisdiction: </b></th>\r\n            <td style=\"padding-left: 25px;\">US</td>\r\n        </tr>\r\n        \r\n        \r\n        \r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Approval Date: </b></th>\r\n            <td style=\"padding-left: 25px;\">2019-08-03</td>\r\n        </tr>\r\n        \r\n        \r\n        <tr>\r\n            <th scope=\"row\"><b>Last Review Date: </b></th>\r\n            <td style=\"padding-left: 25px;\">2019-08-03</td>\r\n        </tr>\r\n        \r\n        \r\n        \r\n        <tr>\r\n          <th scope=\"row\"><b>Related Artifacts: </b></th>\r\n          <td style=\"padding-left: 25px;\">\r\n            <table class=\"grid-dict\">\r\n              <tr><th><b>Type</b></th><th><b>Resource</b></th></tr>\r\n              \r\n                <tr><td>depends-on</td><td>http://hl7.org/fhir/Library/FHIR-ModelInfo|4.0.1</td></tr>\r\n              \r\n                <tr><td>depends-on</td><td>http://hl7.org/fhir/Library/FHIRHelpers|4.0.1</td></tr>\r\n              \r\n                <tr><td>depends-on</td><td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</td></tr>\r\n              \r\n                <tr><td>depends-on</td><td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240</td></tr>\r\n              \r\n                <tr><td>depends-on</td><td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</td></tr>\r\n              \r\n                <tr><td>depends-on</td><td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</td></tr>\r\n              \r\n                <tr><td>depends-on</td><td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016</td></tr>\r\n              \r\n            </table>\r\n          </td>\r\n        </tr>\r\n        \r\n        \r\n        <tr>\r\n          <th scope=\"row\"><b>Parameters: </b></th>\r\n          <td style=\"padding-left: 25px;\">\r\n            <table class=\"grid-dict\">\r\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>\r\n              \r\n                <tr><th>Measurement Period</th><th>Period</th><th>0</th><th>1</th><th>in</th></tr>\r\n              \r\n                <tr><th>Patient</th><th>Patient</th><th>0</th><th>1</th><th>out</th></tr>\r\n              \r\n                <tr><th>Qualifying Encounters</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>\r\n              \r\n            </table>\r\n          </td>\r\n        </tr>\r\n        \r\n        \r\n        <tr>\r\n          <th scope=\"row\"><b>Data Requirements:</b></th>\r\n          <td style=\"padding-left: 25px;\">\r\n            <table class=\"grid-dict\">\r\n              <tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>\r\n              \r\n                <tr>\r\n                  <th>Encounter</th>\r\n                  <th>http://hl7.org/fhir/StructureDefinition/Encounter</th>\r\n                  <th></th>\r\n                  <th>\r\n                    \r\n                    <p style=\"margin-bottom: 5px;\">\r\n                        <b>code filter: </b>\r\n                        \r\n                        <br/>\r\n                        \r\n                        \r\n                        <span style=\"padding-left: 25px;\">\r\n                            <b>path: </b><span>type</span>\r\n                        </span>\r\n                        \r\n                        <br/>\r\n                        \r\n                        \r\n                        \r\n                        <span style=\"padding-left: 25px;\">\r\n                            <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</span>\r\n                        </span>\r\n                        \r\n                        \r\n                    </p>\r\n                    \r\n                  </th>\r\n                </tr>\r\n              \r\n                <tr>\r\n                  <th>Encounter</th>\r\n                  <th>http://hl7.org/fhir/StructureDefinition/Encounter</th>\r\n                  <th></th>\r\n                  <th>\r\n                    \r\n                    <p style=\"margin-bottom: 5px;\">\r\n                        <b>code filter: </b>\r\n                        \r\n                        <br/>\r\n                        \r\n                        \r\n                        <span style=\"padding-left: 25px;\">\r\n                            <b>path: </b><span>type</span>\r\n                        </span>\r\n                        \r\n                        <br/>\r\n                        \r\n                        \r\n                        \r\n                        <span style=\"padding-left: 25px;\">\r\n                            <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240</span>\r\n                        </span>\r\n                        \r\n                        \r\n                    </p>\r\n                    \r\n                  </th>\r\n                </tr>\r\n              \r\n                <tr>\r\n                  <th>Encounter</th>\r\n                  <th>http://hl7.org/fhir/StructureDefinition/Encounter</th>\r\n                  <th></th>\r\n                  <th>\r\n                    \r\n                    <p style=\"margin-bottom: 5px;\">\r\n                        <b>code filter: </b>\r\n                        \r\n                        <br/>\r\n                        \r\n                        \r\n                        <span style=\"padding-left: 25px;\">\r\n                            <b>path: </b><span>type</span>\r\n                        </span>\r\n                        \r\n                        <br/>\r\n                        \r\n                        \r\n                        \r\n                        <span style=\"padding-left: 25px;\">\r\n                            <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</span>\r\n                        </span>\r\n                        \r\n                        \r\n                    </p>\r\n                    \r\n                  </th>\r\n                </tr>\r\n              \r\n                <tr>\r\n                  <th>Encounter</th>\r\n                  <th>http://hl7.org/fhir/StructureDefinition/Encounter</th>\r\n                  <th></th>\r\n                  <th>\r\n                    \r\n                    <p style=\"margin-bottom: 5px;\">\r\n                        <b>code filter: </b>\r\n                        \r\n                        <br/>\r\n                        \r\n                        \r\n                        <span style=\"padding-left: 25px;\">\r\n                            <b>path: </b><span>type</span>\r\n                        </span>\r\n                        \r\n                        <br/>\r\n                        \r\n                        \r\n                        \r\n                        <span style=\"padding-left: 25px;\">\r\n                            <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</span>\r\n                        </span>\r\n                        \r\n                        \r\n                    </p>\r\n                    \r\n                  </th>\r\n                </tr>\r\n              \r\n                <tr>\r\n                  <th>Encounter</th>\r\n                  <th>http://hl7.org/fhir/StructureDefinition/Encounter</th>\r\n                  <th></th>\r\n                  <th>\r\n                    \r\n                    <p style=\"margin-bottom: 5px;\">\r\n                        <b>code filter: </b>\r\n                        \r\n                        <br/>\r\n                        \r\n                        \r\n                        <span style=\"padding-left: 25px;\">\r\n                            <b>path: </b><span>type</span>\r\n                        </span>\r\n                        \r\n                        <br/>\r\n                        \r\n                        \r\n                        \r\n                        <span style=\"padding-left: 25px;\">\r\n                            <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016</span>\r\n                        </span>\r\n                        \r\n                        \r\n                    </p>\r\n                    \r\n                  </th>\r\n                </tr>\r\n              \r\n            </table>\r\n          </td>\r\n        </tr>\r\n        \r\n        \r\n        \r\n        <tr>\r\n          <table>\r\n            <tr><th><a id=\"cql-content\"><b>Content: </b></a> text/cql</th></tr>\r\n            <tr><td><pre><code>library AdultOutpatientEncounters version '2.0.000'\r\n\r\n/*\r\nThis example is a work in progress and should not be considered a final specification\r\nor recommendation for guidance. This example will help guide and direct the process\r\nof finding conventions and usage patterns that meet the needs of the various stakeholders\r\nin the measure development community.\r\n*/\r\n\r\n/*\r\n@update: @@BTR 2020-03-31 -&gt;\r\nIncremented version to 2.0.000\r\nUpdated FHIR version to 4.0.1\r\n@@@\r\n*/\r\n\r\nusing FHIR version '4.0.1'\r\n\r\ninclude FHIRHelpers version '4.0.1' called FHIRHelpers\r\n\r\nvalueset \"Office Visit\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'\r\nvalueset \"Annual Wellness Visit\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'\r\nvalueset \"Preventive Care Services - Established Office Visit, 18 and Up\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'\r\nvalueset \"Preventive Care Services-Initial Office Visit, 18 and Up\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'\r\nvalueset \"Home Healthcare Services\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016'\r\n\r\nparameter \"Measurement Period\" Interval&lt;DateTime&gt;\r\n  default Interval[@2019-01-01T00:00:00.0, @2020-01-01T00:00:00.0)\r\n\r\ncontext Patient\r\n\r\ndefine \"Qualifying Encounters\":\r\n	(\r\n    [Encounter: \"Office Visit\"]\r\n  		union [Encounter: \"Annual Wellness Visit\"]\r\n  		union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"]\r\n  		union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"]\r\n  		union [Encounter: \"Home Healthcare Services\"]\r\n  ) ValidEncounter\r\n		where ValidEncounter.period during \"Measurement Period\"\r\n  		and ValidEncounter.status  = 'finished'\r\n</code></pre></td></tr>\r\n          </table>\r\n        </tr>\r\n        \r\n        \r\n        \r\n        \r\n        \r\n        <tr>\r\n          <table>\r\n            <tr><th><b>Content: </b> application/elm+xml</th></tr>\r\n            <tr><td><pre><code>Encoded data (9792 characters)</code></pre></td></tr>\r\n          </table>\r\n        </tr>\r\n        \r\n        \r\n        \r\n        \r\n        <tr>\r\n          <table>\r\n            <tr><th><b>Content: </b> application/elm+json</th></tr>\r\n            <tr><td><pre><code>Encoded data (17196 characters)</code></pre></td></tr>\r\n          </table>\r\n        </tr>\r\n        \r\n        \r\n    </table>\r\n</div>"
  ];
  fhir:Library.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/AdultOutpatientEncounters"];
  fhir:Library.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "http://example.org/fhir/cqi/ecqm/Library/Identifier" ];
     fhir:Identifier.value [ fhir:value "AdultOutpatientEncounters" ]
  ];
  fhir:Library.version [ fhir:value "2.0.000"];
  fhir:Library.name [ fhir:value "AdultOutpatientEncounters"];
  fhir:Library.title [ fhir:value "Adult Outpatient Encounters Common Library"];
  fhir:Library.status [ fhir:value "active"];
  fhir:Library.experimental [ fhir:value "true"^^xsd:boolean];
  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 "2019-09-03"^^xsd:date];
  fhir:Library.publisher [ fhir:value "Health Level 7 International - Clinical Quality Information Work Group"];
  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/index.cfm" ]     ]
  ];
  fhir:Library.description [ fhir:value "This library is used as an example in the FHIR Quality Measure Implementation Guide"];
  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:Coding.display [ fhir:value "United States of America" ]     ]
  ];
  fhir:Library.approvalDate [ fhir:value "2019-08-03"^^xsd:date];
  fhir:Library.lastReviewDate [ fhir:value "2019-08-03"^^xsd:date];
  fhir:Library.relatedArtifact [
     fhir:index 0;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://hl7.org/fhir/Library/FHIR-ModelInfo|4.0.1";
       fhir:link <http://hl7.org/fhir/Library/FHIR-ModelInfo|4.0.1>     ]
  ], [
     fhir:index 1;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://hl7.org/fhir/Library/FHIRHelpers|4.0.1";
       fhir:link <http://hl7.org/fhir/Library/FHIRHelpers|4.0.1>     ]
  ], [
     fhir:index 2;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001>     ]
  ], [
     fhir:index 3;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240>     ]
  ], [
     fhir:index 4;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025>     ]
  ], [
     fhir:index 5;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023>     ]
  ], [
     fhir:index 6;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016>     ]
  ];
  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 "Patient" ];
     fhir:ParameterDefinition.use [ fhir:value "out" ];
     fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
     fhir:ParameterDefinition.max [ fhir:value "1" ];
     fhir:ParameterDefinition.type [ fhir:value "Patient" ]
  ], [
     fhir:index 2;
     fhir:ParameterDefinition.name [ fhir:value "Qualifying Encounters" ];
     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/2.16.840.1.113883.3.464.1003.101.12.1001";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001>       ]     ]
  ], [
     fhir:index 1;
     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/2.16.840.1.113883.3.526.3.1240";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240>       ]     ]
  ], [
     fhir:index 2;
     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/2.16.840.1.113883.3.464.1003.101.12.1025";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025>       ]     ]
  ], [
     fhir:index 3;
     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/2.16.840.1.113883.3.464.1003.101.12.1023";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023>       ]     ]
  ], [
     fhir:index 4;
     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/2.16.840.1.113883.3.464.1003.101.12.1016";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016>       ]     ]
  ];
  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 translatorOptions="EnableLocators,DisableListDemotion,DisableListPromotion" xsi:type="a:CqlToElmInfo"/>
   <identifier id="AdultOutpatientEncounters" system="http://somewhere.org/fhir/uv/mycontentig" version="2.0.000"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def locator="17:1-17:26" localIdentifier="FHIR" uri="http://hl7.org/fhir" version="4.0.1"/>
   </usings>
   <includes>
      <def locator="19:1-19:54" localIdentifier="FHIRHelpers" path="http://hl7.org/fhir/FHIRHelpers" version="4.0.1"/>
   </includes>
   <parameters>
      <def locator="27:1-28:66" name="Measurement Period" accessLevel="Public">
         <default locator="28:11-28:66" lowClosed="true" highClosed="false" xsi:type="Interval">
            <low locator="28:20-28:41" xsi:type="DateTime">
               <year valueType="t:Integer" value="2019" xsi:type="Literal"/>
               <month valueType="t:Integer" value="1" xsi:type="Literal"/>
               <day valueType="t:Integer" value="1" xsi:type="Literal"/>
               <hour valueType="t:Integer" value="0" xsi:type="Literal"/>
               <minute valueType="t:Integer" value="0" xsi:type="Literal"/>
               <second valueType="t:Integer" value="0" xsi:type="Literal"/>
               <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>
            </low>
            <high locator="28:44-28:65" xsi:type="DateTime">
               <year valueType="t:Integer" value="2020" xsi:type="Literal"/>
               <month valueType="t:Integer" value="1" xsi:type="Literal"/>
               <day valueType="t:Integer" value="1" xsi:type="Literal"/>
               <hour valueType="t:Integer" value="0" xsi:type="Literal"/>
               <minute valueType="t:Integer" value="0" xsi:type="Literal"/>
               <second valueType="t:Integer" value="0" xsi:type="Literal"/>
               <millisecond valueType="t:Integer" value="0" xsi:type="Literal"/>
            </high>
         </default>
         <parameterTypeSpecifier locator="27:32-27:49" xsi:type="IntervalTypeSpecifier">
            <pointType locator="27:41-27:48" name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <valueSets>
      <def locator="21:1-21:104" name="Office Visit" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001" accessLevel="Public"/>
      <def locator="22:1-22:103" name="Annual Wellness Visit" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240" accessLevel="Public"/>
      <def locator="23:1-23:154" name="Preventive Care Services - Established Office Visit, 18 and Up" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025" accessLevel="Public"/>
      <def locator="24:1-24:148" name="Preventive Care Services-Initial Office Visit, 18 and Up" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023" accessLevel="Public"/>
      <def locator="25:1-25:116" name="Home Healthcare Services" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016" accessLevel="Public"/>
   </valueSets>
   <statements>
      <def locator="30:1-30:15" name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand locator="30:1-30:15" dataType="fhir:Patient" templateId="http://hl7.org/fhir/StructureDefinition/Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def locator="32:1-41:43" name="Qualifying Encounters" context="Patient" accessLevel="Public">
         <expression locator="33:2-41:43" xsi:type="Query">
            <source locator="33:2-39:18" alias="ValidEncounter">
               <expression locator="33:2-39:3" xsi:type="Union">
                  <operand locator="34:5-37:81" xsi:type="Union">
                     <operand locator="34:5-35:46" xsi:type="Union">
                        <operand locator="34:5-34:31" dataType="fhir:Encounter" templateId="http://hl7.org/fhir/StructureDefinition/Encounter" codeProperty="type" xsi:type="Retrieve">
                           <codes locator="34:17-34:30" name="Office Visit" xsi:type="ValueSetRef"/>
                        </operand>
                        <operand locator="35:11-35:46" dataType="fhir:Encounter" templateId="http://hl7.org/fhir/StructureDefinition/Encounter" codeProperty="type" xsi:type="Retrieve">
                           <codes locator="35:23-35:45" name="Annual Wellness Visit" xsi:type="ValueSetRef"/>
                        </operand>
                     </operand>
                     <operand xsi:type="Union">
                        <operand locator="36:11-36:87" dataType="fhir:Encounter" templateId="http://hl7.org/fhir/StructureDefinition/Encounter" codeProperty="type" xsi:type="Retrieve">
                           <codes locator="36:23-36:86" name="Preventive Care Services - Established Office Visit, 18 and Up" xsi:type="ValueSetRef"/>
                        </operand>
                        <operand locator="37:11-37:81" dataType="fhir:Encounter" templateId="http://hl7.org/fhir/StructureDefinition/Encounter" codeProperty="type" xsi:type="Retrieve">
                           <codes locator="37:23-37:80" name="Preventive Care Services-Initial Office Visit, 18 and Up" xsi:type="ValueSetRef"/>
                        </operand>
                     </operand>
                  </operand>
                  <operand locator="38:11-38:49" dataType="fhir:Encounter" templateId="http://hl7.org/fhir/StructureDefinition/Encounter" codeProperty="type" xsi:type="Retrieve">
                     <codes locator="38:23-38:48" name="Home Healthcare Services" xsi:type="ValueSetRef"/>
                  </operand>
               </expression>
            </source>
            <where locator="40:3-41:43" xsi:type="And">
               <operand locator="40:9-40:57" xsi:type="IncludedIn">
                  <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand locator="40:9-40:29" path="period" scope="ValidEncounter" xsi:type="Property"/>
                  </operand>
                  <operand locator="40:38-40:57" name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
               <operand locator="41:9-41:43" xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand locator="41:9-41:29" path="status" scope="ValidEncounter" xsi:type="Property"/>
                  </operand>
                  <operand locator="41:34-41:43" valueType="t:String" value="finished" xsi:type="Literal"/>
               </operand>
            </where>
         </expression>
      </def>
   </statements>
</library>
"^^xsd:base64Binary ]
  ], [
     fhir:index 2;
     fhir:Attachment.contentType [ fhir:value "application/elm+json" ];
     fhir:Attachment.data [ fhir:value "{
   "library" : {
      "annotation" : [ {
         "translatorOptions" : "EnableLocators,DisableListDemotion,DisableListPromotion",
         "type" : "CqlToElmInfo"
      } ],
      "identifier" : {
         "id" : "AdultOutpatientEncounters",
         "system" : "http://somewhere.org/fhir/uv/mycontentig",
         "version" : "2.0.000"
      },
      "schemaIdentifier" : {
         "id" : "urn:hl7-org:elm",
         "version" : "r1"
      },
      "usings" : {
         "def" : [ {
            "localIdentifier" : "System",
            "uri" : "urn:hl7-org:elm-types:r1"
         }, {
            "locator" : "17:1-17:26",
            "localIdentifier" : "FHIR",
            "uri" : "http://hl7.org/fhir",
            "version" : "4.0.1"
         } ]
      },
      "includes" : {
         "def" : [ {
            "locator" : "19:1-19:54",
            "localIdentifier" : "FHIRHelpers",
            "path" : "http://hl7.org/fhir/FHIRHelpers",
            "version" : "4.0.1"
         } ]
      },
      "parameters" : {
         "def" : [ {
            "locator" : "27:1-28:66",
            "name" : "Measurement Period",
            "accessLevel" : "Public",
            "default" : {
               "locator" : "28:11-28:66",
               "lowClosed" : true,
               "highClosed" : false,
               "type" : "Interval",
               "low" : {
                  "locator" : "28:20-28:41",
                  "type" : "DateTime",
                  "year" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "2019",
                     "type" : "Literal"
                  },
                  "month" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "1",
                     "type" : "Literal"
                  },
                  "day" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "1",
                     "type" : "Literal"
                  },
                  "hour" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "0",
                     "type" : "Literal"
                  },
                  "minute" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "0",
                     "type" : "Literal"
                  },
                  "second" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "0",
                     "type" : "Literal"
                  },
                  "millisecond" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "0",
                     "type" : "Literal"
                  }
               },
               "high" : {
                  "locator" : "28:44-28:65",
                  "type" : "DateTime",
                  "year" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "2020",
                     "type" : "Literal"
                  },
                  "month" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "1",
                     "type" : "Literal"
                  },
                  "day" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "1",
                     "type" : "Literal"
                  },
                  "hour" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "0",
                     "type" : "Literal"
                  },
                  "minute" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "0",
                     "type" : "Literal"
                  },
                  "second" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "0",
                     "type" : "Literal"
                  },
                  "millisecond" : {
                     "valueType" : "{urn:hl7-org:elm-types:r1}Integer",
                     "value" : "0",
                     "type" : "Literal"
                  }
               }
            },
            "parameterTypeSpecifier" : {
               "locator" : "27:32-27:49",
               "type" : "IntervalTypeSpecifier",
               "pointType" : {
                  "locator" : "27:41-27:48",
                  "name" : "{urn:hl7-org:elm-types:r1}DateTime",
                  "type" : "NamedTypeSpecifier"
               }
            }
         } ]
      },
      "valueSets" : {
         "def" : [ {
            "locator" : "21:1-21:104",
            "name" : "Office Visit",
            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001",
            "accessLevel" : "Public"
         }, {
            "locator" : "22:1-22:103",
            "name" : "Annual Wellness Visit",
            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240",
            "accessLevel" : "Public"
         }, {
            "locator" : "23:1-23:154",
            "name" : "Preventive Care Services - Established Office Visit, 18 and Up",
            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025",
            "accessLevel" : "Public"
         }, {
            "locator" : "24:1-24:148",
            "name" : "Preventive Care Services-Initial Office Visit, 18 and Up",
            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023",
            "accessLevel" : "Public"
         }, {
            "locator" : "25:1-25:116",
            "name" : "Home Healthcare Services",
            "id" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016",
            "accessLevel" : "Public"
         } ]
      },
      "statements" : {
         "def" : [ {
            "locator" : "30:1-30:15",
            "name" : "Patient",
            "context" : "Patient",
            "expression" : {
               "type" : "SingletonFrom",
               "operand" : {
                  "locator" : "30:1-30:15",
                  "dataType" : "{http://hl7.org/fhir}Patient",
                  "templateId" : "http://hl7.org/fhir/StructureDefinition/Patient",
                  "type" : "Retrieve"
               }
            }
         }, {
            "locator" : "32:1-41:43",
            "name" : "Qualifying Encounters",
            "context" : "Patient",
            "accessLevel" : "Public",
            "expression" : {
               "locator" : "33:2-41:43",
               "type" : "Query",
               "source" : [ {
                  "locator" : "33:2-39:18",
                  "alias" : "ValidEncounter",
                  "expression" : {
                     "locator" : "33:2-39:3",
                     "type" : "Union",
                     "operand" : [ {
                        "locator" : "34:5-37:81",
                        "type" : "Union",
                        "operand" : [ {
                           "locator" : "34:5-35:46",
                           "type" : "Union",
                           "operand" : [ {
                              "locator" : "34:5-34:31",
                              "dataType" : "{http://hl7.org/fhir}Encounter",
                              "templateId" : "http://hl7.org/fhir/StructureDefinition/Encounter",
                              "codeProperty" : "type",
                              "type" : "Retrieve",
                              "codes" : {
                                 "locator" : "34:17-34:30",
                                 "name" : "Office Visit",
                                 "type" : "ValueSetRef"
                              }
                           }, {
                              "locator" : "35:11-35:46",
                              "dataType" : "{http://hl7.org/fhir}Encounter",
                              "templateId" : "http://hl7.org/fhir/StructureDefinition/Encounter",
                              "codeProperty" : "type",
                              "type" : "Retrieve",
                              "codes" : {
                                 "locator" : "35:23-35:45",
                                 "name" : "Annual Wellness Visit",
                                 "type" : "ValueSetRef"
                              }
                           } ]
                        }, {
                           "type" : "Union",
                           "operand" : [ {
                              "locator" : "36:11-36:87",
                              "dataType" : "{http://hl7.org/fhir}Encounter",
                              "templateId" : "http://hl7.org/fhir/StructureDefinition/Encounter",
                              "codeProperty" : "type",
                              "type" : "Retrieve",
                              "codes" : {
                                 "locator" : "36:23-36:86",
                                 "name" : "Preventive Care Services - Established Office Visit, 18 and Up",
                                 "type" : "ValueSetRef"
                              }
                           }, {
                              "locator" : "37:11-37:81",
                              "dataType" : "{http://hl7.org/fhir}Encounter",
                              "templateId" : "http://hl7.org/fhir/StructureDefinition/Encounter",
                              "codeProperty" : "type",
                              "type" : "Retrieve",
                              "codes" : {
                                 "locator" : "37:23-37:80",
                                 "name" : "Preventive Care Services-Initial Office Visit, 18 and Up",
                                 "type" : "ValueSetRef"
                              }
                           } ]
                        } ]
                     }, {
                        "locator" : "38:11-38:49",
                        "dataType" : "{http://hl7.org/fhir}Encounter",
                        "templateId" : "http://hl7.org/fhir/StructureDefinition/Encounter",
                        "codeProperty" : "type",
                        "type" : "Retrieve",
                        "codes" : {
                           "locator" : "38:23-38:48",
                           "name" : "Home Healthcare Services",
                           "type" : "ValueSetRef"
                        }
                     } ]
                  }
               } ],
               "relationship" : [ ],
               "where" : {
                  "locator" : "40:3-41:43",
                  "type" : "And",
                  "operand" : [ {
                     "locator" : "40:9-40:57",
                     "type" : "IncludedIn",
                     "operand" : [ {
                        "name" : "ToInterval",
                        "libraryName" : "FHIRHelpers",
                        "type" : "FunctionRef",
                        "operand" : [ {
                           "locator" : "40:9-40:29",
                           "path" : "period",
                           "scope" : "ValidEncounter",
                           "type" : "Property"
                        } ]
                     }, {
                        "locator" : "40:38-40:57",
                        "name" : "Measurement Period",
                        "type" : "ParameterRef"
                     } ]
                  }, {
                     "locator" : "41:9-41:43",
                     "type" : "Equal",
                     "operand" : [ {
                        "name" : "ToString",
                        "libraryName" : "FHIRHelpers",
                        "type" : "FunctionRef",
                        "operand" : [ {
                           "locator" : "41:9-41:29",
                           "path" : "status",
                           "scope" : "ValidEncounter",
                           "type" : "Property"
                        } ]
                     }, {
                        "locator" : "41:34-41:43",
                        "valueType" : "{urn:hl7-org:elm-types:r1}String",
                        "value" : "finished",
                        "type" : "Literal"
                     } ]
                  } ]
               }
            }
         } ]
      }
   }
}"^^xsd:base64Binary ]
  ].

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

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