Quality Measure Implementation Guide
1.0.0 - STU 1

Quality Measure Implementation Guide - Downloaded Version null See the Directory of published versions

## : EXM Publishable Measure - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

     a fhir:Measure ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "measure-publishable-exm"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-publishablemeasure"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-publishablemeasure>     ] [
    fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n<td class=\"content-container\">EXM Publishable Measure</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n<td class=\"content-container\">2.0.0</td>\n</tr>\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Short Name</th>\n\n\n<td class=\"content-container\">EXM-123</td>\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">GUID (Version Independent)</th>\n\n\n<td class=\"content-container\">urn:uuid:11873bc9-ca0a-4cf3-b8f2-605a950aac74</td>\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">GUID (Version Specific)</th>\n\n\n<td class=\"content-container\">urn:uuid:b366f29b-347f-464e-8064-c83842d825c7</td>\n</tr>\n\n\n\n  \n    \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">CMS Identifier</th>\n\n\n<td class=\"content-container\">CMS-123</td>\n</tr>\n\n  \n\n\n  \n    \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">NQF Identifier</th>\n\n\n<td class=\"content-container\">NQF-123</td>\n</tr>\n\n  \n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n<td class=\"content-container\">urn:oid:2.16.840.1.113883.4.642.40.61.29.23</td>\n</tr>\n\n\n\n  \n    \n    \n    \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Effective Period</th>\n\n\n<td class=\"content-container\">2018-01-01 + 1 year(s)</td>\n</tr>\n\n  \n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Approval Date</th>\n\n\n<td class=\"content-container\">2019-02-17</td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Last Review Date</th>\n\n\n<td class=\"content-container\">2019-02-17</td>\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n\n<td class=\"content-container\">true</td>\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Use Context</th>\n\n\n<td class=\"content-container\"><span title=\"{http://terminology.hl7.org/CodeSystem/usage-context-type venue}\">Clinical Venue</span> = <span title=\"Codes:{http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes ec}\">EC</span></td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Jurisdiction</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 001}\">Global (Whole world)</span></td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://loinc.org 57024-2}\">Health Quality Measure Document</span></td>\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n<td class=\"content-container\">HL7 International / Clinical Quality Information</td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Developer</th>\n\n\n<td class=\"content-container\">Example Measure Content Developer</td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n<td class=\"content-container\"><div><p>An example FHIR-based publishable measure</p>\n</div></td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Purpose</th>\n\n\n<td class=\"content-container\"><div><p>This measure has been developed to support improvement in clinical care.</p>\n</div></td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Copyright</th>\n\n\n<td class=\"content-container\"><div><p>Example Copyright Statement</p>\n</div></td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Disclaimer</th>\n\n\n<td class=\"content-container\"><div><p>Example disclaimer</p>\n</div></td>\n</tr>\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Basis</th>\n\n\n<td class=\"content-container\">Encounter</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring continuous-variable}\">Continuous Variable</span></td>\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Type</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-type process}\">Process</span></td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Risk Adjustment</th>\n\n\n<td class=\"content-container\">Risk adjustment for this measure is performed by...</td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Rate Aggregation</th>\n\n\n<td class=\"content-container\">Rate aggregation for this measure is performed by...</td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Rationale</th>\n\n\n<td class=\"content-container\"><div><p>The rationale of this measure is to...</p>\n</div></td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Clinical Recommendation Statement</th>\n\n\n<td class=\"content-container\"><div><p>The clinical recommendation statement for this measure is...</p>\n</div></td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Improvement Notation</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></td>\n</tr>\n\n\n\n<tr>\n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Citation</th>\n\n\n  \n  \n  \n  <td class=\"content-container\">\n    \n    \n    \n    <div><p>Linder, J.A., D.W. Bates, G.M. Lee, J.A. Finkelstein. 2005. 'Antibiotic treatment       of children with sore throat.' JAMA 294(18):2315-2322.</p>\n</div>\n    \n    \n    \n    <em>Content URL</em>: <a href=\"https://pubmed.ncbi.nlm.nih.gov/16278359/\">https://pubmed.ncbi.nlm.nih.gov/16278359/</a>\n    \n    <br/>\n    \n    \n    \n    <em>Document</em>: null @ https://pubmed.ncbi.nlm.nih.gov/16278359/\n    \n    \n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Citation</th>\n\n\n  \n  \n  \n  <td class=\"content-container\">\n    \n    \n    \n    <div><p>Infectious Diseases Society of America. 2012. 'Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.'</p>\n</div>\n    \n    \n    \n    <em>Content URL</em>: <a href=\"https://pubmed.ncbi.nlm.nih.gov/23091044/\">https://pubmed.ncbi.nlm.nih.gov/23091044/</a>\n    \n    <br/>\n    \n    \n    \n    <em>Document</em>: null @ https://pubmed.ncbi.nlm.nih.gov/23091044/\n    \n    \n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Citation</th>\n\n\n  \n  \n  \n  <td class=\"content-container\">\n    \n    \n    \n    <div><p>Roberts, R.R., B. Hota, I. Ahmad, et al. 'Hospital and Societal Costs of Antimicrobial-Resistant Infections in a Chicago Teaching Hospital: Implications for Antibiotic Stewardship.' Clin Infect Dis. Oct 2009; 49(8):1175-84.</p>\n</div>\n    \n    \n    \n    <em>Content URL</em>: <a href=\"https://pubmed.ncbi.nlm.nih.gov/19739972/\">https://pubmed.ncbi.nlm.nih.gov/19739972/</a>\n    \n    <br/>\n    \n    \n    \n    <em>Document</em>: null @ https://pubmed.ncbi.nlm.nih.gov/19739972/\n    \n    \n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Citation</th>\n\n\n  \n  \n  \n  <td class=\"content-container\">\n    \n    \n    \n    <div><p>Example citation to draft publication</p>\n</div>\n    \n    \n    \n    <em>Content URL</em>: <a href=\"http://example.org/publications/1234\">http://example.org/publications/1234</a>\n    \n    <br/>\n    \n    \n    \n    <em>Document</em>: null @ http://example.org/publications/1234\n    \n    \n    \n    \n    \n  </td>\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Guidance (Usage)</th>\n\n\n<td class=\"content-container\">Users of this measure should be aware of...</td>\n</tr>\n\n\n\n  \n  \n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: primary)</th>\n\n\n</tr>\n  \n  \n  \n\n\n\n\n\n\n\n\n\n  \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: primary-publishablexm-initial-population\n        <br/>\n        \n        \n          \n          <em>Description</em>: No description provided\n          \n        \n        \n          \n            \n              \n              <em>Criteria</em>: <a href=\"#primary-primary-publishablexm-initial-population\">Initial Population</a> \n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Measure Population</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: primary-publishablexm-measure-population\n        <br/>\n        \n        \n          \n          <em>Description</em>: No description provided\n          \n        \n        \n          \n            \n              \n              <em>Criteria</em>: <a href=\"#primary-primary-publishablexm-measure-population\">Measure Population</a> \n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Measure Observation</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: primary-publishablexm-measure-observation\n        <br/>\n        \n        \n          \n          <em>Description</em>: No description provided\n          \n        \n        \n          \n            \n              \n              <em>Criteria</em>: <a href=\"#primary-primary-publishablexm-measure-observation\">Measure Observation</a> \n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n  \n\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Supplemental Data Elements</th>\n\n\n</tr>\n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: sde-ethnicity\n      \n      <br/>\n      \n    \n    \n      \n        \n          <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span>\n        \n        <br/>\n      \n    \n    \n      <em>Description</em>: No description provided\n    \n    \n      \n        <br/>\n        \n          \n          <em>Logic Definition</em>: <a href=\"#exmpublishablelibrary-sde-ethnicity\">SDE Ethnicity</a> \n        \n      \n    \n  </td>\n</tr>\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: sde-race\n      \n      <br/>\n      \n    \n    \n      \n        \n          <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span>\n        \n        <br/>\n      \n    \n    \n      <em>Description</em>: No description provided\n    \n    \n      \n        <br/>\n        \n          \n          <em>Logic Definition</em>: <a href=\"#exmpublishablelibrary-sde-race\">SDE Race</a> \n        \n      \n    \n  </td>\n</tr>\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: sde-payer\n      \n      <br/>\n      \n    \n    \n      \n        \n          <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span>\n        \n        <br/>\n      \n    \n    \n      <em>Description</em>: No description provided\n    \n    \n      \n        <br/>\n        \n          \n          <em>Logic Definition</em>: <a href=\"#exmpublishablelibrary-sde-payer\">SDE Payer</a> \n        \n      \n    \n  </td>\n</tr>\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Supplemental Data Element</th>\n\n\n  <td class=\"content-container\">\n    \n      <em>ID</em>: sde-sex\n      \n      <br/>\n      \n    \n    \n      \n        \n          <em>Usage Code</em>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}\">Supplemental Data</span>\n        \n        <br/>\n      \n    \n    \n      <em>Description</em>: No description provided\n    \n    \n      \n        <br/>\n        \n          \n          <em>Logic Definition</em>: <a href=\"#exmpublishablelibrary-sde-sex\">SDE Sex</a> \n        \n      \n    \n  </td>\n</tr>\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n\n<td class=\"content-container\"><a href=\"Library-EXMPublishableLibrary.html\">Example Publishable Library</a></td>\n</tr>\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Contents</th>\n  <td class=\"content-container\">\n    <em><a href=\"#population-criteria\">Population Criteria</a></em>\n    <br/>\n    <em><a href=\"#definitions\">Logic Definitions</a></em>\n    <br/>\n    <em><a href=\"#terminology\">Terminology</a></em>\n    <br/>\n    <em><a href=\"#dependencies\">Dependencies</a></em>\n    <br/>\n    <em><a href=\"#data-requirements\">Data Requirements</a></em>\n    <br/>\n  </td>\n</tr>\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"population-criteria\"> </a>Population Criteria</th>\n\n\n</tr>\n  \n  \n  \n\n  \n  \n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: primary)</th>\n\n\n</tr>\n  \n  \n  \n  \n    \n      \n        \n          \n        \n          \n        \n          \n        \n          \n            \n              \n            \n            \n            \n            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n    Initial Population\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      \n      <a name=\"primary-primary-publishablexm-initial-population\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Initial Population\" :   \"Inpatient Encounter\" Encounter</code></pre>\n    \n      \n      <a href=\"#exmpublishablelibrary-initial-population\"><em>Definition</em></a>\n    \n  </td>\n\n</tr>\n\n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n      \n    \n  \n\n  \n    \n      \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n            \n              \n            \n            \n            \n            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n    Measure Population\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      \n      <a name=\"primary-primary-publishablexm-measure-population\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Measure Population\" :   \"Initial Population\"</code></pre>\n    \n      \n      <a href=\"#exmpublishablelibrary-measure-population\"><em>Definition</em></a>\n    \n  </td>\n\n</tr>\n\n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n      \n    \n  \n\n  \n    \n      \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n        \n          \n            \n              \n            \n            \n            \n            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n    Measure Observation\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      \n      <a name=\"primary-primary-publishablexm-measure-observation\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function \"Measure Observation\" (Encounter \"Encounter\" ) :   duration in minutes of \"Related ED Visit\"(Encounter).period</code></pre>\n    \n      \n      <a href=\"#exmpublishablelibrary-measure-observation\"><em>Definition</em></a>\n    \n  </td>\n\n</tr>\n\n          \n        \n          \n        \n          \n        \n      \n    \n  \n\n  \n  \n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"definitions\"> </a>Logic Definitions</th>\n\n\n</tr>\n  \n  \n          \n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> EXMPublishableLibrary</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"exmpublishablelibrary-sde-sex\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">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</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> EXMPublishableLibrary</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"exmpublishablelibrary-sde-payer\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"SDE Payer\":     [Coverage: type in \"Payer\"] Payer       return {         code: Payer.type,         period: Payer.period       }</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> EXMPublishableLibrary</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"exmpublishablelibrary-inpatient-encounter\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Inpatient Encounter\" :   [\"Encounter\"] Encounter     where LengthInDays(Encounter.period) &lt;= 120       and Encounter.period ends during \"Measurement Period\"</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> EXMPublishableLibrary</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"exmpublishablelibrary-initial-population\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Initial Population\" :   \"Inpatient Encounter\" Encounter</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> EXMPublishableLibrary</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"exmpublishablelibrary-sde-ethnicity\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">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</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> EXMPublishableLibrary</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"exmpublishablelibrary-sde-race\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">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</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> EXMPublishableLibrary</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"exmpublishablelibrary-measure-population\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Measure Population\" :   \"Initial Population\"</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> EXMPublishableLibrary</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"exmpublishablelibrary-lengthindays\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function \"LengthInDays\"(Value Interval&lt;DateTime&gt;):  difference in days between start of Value and end of Value</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> EXMPublishableLibrary</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"exmpublishablelibrary-measure-observation\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function \"Measure Observation\" (Encounter \"Encounter\" ) :   duration in minutes of \"Related ED Visit\"(Encounter).period</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> EXMPublishableLibrary</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"exmpublishablelibrary-related-ed-visit\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">//Measure Observation define function \"Related ED Visit\" (Encounter \"Encounter\" ) :   Last([\"Encounter\" : \"Emergency Department Visit\"] ED     where ED.status = 'finished'       and ED.period ends 1 hour or less before start of Encounter.period     sort by start of period )</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value AdministrativeGender): value.value</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"fhirhelpers-tointerval\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">/* @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period) value to a CQL DateTime Interval @comment: If the start value of the given period is unspecified, the starting boundary of the resulting interval will be open (meaning the start of the interval is unknown, as opposed to interpreted as the beginning of time). */ define function ToInterval(period FHIR.Period):     if period is null then         null     else         if period.\"start\" is null then             Interval(period.\"start\".value, period.\"end\".value]         else             Interval[period.\"start\".value, period.\"end\".value]</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value uri): value.value</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value EncounterStatus): value.value</code></pre>\n  </td>\n\n</tr>\n\n\n\n\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"terminology\"> </a>Terminology</th>\n\n\n</tr>\n  \n  \n  \n\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Payer\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion\">Payer Type</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</tt>\n    \n  </td>\n</tr>\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Emergency Department Visit\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.292/expansion\">Emergency Department Visit</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292</tt>\n    \n  </td>\n</tr>\n \n\n\n  \n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"dependencies\"> </a>Dependencies</th>\n\n\n</tr>\n  \n  \n  \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  <td class=\"content-container\">\n    \n    <em>Description</em>: Library FHIRHelpers\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://hl7.org/fhir/uv/cql/STU2/Library-FHIRHelpers.html\">http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1</tt>\n    \n  </td>\n</tr>\n \n\n \n\n \n\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"data-requirements\"> </a>Data Requirements</th>\n\n\n</tr>\n  \n  \n  \n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Patient\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/patient.html\">Patient</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: url, extension, value\n    <br/>\n   \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Coverage\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, period\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion\">Payer Type</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/encounter.html\">Encounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, status, period\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.117.1.7.1.292/expansion\">Emergency Department Visit</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/encounter.html\">Encounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: period\n    <br/>\n   \n   \n  </td>\n</tr>\n\n  \n  \n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.9 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"^^rdf:XMLLiteral
      ] ; #
      fhir:contained ( [
    a fhir:Library ;
    fhir:id [ fhir:v "effective-data-requirements" ] ;
        ( fhir:extension [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "EXMPublishableLibrary"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "SDE Sex"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "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:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 0         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "EXMPublishableLibrary"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "SDE Payer"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "define \"SDE Payer\":     [Coverage: type in \"Payer\"] Payer       return {         code: Payer.type,         period: Payer.period       }"         ]       ] [
    fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 1         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "EXMPublishableLibrary"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "Inpatient Encounter"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "define \"Inpatient Encounter\" :   [\"Encounter\"] Encounter     where LengthInDays(Encounter.period) <= 120       and Encounter.period ends during \"Measurement Period\""         ]       ] [
    fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 2         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "EXMPublishableLibrary"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "Initial Population"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "define \"Initial Population\" :   \"Inpatient Encounter\" Encounter"         ]       ] [
    fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 3         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "EXMPublishableLibrary"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "SDE Ethnicity"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "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:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 4         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "EXMPublishableLibrary"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "SDE Race"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "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:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 5         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "EXMPublishableLibrary"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "Measure Population"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "define \"Measure Population\" :   \"Initial Population\""         ]       ] [
    fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 6         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "FHIRHelpers"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ToString"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "define function ToString(value AdministrativeGender): value.value"         ]       ] [
    fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 7         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "EXMPublishableLibrary"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "LengthInDays"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "define function \"LengthInDays\"(Value Interval<DateTime>):  difference in days between start of Value and end of Value"         ]       ] [
    fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 8         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "FHIRHelpers"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ToInterval"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "/* @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period) value to a CQL DateTime Interval @comment: If the start value of the given period is unspecified, the starting boundary of the resulting interval will be open (meaning the start of the interval is unknown, as opposed to interpreted as the beginning of time). */ define function ToInterval(period FHIR.Period):     if period is null then         null     else         if period.\"start\" is null then             Interval(period.\"start\".value, period.\"end\".value]         else             Interval[period.\"start\".value, period.\"end\".value]"         ]       ] [
    fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 9         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "FHIRHelpers"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ToString"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "define function ToString(value uri): value.value"         ]       ] [
    fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 10         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "EXMPublishableLibrary"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "Measure Observation"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "define function \"Measure Observation\" (Encounter \"Encounter\" ) :   duration in minutes of \"Related ED Visit\"(Encounter).period"         ]       ] [
    fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 11         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "EXMPublishableLibrary"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "Related ED Visit"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "//Measure Observation define function \"Related ED Visit\" (Encounter \"Encounter\" ) :   Last([\"Encounter\" : \"Emergency Department Visit\"] ED     where ED.status = 'finished'       and ED.period ends 1 hour or less before start of Encounter.period     sort by start of period )"         ]       ] [
    fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 12         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "FHIRHelpers"         ]       ] [
    fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "ToString"         ]       ] [
    fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "define function ToString(value EncounterStatus): value.value"         ]       ] [
    fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:integer ;
    fhir:v 13         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] ) ;
    fhir:name [ fhir:v "EffectiveDataRequirements" ] ;
    fhir:status [ fhir:v "active" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "module-definition" ]       ] )     ] ;
        ( fhir:relatedArtifact [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library FHIRHelpers" ] ;
    fhir:resource [
    fhir:v "http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Payer" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"^^xsd:anyURI ;
    fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Emergency Department Visit" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"^^xsd:anyURI ;
    fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292>       ]     ] ) ;
        ( fhir:parameter [
    fhir:name [ fhir:v "Measurement Period" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:type [ fhir:v "Period" ]     ] [
    fhir:name [ fhir:v "SDE Sex" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:type [ fhir:v "Coding" ]     ] [
    fhir:name [ fhir:v "SDE Payer" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:type [ fhir:v "Resource" ]     ] [
    fhir:name [ fhir:v "Initial Population" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:type [ fhir:v "Encounter" ]     ] [
    fhir:name [ fhir:v "SDE Ethnicity" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:type [ fhir:v "Coding" ]     ] [
    fhir:name [ fhir:v "SDE Race" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:type [ fhir:v "Coding" ]     ] [
    fhir:name [ fhir:v "Measure Population" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:type [ fhir:v "Encounter" ]     ] ) ;
        ( fhir:dataRequirement [
    fhir:type [ fhir:v "Patient" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Patient"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>       ] ) ;
          ( fhir:mustSupport [ fhir:v "url" ] [ fhir:v "extension" ] [ fhir:v "value" ] )     ] [
    fhir:type [ fhir:v "Coverage" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Coverage"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Coverage>       ] ) ;
          ( fhir:mustSupport [ fhir:v "type" ] [ fhir:v "period" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "type" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"^^xsd:anyURI ;
    fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591>         ]       ] )     ] [
    fhir:type [ fhir:v "Encounter" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ] ) ;
          ( fhir:mustSupport [ fhir:v "type" ] [ fhir:v "status" ] [ fhir:v "period" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "type" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292"^^xsd:anyURI ;
    fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292>         ]       ] )     ] [
    fhir:type [ fhir:v "Encounter" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ] ) ;
          ( fhir:mustSupport [ fhir:v "period" ] )     ] )
      ] ) ; #
      fhir:extension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "Encounter"     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:reference [ fhir:v "Device/software-system-example" ]     ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://example.org/fhir/CodeSystem/measure-terms"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "example-term-code" ] ;
    fhir:display [ fhir:v "Example Term Display" ]         ] )       ]     ] [
    fhir:url [ fhir:v "definition"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:markdown ;
    fhir:v "A term used in the measure that bears clearly definition to communicate the measure intent"       ]     ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.term"^^xsd:anyURI ]
      ] [
    fhir:id [ fhir:v "effective-data-requirements" ] ;
    fhir:url [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:canonical ;
    fhir:v "#effective-data-requirements"^^xsd:anyURI     ]
      ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "cqi"     ]
      ] ) ; #
      fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqm/Measure/measure-publishable-exm"^^xsd:anyURI] ; #
      fhir:identifier ( [
    fhir:use [ fhir:v "usual" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/artifact-identifier-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "short-name" ]       ] )     ] ;
    fhir:system [ fhir:v "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "EXM-123" ]
      ] [
    fhir:use [ fhir:v "official" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/artifact-identifier-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "version-independent" ]       ] )     ] ;
    fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "urn:uuid:11873bc9-ca0a-4cf3-b8f2-605a950aac74" ]
      ] [
    fhir:use [ fhir:v "official" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/artifact-identifier-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "version-specific" ]       ] )     ] ;
    fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "urn:uuid:b366f29b-347f-464e-8064-c83842d825c7" ]
      ] [
    fhir:use [ fhir:v "official" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/artifact-identifier-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "endorser" ]       ] )     ] ;
    fhir:system [ fhir:v "http://example.org/fhir/cqi/ecqm/Measure/Identifier/nqf"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "NQF-123" ] ;
    fhir:assigner [
    fhir:display [ fhir:v "NQF" ]     ]
      ] [
    fhir:use [ fhir:v "official" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/artifact-identifier-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "publisher" ]       ] )     ] ;
    fhir:system [ fhir:v "http://example.org/fhir/cqi/ecqm/Measure/Identifier/cms"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "CMS-123" ] ;
    fhir:assigner [
    fhir:display [ fhir:v "CMS" ]     ]
      ] [
    fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.61.29.23" ]
      ] ) ; #
      fhir:version [ fhir:v "2.0.0"] ; #
      fhir:name [ fhir:v "PublishableMeasureEXM"] ; #
      fhir:title [ fhir:v "EXM Publishable Measure"] ; #
      fhir:status [ fhir:v "active"] ; #
      fhir:experimental [ fhir:v true] ; #
      fhir:date [ fhir:v "2025-08-13"^^xsd:date] ; #
      fhir:publisher [ fhir:v "HL7 International / Clinical Quality Information"] ; #
      fhir:contact ( [
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "An example FHIR-based publishable measure"] ; #
      fhir:useContext ( [
    fhir:code [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "venue" ] ;
    fhir:display [ fhir:v "Clinical Venue" ]     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "ec" ] ;
    fhir:display [ fhir:v "EC" ]       ] )     ]
      ] ) ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "001" ]     ] )
      ] ) ; #
      fhir:purpose [ fhir:v "This measure has been developed to support improvement in clinical care."] ; #
      fhir:usage [ fhir:v "Users of this measure should be aware of..."] ; #
      fhir:copyright [ fhir:v "Example Copyright Statement"] ; #
      fhir:approvalDate [ fhir:v "2019-02-17"^^xsd:date] ; #
      fhir:lastReviewDate [ fhir:v "2019-02-17"^^xsd:date] ; #
      fhir:effectivePeriod [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodAnchor"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:dateTime ;
    fhir:v "2018-01-01"^^xsd:date       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodDuration"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Duration ;
    fhir:value [ fhir:v "1"^^xsd:decimal ] ;
    fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "a" ]       ]     ] ) ;
    fhir:start [ fhir:v "2018-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2018-12-31"^^xsd:date ]
      ] ; #
      fhir:topic ( [
        ( fhir:coding [
    a loinc:57024-2 ;
    fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "57024-2" ]     ] ) ;
    fhir:text [ fhir:v "Health Quality Measure Document" ]
      ] ) ; #
      fhir:author ( [
    fhir:name [ fhir:v "Example Measure Content Developer" ]
      ] ) ; #
      fhir:relatedArtifact ( [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v true       ]     ] ) ;
    fhir:type [ fhir:v "citation" ] ;
    fhir:citation [ fhir:v "Linder, J.A., D.W. Bates, G.M. Lee, J.A. Finkelstein. 2005. 'Antibiotic treatment       of children with sore throat.' JAMA 294(18):2315-2322." ] ;
    fhir:url [ fhir:v "https://pubmed.ncbi.nlm.nih.gov/16278359/"^^xsd:anyURI ] ;
    fhir:document [
    fhir:url [ fhir:v "https://pubmed.ncbi.nlm.nih.gov/16278359/"^^xsd:anyURI ]     ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v true       ]     ] ) ;
    fhir:type [ fhir:v "citation" ] ;
    fhir:citation [ fhir:v "Infectious Diseases Society of America. 2012. 'Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Update.'" ] ;
    fhir:url [ fhir:v "https://pubmed.ncbi.nlm.nih.gov/23091044/"^^xsd:anyURI ] ;
    fhir:document [
    fhir:url [ fhir:v "https://pubmed.ncbi.nlm.nih.gov/23091044/"^^xsd:anyURI ]     ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:boolean ;
    fhir:v true       ]     ] ) ;
    fhir:type [ fhir:v "citation" ] ;
    fhir:citation [ fhir:v "Roberts, R.R., B. Hota, I. Ahmad, et al. 'Hospital and Societal Costs of Antimicrobial-Resistant Infections in a Chicago Teaching Hospital: Implications for Antibiotic Stewardship.' Clin Infect Dis. Oct 2009; 49(8):1175-84." ] ;
    fhir:url [ fhir:v "https://pubmed.ncbi.nlm.nih.gov/19739972/"^^xsd:anyURI ] ;
    fhir:document [
    fhir:url [ fhir:v "https://pubmed.ncbi.nlm.nih.gov/19739972/"^^xsd:anyURI ]     ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:code ;
    fhir:v "draft"       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-publicationDate"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:date ;
    fhir:v "2019-01-01"^^xsd:date       ]     ] ) ;
    fhir:type [ fhir:v "citation" ] ;
    fhir:citation [ fhir:v "Example citation to draft publication" ] ;
    fhir:url [ fhir:v "http://example.org/publications/1234"^^xsd:anyURI ] ;
    fhir:document [
    fhir:url [ fhir:v "http://example.org/publications/1234"^^xsd:anyURI ]     ]
      ] ) ; #
      fhir:library ( [
    fhir:v "http://hl7.org/fhir/uv/cqm/Library/EXMPublishableLibrary"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/uv/cqm/Library/EXMPublishableLibrary>
      ] ) ; #
      fhir:disclaimer [ fhir:v "Example disclaimer"] ; #
      fhir:scoring [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "continuous-variable" ] ;
    fhir:display [ fhir:v "Continuous Variable" ]     ] )
      ] ; #
      fhir:type ( [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "process" ]     ] )
      ] ) ; #
      fhir:riskAdjustment [ fhir:v "Risk adjustment for this measure is performed by..."] ; #
      fhir:rateAggregation [ fhir:v "Rate aggregation for this measure is performed by..."] ; #
      fhir:rationale [ fhir:v "The rationale of this measure is to..."] ; #
      fhir:clinicalRecommendationStatement [ fhir:v "The clinical recommendation statement for this measure is..."] ; #
      fhir:improvementNotation [
        ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "increase" ] ;
    fhir:display [ fhir:v "Increased score indicates improvement" ]     ] )
      ] ; #
      fhir:group ( [
    fhir:id [ fhir:v "group-1" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "primary"       ]     ] ) ;
        ( fhir:population [
    fhir:id [ fhir:v "initial-population" ] ;
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "primary-publishablexm-initial-population"         ]       ] ) ;
    fhir:code [
            ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "initial-population" ] ;
    fhir:display [ fhir:v "Initial Population" ]         ] )       ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "Initial Population" ]       ]     ] [
    fhir:id [ fhir:v "measure-population" ] ;
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "primary-publishablexm-measure-population"         ]       ] ) ;
    fhir:code [
            ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "measure-population" ] ;
    fhir:display [ fhir:v "Measure Population" ]         ] )       ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "Measure Population" ]       ]     ] [
    fhir:id [ fhir:v "measure-observation" ] ;
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "primary-publishablexm-measure-observation"         ]       ] ) ;
    fhir:code [
            ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "measure-observation" ] ;
    fhir:display [ fhir:v "Measure Observation" ]         ] )       ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "Measure Observation" ]       ]     ] )
      ] ) ; #
      fhir:supplementalData ( [
    fhir:id [ fhir:v "sde-ethnicity" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "primary-sde-ethnicity"       ]     ] ) ;
        ( fhir:usage [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "supplemental-data" ]       ] )     ] ) ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "SDE Ethnicity" ]     ]
      ] [
    fhir:id [ fhir:v "sde-race" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "primary-sde-race"       ]     ] ) ;
        ( fhir:usage [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "supplemental-data" ]       ] )     ] ) ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "SDE Race" ]     ]
      ] [
    fhir:id [ fhir:v "sde-payer" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "primary-sde-payer"       ]     ] ) ;
        ( fhir:usage [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "supplemental-data" ]       ] )     ] ) ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "SDE Payer" ]     ]
      ] [
    fhir:id [ fhir:v "sde-sex" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:string ;
    fhir:v "primary-sde-sex"       ]     ] ) ;
        ( fhir:usage [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "supplemental-data" ]       ] )     ] ) ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "SDE Sex" ]     ]
      ] ) . #