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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Breast Cancer Screening - TTL Representation

Draft as of 2022-02-22

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

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

 a fhir:Measure;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "BCSComponent"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-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: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\" xml:lang=\"en\" lang=\"en\">\n    <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">BCSComponent</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/Measure/BCSComponent</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">0.0.001</td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Name: </b></th>\n            <td style=\"padding-left: 4px;\">BCSComponent</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">Breast Cancer Screening</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        <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>proportion</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>display: </b> <span>Proportion</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>increase</span>\n                        </p>\n                        \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;\">2022-02-22T11:37:03-06:00</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 is an example only.</td>\n        </tr>\n        \n        \n        \n        \n        \n        \n        \n            <tr>\n                <th scope=\"row\"><b>Supplemental Data: </b></th>\n                <td style=\"padding-left: 4px;\">\n                    <table class=\"grid-dict\">\n                        <tr><th><b>expression</b></th><th><b>system</b></th></tr>\n                        \n                        <tr>\n                            <td>SDE Ethnicity</td>\n                            <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n                        </tr>\n                        \n                        <tr>\n                            <td>SDE Payer</td>\n                            <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n                        </tr>\n                        \n                        <tr>\n                            <td>SDE Race</td>\n                            <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n                        </tr>\n                        \n                        <tr>\n                            <td>SDE Sex</td>\n                            <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n                        </tr>\n                        \n                    </table>\n                </td>\n            </tr>\n        \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        \n        \n        \n        \n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Effective Period: </b></th>\n            <td style=\"padding-left: 4px;\">2022-01-01..2022-12-31</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:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
       fhir:Extension.valueCoding [
         a sct:428361000124107;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.version [ fhir:value "http://snomed.info/sct/731000124108/version/201709" ];
         fhir:Coding.code [ fhir:value "428361000124107" ];
         fhir:Coding.display [ fhir:value "Discharge to home for hospice care (procedure)" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
       fhir:Extension.valueCoding [
         a sct:428371000124100;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.version [ fhir:value "http://snomed.info/sct/731000124108/version/201709" ];
         fhir:Coding.code [ fhir:value "428371000124100" ];
         fhir:Coding.display [ fhir:value "Discharge to healthcare facility for hospice care (procedure)" ]       ]     ], [
       fhir:index 2;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Sex" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"SDE Sex\":   case       when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }       when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }       else null     end" ]       ], [
         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 3;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Sex" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"SDE Sex\":   SDE.\"SDE Sex\"" ]       ], [
         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 4;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         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\":   exists ( [DiagnosticReport: \"Mammography\"] Mammogram         where ( Global.\"Normalize Interval\" ( Mammogram.effective ) ends 27 months or less on or before           end of \"Measurement Period\"         )           and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' }     )" ]       ], [
         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 5;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "AdultOutpatientEncounters" ]       ], [
         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: \"Office Visit\"]     union [Encounter: \"Annual Wellness Visit\"]     union [Encounter: \"Preventive Care Services - Established Office Visit, 18 and Up\"]     union [Encounter: \"Preventive Care Services-Initial Office Visit, 18 and Up\"]     union [Encounter: \"Home Healthcare Services\"]   ) ValidEncounter   where ValidEncounter.period during \"Measurement Period\"     and ValidEncounter.status  = 'finished'" ]       ], [
         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:index 6;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         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\":   Patient.gender = 'female'       and Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) in Interval[51, 74 )       and exists AdultOutpatientEncounters.\"Qualifying Encounters\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 7;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         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 "5"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 8;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Payer" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"SDE Payer\":   [Coverage: type in \"Payer\"] Payer         return {           code: Payer.type,           period: Payer.period         }" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 9;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Payer" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"SDE Payer\":   SDE.\"SDE Payer\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "7"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 10;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Ethnicity" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"SDE Ethnicity\":   (flatten (       Patient.extension Extension         where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'           return Extension.extension     )) E       where E.url = 'ombCategory'         or E.url = 'detailed'       return E.value as Coding" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "8"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 11;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Ethnicity" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"SDE Ethnicity\":   SDE.\"SDE Ethnicity\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "9"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 12;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "Hospice" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Has Hospice" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Has Hospice\":  exists (     [Encounter: \"Encounter Inpatient\"] DischargeHospice    where DischargeHospice.status = 'finished'       and (          DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"         or DischargeHospice.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"       )     and DischargeHospice.period ends during \"Measurement Period\"  )     or exists (       [ServiceRequest: \"Hospice care ambulatory\"] HospiceOrder         where HospiceOrder.intent = 'order'             and HospiceOrder.authoredOn in \"Measurement Period\"     )     or exists (       [Procedure: \"Hospice care ambulatory\"] HospicePerformed         where HospicePerformed.status = 'completed'           and Global.\"Normalize Interval\"(HospicePerformed.performed) overlaps \"Measurement Period\"     )" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "10"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 13;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Right Mastectomy Diagnosis" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Right Mastectomy Diagnosis\":   ( ( [Condition: \"Status Post Right Mastectomy\"] )       union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis           where UnilateralMastectomyDiagnosis.bodySite in \"Right\"       ) ) RightMastectomy       where Global.\"Normalize Interval\" ( RightMastectomy.onset ) starts on or before       end of \"Measurement Period\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "11"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 14;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Right Mastectomy Procedure" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Right Mastectomy Procedure\":   [Procedure: \"Unilateral Mastectomy Right\"] UnilateralMastectomyRightPerformed       where Global.\"Normalize Interval\" ( UnilateralMastectomyRightPerformed.performed ) ends on or before       end of \"Measurement Period\"         and UnilateralMastectomyRightPerformed.status = 'completed'" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "12"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 15;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Left Mastectomy" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Left Mastectomy\":   ( ( [Condition: \"Status Post Left Mastectomy\"] )       union ( [Condition: \"Unilateral Mastectomy, Unspecified Laterality\"] UnilateralMastectomyDiagnosis           where UnilateralMastectomyDiagnosis.bodySite in \"Left\"       ) ) LeftMastectomy       where Global.\"Normalize Interval\" ( LeftMastectomy.onset ) starts on or before       end of \"Measurement Period\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "13"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 16;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Left Mastectomy Procedure" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Left Mastectomy Procedure\":   [Procedure: \"Unilateral Mastectomy Left\"] UnilateralMastectomyLeftPerformed       where Global.\"Normalize Interval\" ( UnilateralMastectomyLeftPerformed.performed ) ends on or before       end of \"Measurement Period\"         and UnilateralMastectomyLeftPerformed.status = 'completed'" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "14"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 17;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Bilateral Mastectomy Diagnosis" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Bilateral Mastectomy Diagnosis\":   [Condition: \"History of bilateral mastectomy\"] BilateralMastectomyHistory       where Global.\"Normalize Interval\" ( BilateralMastectomyHistory.onset ) starts on or before       end of \"Measurement Period\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "15"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 18;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Bilateral Mastectomy Procedure" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Bilateral Mastectomy Procedure\":   [Procedure: \"Bilateral Mastectomy\"] BilateralMastectomyPerformed       where Global.\"Normalize Interval\" ( BilateralMastectomyPerformed.performed ) ends on or before       end of \"Measurement Period\"         and BilateralMastectomyPerformed.status = 'completed'" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "16"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 19;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "AdvancedIllnessandFrailtyExclusion" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Has Criteria Indicating Frailty" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Has Criteria Indicating Frailty\":   //Ask Bryn about devices        exists ( [DeviceRequest: \"Frailty Device\"] FrailtyDeviceOrder          where FrailtyDeviceOrder.authoredOn during \"Measurement Period\"        )           // DeviceUseStatement has a known issue with the publication tooling           // so it is removed to allow this IG to publish until that is fixed         //or exists ( [DeviceUseStatement: \"Frailty Device\"] FrailtyDeviceUse         //  where Global.\"Normalize Interval\"(FrailtyDeviceUse.timing) overlaps \"Measurement Period\"         //)         or exists ( [Condition: \"Frailty Diagnosis\"] FrailtyDiagnosis           where Global.\"Prevalence Period\"(FrailtyDiagnosis) overlaps \"Measurement Period\"         )         or exists ( [Encounter: \"Frailty Encounter\"] FrailtyEncounter           where FrailtyEncounter.period overlaps \"Measurement Period\"         )         or exists ( [Observation: \"Frailty Symptom\"] FrailtySymptomObservation           where Global.\"Normalize Interval\"(FrailtySymptomObservation.effective) overlaps \"Measurement Period\"         )" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "17"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 20;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "AdvancedIllnessandFrailtyExclusion" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Outpatient Encounters with Advanced Illness" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Outpatient Encounters with Advanced Illness\":   ( [Encounter: \"Outpatient\"]         union [Encounter: \"Observation\"]         union [Encounter: \"ED\"]         union [Encounter: \"Nonacute Inpatient\"] ) OutpatientEncounter          with [Condition: \"Advanced Illness\"] AdvancedIllnessDiagnosis                   such that exists (                       OutpatientEncounter.diagnosis.condition EncounterDiagnosis                           where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)                   )                   and OutpatientEncounter.period starts 2 years or less on or before          end of \"Measurement Period\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "18"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 21;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "AdvancedIllnessandFrailtyExclusion" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Inpatient Encounter with Advanced Illness" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Inpatient Encounter with Advanced Illness\":   [Encounter: \"Acute Inpatient\"] InpatientEncounter         with [Condition: \"Advanced Illness\"] AdvancedIllnessDiagnosis                   such that exists (                       InpatientEncounter.diagnosis.condition EncounterDiagnosis                           where EndsWith(EncounterDiagnosis.reference, AdvancedIllnessDiagnosis.id)                   )          and InpatientEncounter.period starts 2 years or less on or before          end of \"Measurement Period\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "19"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 22;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "AdvancedIllnessandFrailtyExclusion" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Dementia Medications In Year Before or During Measurement Period" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Dementia Medications In Year Before or During Measurement Period\":   [\"MedicationDispense\": \"Dementia Medications\"] DementiaMed         where DementiaMed.whenHandedOver during Interval[                   ( start of \"Measurement Period\" - 1 year ), end of \"Measurement Period\"               ]" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "20"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 23;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "AdvancedIllnessandFrailtyExclusion" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Advanced Illness and Frailty Exclusion Not Including Over Age 80" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Advanced Illness and Frailty Exclusion Not Including Over Age 80\":   //If the measure does NOT include populations age 80 and older, then use this logic:        Global.\"CalendarAgeInYearsAt\"(FHIRHelpers.ToDate(Patient.birthDate), start of \"Measurement Period\")>= 65               and \"Has Criteria Indicating Frailty\"               and ( Count(\"Outpatient Encounters with Advanced Illness\")>= 2                   or exists ( \"Inpatient Encounter with Advanced Illness\" )                   or exists \"Dementia Medications In Year Before or During Measurement Period\"               )" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "21"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 24;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "AdvancedIllnessandFrailtyExclusion" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Long Term Care Periods During Measurement Period" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "// start here define \"Long Term Care Periods During Measurement Period\":   ( [Encounter: \"Care Services in Long-Term Residential Facility\"]                 union [Encounter: \"Nursing Facility Visit\"] ) LongTermFacilityEncounter                 where LongTermFacilityEncounter.period overlaps \"Measurement Period\"                 return LongTermFacilityEncounter.period                  intersect \"Measurement Period\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "22"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 25;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "AdvancedIllnessandFrailtyExclusion" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Long Term Care Periods Longer Than 90 Consecutive Days" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Long Term Care Periods Longer Than 90 Consecutive Days\":   exists ( \"Long Term Care Periods During Measurement Period\" LongTermCareDuringMP         where duration in days of LongTermCareDuringMP > 90     )" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "23"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 26;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Denominator Exclusion" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Denominator Exclusion\":   Hospice.\"Has Hospice\"       or ( ( exists \"Right Mastectomy Diagnosis\"             or exists \"Right Mastectomy Procedure\"         )           and ( exists \"Left Mastectomy\"               or exists \"Left Mastectomy Procedure\"           )       )       or exists \"Bilateral Mastectomy Diagnosis\"       or exists \"Bilateral Mastectomy Procedure\"       or Frailty.\"Advanced Illness and Frailty Exclusion Not Including Over Age 80\"       or ( Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) >= 65           and Frailty.\"Long Term Care Periods Longer Than 90 Consecutive Days\"       )" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "24"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 27;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Race" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"SDE Race\":   (flatten (       Patient.extension Extension         where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'           return Extension.extension     )) E       where E.url = 'ombCategory'         or E.url = 'detailed'       return E.value as Coding" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "25"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 28;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "BCSComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Race" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"SDE Race\":   SDE.\"SDE Race\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "26"^^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 "2022-02-22T10:37:03-07:00"^^xsd:dateTime ];
     fhir:Library.relatedArtifact [
       fhir:index 0;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Library SDE" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000";
         fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000>       ]     ], [
       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/cqf/common/Library/FHIRHelpers|4.0.1";
         fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1>       ]     ], [
       fhir:index 2;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Library Global" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000";
         fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000>       ]     ], [
       fhir:index 3;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Library AdultOutpatientEncounters" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/AdultOutpatientEncounters|2.0.000";
         fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/AdultOutpatientEncounters|2.0.000>       ]     ], [
       fhir:index 4;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Library Hospice" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/Hospice|2.0.000";
         fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/Hospice|2.0.000>       ]     ], [
       fhir:index 5;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Library Frailty" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/AdvancedIllnessandFrailtyExclusion|5.12.000";
         fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/AdvancedIllnessandFrailtyExclusion|5.12.000>       ]     ], [
       fhir:index 6;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Code system SNOMEDCT: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 7;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Mammography" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018>       ]     ], [
       fhir:index 8;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Office Visit" ];
       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 9;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Annual Wellness Visit" ];
       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 10;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Preventive Care Services - Established Office Visit, 18 and Up" ];
       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 11;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Preventive Care Services-Initial Office Visit, 18 and Up" ];
       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 12;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Home Healthcare Services" ];
       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:index 13;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Payer" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591>       ]     ], [
       fhir:index 14;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Encounter Inpatient" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307>       ]     ], [
       fhir:index 15;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Hospice care ambulatory" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15>       ]     ], [
       fhir:index 16;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Status Post Right Mastectomy" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070>       ]     ], [
       fhir:index 17;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Unilateral Mastectomy, Unspecified Laterality" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071>       ]     ], [
       fhir:index 18;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Right" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1035";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1035>       ]     ], [
       fhir:index 19;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Unilateral Mastectomy Right" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134>       ]     ], [
       fhir:index 20;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Status Post Left Mastectomy" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069>       ]     ], [
       fhir:index 21;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Left" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1036";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.122.12.1036>       ]     ], [
       fhir:index 22;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Unilateral Mastectomy Left" ];
       fhir:RelatedArtifact.resource [
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         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133>       ]     ], [
       fhir:index 23;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set History of bilateral mastectomy" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068>       ]     ], [
       fhir:index 24;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Bilateral Mastectomy" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005>       ]     ], [
       fhir:index 25;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Frailty Device" ];
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         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300>       ]     ], [
       fhir:index 26;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Frailty Diagnosis" ];
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         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074>       ]     ], [
       fhir:index 27;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Frailty Encounter" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088>       ]     ], [
       fhir:index 28;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Frailty Symptom" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075>       ]     ], [
       fhir:index 29;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Outpatient" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087>       ]     ], [
       fhir:index 30;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Observation" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086>       ]     ], [
       fhir:index 31;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set ED" ];
       fhir:RelatedArtifact.resource [
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         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085>       ]     ], [
       fhir:index 32;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Nonacute Inpatient" ];
       fhir:RelatedArtifact.resource [
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         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084>       ]     ], [
       fhir:index 33;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Advanced Illness" ];
       fhir:RelatedArtifact.resource [
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         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082>       ]     ], [
       fhir:index 34;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Acute Inpatient" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083>       ]     ], [
       fhir:index 35;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Dementia Medications" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510>       ]     ], [
       fhir:index 36;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Care Services in Long-Term Residential Facility" ];
       fhir:RelatedArtifact.resource [
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         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014>       ]     ], [
       fhir:index 37;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Nursing Facility Visit" ];
       fhir:RelatedArtifact.resource [
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       fhir:index 0;
       fhir:ParameterDefinition.name [ fhir:value "Measurement Period" ];
       fhir:ParameterDefinition.use [ fhir:value "in" ];
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       fhir:ParameterDefinition.type [ fhir:value "Period" ]     ], [
       fhir:index 1;
       fhir:ParameterDefinition.name [ fhir:value "SDE Sex" ];
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       fhir:ParameterDefinition.type [ fhir:value "Coding" ]     ], [
       fhir:index 2;
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       fhir:index 3;
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       fhir:index 4;
       fhir:ParameterDefinition.name [ fhir:value "SDE Payer" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
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       fhir:index 5;
       fhir:ParameterDefinition.name [ fhir:value "Initial Population" ];
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       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ], [
       fhir:index 6;
       fhir:ParameterDefinition.name [ fhir:value "SDE Ethnicity" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
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       fhir:index 7;
       fhir:ParameterDefinition.name [ fhir:value "Denominator Exclusion" ];
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       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ], [
       fhir:index 8;
       fhir:ParameterDefinition.name [ fhir:value "SDE Race" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Coding" ]     ];
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       fhir:DataRequirement.type [ fhir:value "Coverage" ];
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         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Coverage>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "period";
         fhir:index 0       ], [
         fhir:value "type";
         fhir:index 1       ];
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         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
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       fhir:DataRequirement.type [ fhir:value "Patient" ];
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         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>       ];
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         fhir:index 0       ], [
         fhir:value "value";
         fhir:index 1       ], [
         fhir:value "url";
         fhir:index 2       ]     ], [
       fhir:index 2;
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
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         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 [
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           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014>         ]       ]     ], [
       fhir:index 3;
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
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         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://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1012>         ]       ]     ], [
       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.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://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 5;
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
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         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 [
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           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240>         ]       ]     ], [
       fhir:index 6;
       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://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025";
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       fhir:index 7;
       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://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 8;
       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://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:index 9;
       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 "period";
         fhir:index 0       ], [
         fhir:value "diagnosis";
         fhir:index 1       ], [
         fhir:value "type";
         fhir:index 2       ];
       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/2.16.840.1.113883.3.464.1003.101.12.1083";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083>         ]       ]     ], [
       fhir:index 10;
       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 "period";
         fhir:index 0       ], [
         fhir:value "hospitalization";
         fhir:index 1       ], [
         fhir:value "hospitalization.dischargeDisposition";
         fhir:index 2       ], [
         fhir:value "type";
         fhir:index 3       ], [
         fhir:value "status";
         fhir:index 4       ];
       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/2.16.840.1.113883.3.666.5.307";
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       fhir:index 11;
       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 "period";
         fhir:index 0       ], [
         fhir:value "type";
         fhir:index 1       ];
       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/2.16.840.1.113883.3.464.1003.101.12.1088";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088>         ]       ]     ], [
       fhir:index 12;
       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://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1087>         ]       ]     ], [
       fhir:index 13;
       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" ];
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           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1086>         ]       ]     ], [
       fhir:index 14;
       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://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1085>         ]       ]     ], [
       fhir:index 15;
       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://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1084>         ]       ]     ], [
       fhir:index 16;
       fhir:DataRequirement.type [ fhir:value "Procedure" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Procedure>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ], [
         fhir:value "performed";
         fhir:index 1       ], [
         fhir:value "status";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1133>         ]       ]     ], [
       fhir:index 17;
       fhir:DataRequirement.type [ fhir:value "Procedure" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Procedure>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ], [
         fhir:value "performed";
         fhir:index 1       ], [
         fhir:value "status";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15>         ]       ]     ], [
       fhir:index 18;
       fhir:DataRequirement.type [ fhir:value "Procedure" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Procedure>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ], [
         fhir:value "performed";
         fhir:index 1       ], [
         fhir:value "status";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1005>         ]       ]     ], [
       fhir:index 19;
       fhir:DataRequirement.type [ fhir:value "Procedure" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Procedure>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ], [
         fhir:value "performed";
         fhir:index 1       ], [
         fhir:value "status";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1134>         ]       ]     ], [
       fhir:index 20;
       fhir:DataRequirement.type [ fhir:value "Condition" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Condition>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1070>         ]       ]     ], [
       fhir:index 21;
       fhir:DataRequirement.type [ fhir:value "Condition" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Condition>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1069>         ]       ]     ], [
       fhir:index 22;
       fhir:DataRequirement.type [ fhir:value "Condition" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Condition>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "bodySite";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1071>         ]       ]     ], [
       fhir:index 23;
       fhir:DataRequirement.type [ fhir:value "Condition" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Condition>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074>         ]       ]     ], [
       fhir:index 24;
       fhir:DataRequirement.type [ fhir:value "Condition" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Condition>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ], [
         fhir:value "id";
         fhir:index 1       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1082>         ]       ]     ], [
       fhir:index 25;
       fhir:DataRequirement.type [ fhir:value "Condition" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Condition>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ], [
         fhir:value "onset";
         fhir:index 1       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1068>         ]       ]     ], [
       fhir:index 26;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ], [
         fhir:value "authoredOn";
         fhir:index 1       ], [
         fhir:value "intent";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.15>         ]       ]     ], [
       fhir:index 27;
       fhir:DataRequirement.type [ fhir:value "DeviceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/DeviceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/DeviceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ], [
         fhir:value "authoredOn";
         fhir:index 1       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300>         ]       ]     ], [
       fhir:index 28;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075>         ]       ]     ], [
       fhir:index 29;
       fhir:DataRequirement.type [ fhir:value "MedicationDispense" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationDispense";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/MedicationDispense>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "whenHandedOver";
         fhir:index 0       ], [
         fhir:value "medication";
         fhir:index 1       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "medication" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.196.12.1510>         ]       ]     ], [
       fhir:index 30;
       fhir:DataRequirement.type [ fhir:value "DiagnosticReport" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/DiagnosticReport";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/DiagnosticReport>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "status";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1018>         ]       ]     ]
  ];
  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 "boolean" ]
  ], [
     fhir:index 1;
     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 2;
     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://hl7.org/fhir/us/cqfmeasures/Measure/BCSComponent"];
  fhir:Measure.version [ fhir:value "0.0.001"];
  fhir:Measure.name [ fhir:value "BCSComponent"];
  fhir:Measure.title [ fhir:value "Breast Cancer Screening"];
  fhir:Measure.status [ fhir:value "draft"];
  fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:Measure.date [ fhir:value "2022-02-22T11:37:03-06:00"^^xsd:dateTime];
  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 "This is an example only."];
  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.effectivePeriod [
     fhir:Period.start [ fhir:value "2022-01-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2022-12-31"^^xsd:date ]
  ];
  fhir:Measure.library [
     fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/BCSComponent";
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/BCSComponent>
  ];
  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 "proportion" ];
       fhir:Coding.display [ fhir:value "Proportion" ]     ]
  ];
  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 "increase" ]     ]
  ];
  fhir:Measure.group [
     fhir:index 0;
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Element.id [ fhir:value "2851A1BA-FBF8-4945-812E-6273F881CE13" ];
       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 "349C20C9-EA7E-4311-9E2D-CF81F1EBCEEF" ];
       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 2;
       fhir:Element.id [ fhir:value "369D1C75-B5D3-43EC-AEFC-2FF7F462306C" ];
       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-exclusion" ];
           fhir:Coding.display [ fhir:value "Denominator Exclusion" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Denominator Exclusion" ]       ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "6F1617E3-99D7-47E4-8392-85107BAA5311" ];
       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:Measure.supplementalData [
     fhir:index 0;
     fhir:Element.id [ fhir:value "3dbb0697-08d7-48db-bc89-bc7f5230c36f" ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql-identifier" ];
       fhir:Expression.expression [ fhir:value "SDE Ethnicity" ]     ]
  ], [
     fhir:index 1;
     fhir:Element.id [ fhir:value "2865e9d5-f4e8-4c99-812b-5eff79b4b775" ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql-identifier" ];
       fhir:Expression.expression [ fhir:value "SDE Payer" ]     ]
  ], [
     fhir:index 2;
     fhir:Element.id [ fhir:value "513368dc-dfea-4377-a05d-d358e7e04fbb" ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql-identifier" ];
       fhir:Expression.expression [ fhir:value "SDE Race" ]     ]
  ], [
     fhir:index 3;
     fhir:Element.id [ fhir:value "25a16429-e866-438f-990a-3e3a5f2f8443" ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql-identifier" ];
       fhir:Expression.expression [ fhir:value "SDE Sex" ]     ]
  ].

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

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