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

: Pneumococcal Vaccination Status for Older Adults - TTL Representation

Draft as of 2022-02-22

Raw ttl | Download


@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 "PVSComponent"];
  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;\">PVSComponent</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/PVSComponent</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;\">PVSComponent</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">Pneumococcal Vaccination Status for Older Adults</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;\">2022-02-22T11:37:04-06:00</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 "PVSComponent" ]       ], [
         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 "PVSComponent" ]       ], [
         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 ( [Immunization: \"Pneumococcal Vaccine\"] PneumococcalVaccine         where PneumococcalVaccine.status = 'completed'           and PneumococcalVaccine.occurrence as dateTime on or before           end of \"Measurement Period\"     )       or exists ( [Procedure: \"Pneumococcal Vaccine Administered\"] PneumococcalVaccineGiven           where PneumococcalVaccineGiven.status = 'completed'             and PneumococcalVaccineGiven.performed as Period on or before             end of \"Measurement Period\"       )" ]       ], [
         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 "PVSComponent" ]       ], [
         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\"]       union [Encounter: \"Discharge Services - Nursing Facility\"]       union [Encounter: \"Nursing Facility Visit\"]       union [Encounter: \"Care Services in Long-Term Residential Facility\"] ) 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 "PVSComponent" ]       ], [
         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\":   Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( Patient.birthDate ), start of \"Measurement Period\" ) >= 65       and exists \"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 "PVSComponent" ]       ], [
         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 "PVSComponent" ]       ], [
         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 "PVSComponent" ]       ], [
         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 "PVSComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Denominator Exclusions" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Denominator Exclusions\":   Hospice.\"Has Hospice\"" ]       ], [
         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 "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 "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 "PVSComponent" ]       ], [
         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 "13"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ];
     fhir:Library.name [ fhir:value "EffectiveDataRequirements" ];
     fhir:Library.status [ fhir:value "active" ];
     fhir:Library.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/library-type" ];
         fhir:Coding.code [ fhir:value "module-definition" ]       ]     ];
     fhir:Library.date [ fhir:value "2022-02-22T10:37:04-07:00"^^xsd:dateTime ];
     fhir:Library.relatedArtifact [
       fhir:index 0;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "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 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 4;
       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 5;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Pneumococcal Vaccine" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027>       ]     ], [
       fhir:index 6;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Pneumococcal Vaccine Administered" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034>       ]     ], [
       fhir:index 7;
       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 8;
       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 9;
       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 10;
       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 11;
       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 12;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Discharge Services - Nursing Facility" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065>       ]     ], [
       fhir:index 13;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Nursing Facility Visit" ];
       fhir:RelatedArtifact.resource [
         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 14;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Care Services in Long-Term Residential Facility" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014>       ]     ], [
       fhir:index 15;
       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 16;
       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 17;
       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:Library.parameter [
       fhir:index 0;
       fhir:ParameterDefinition.name [ fhir:value "Measurement Period" ];
       fhir:ParameterDefinition.use [ fhir:value "in" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "Period" ]     ], [
       fhir:index 1;
       fhir:ParameterDefinition.name [ fhir:value "SDE Sex" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "Coding" ]     ], [
       fhir:index 2;
       fhir:ParameterDefinition.name [ fhir:value "Numerator" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ], [
       fhir:index 3;
       fhir:ParameterDefinition.name [ fhir:value "Denominator" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ], [
       fhir:index 4;
       fhir:ParameterDefinition.name [ fhir:value "SDE Payer" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Any" ]     ], [
       fhir:index 5;
       fhir:ParameterDefinition.name [ fhir:value "Initial Population" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ], [
       fhir:index 6;
       fhir:ParameterDefinition.name [ fhir:value "SDE Ethnicity" ];
       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" ]     ], [
       fhir:index 7;
       fhir:ParameterDefinition.name [ fhir:value "Denominator Exclusions" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "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" ]     ];
     fhir:Library.dataRequirement [
       fhir:index 0;
       fhir:DataRequirement.type [ fhir:value "Coverage" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Coverage";
         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       ];
       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/2.16.840.1.114222.4.11.3591";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591>         ]       ]     ], [
       fhir:index 1;
       fhir:DataRequirement.type [ fhir:value "Patient" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "extension";
         fhir:index 0       ], [
         fhir:value "value";
         fhir:index 1       ], [
         fhir:value "url";
         fhir:index 2       ]     ], [
       fhir:index 2;
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.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";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307>         ]       ]     ], [
       fhir:index 3;
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.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 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/2.16.840.1.113883.3.526.3.1240";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240>         ]       ]     ], [
       fhir:index 5;
       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";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025>         ]       ]     ], [
       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/2.16.840.1.113883.3.464.1003.101.12.1023";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023>         ]       ]     ], [
       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/2.16.840.1.113883.3.464.1003.101.12.1016";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016>         ]       ]     ], [
       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/2.16.840.1.113883.3.464.1003.101.11.1065";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1065>         ]       ]     ], [
       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 "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 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 "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/2.16.840.1.113883.3.464.1003.101.12.1014";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1014>         ]       ]     ], [
       fhir:index 11;
       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 12;
       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 13;
       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/2.16.840.1.113883.3.464.1003.110.12.1034";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1034>         ]       ]     ], [
       fhir:index 14;
       fhir:DataRequirement.type [ fhir:value "Immunization" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Immunization";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Immunization>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "occurrence";
         fhir:index 0       ], [
         fhir:value "vaccineCode";
         fhir:index 1       ], [
         fhir:value "status";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "vaccineCode" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1027>         ]       ]     ]
  ];
  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/PVSComponent"];
  fhir:Measure.version [ fhir:value "0.0.001"];
  fhir:Measure.name [ fhir:value "PVSComponent"];
  fhir:Measure.title [ fhir:value "Pneumococcal Vaccination Status for Older Adults"];
  fhir:Measure.status [ fhir:value "draft"];
  fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:Measure.date [ fhir:value "2022-02-22T11:37:04-06:00"^^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/PVSComponent";
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/PVSComponent>
  ];
  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 "FB55A109-7AC0-4385-AD01-ED3814C92697" ];
       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 "7BFE8E56-FD1F-4E35-A79F-0E2569819358" ];
       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 "F74BB6AC-40CD-40BB-A9F8-06F4A4A0D2C5" ];
       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 Exclusions" ]       ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "89B1D5A5-96B6-4002-B962-9989FED8A0E9" ];
       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 "66567b90-12e8-4a1c-8425-2cb8106f9664" ];
     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 "d431e0e9-8d05-4ca7-a0b2-6cf72313c6d6" ];
     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 "b5baeb14-bfba-4ad5-a150-8a5442d113f8" ];
     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 "54129f83-97a7-4149-82c8-92ab0e8060ed" ];
     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.