Quality Measure Implementation Guide (STU4)
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This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v4.0.0: STU4 (v4.0.0)) 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

: Terminology Library - XML Representation

Draft as of 2023-08-28

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<Library xmlns="http://hl7.org/fhir">
  <id value="Terminology-FHIR"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;"><a href="Measure-Terminology-FHIR.html">Terminology FHIR</a></td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="Library-Terminology-FHIR.html">Terminology Library</a></td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">1.0.0</td>
        </tr>
        
        
        
        <tr>
            <th scope="row"><b>Name: </b></th>
            <td style="padding-left: 4px;">Terminology</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">Terminology Library</td>
        </tr>
        
        
        
        <tr>
            <th scope="row"><b>Status: </b></th>
            <td style="padding-left: 4px;">draft</td>
        </tr>
        
        
        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span><a href="http://terminology.hl7.org/5.2.0/CodeSystem-library-type.html">LibraryType</a></span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>logic-library</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        
        
        
        <tr>
            <th scope="row"><b>Date: </b></th>
            <td style="padding-left: 4px;">2023-08-28 20:14:01+0000</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Publisher: </b></th>
            <td style="padding-left: 4px;">Clinical Quality Information WG</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Description: </b></th>
            <td style="padding-left: 4px;"><div><p>This library is the primary measure library for the terminology example measure</p>
</div></td>
        </tr>
        
        
        
        
        
        <tr>
            <th scope="row"><b>Jurisdiction: </b></th>
            <td style="padding-left: 4px;">US</td>
        </tr>
        
        
        
        
        
        
        
        
        <tr>
          <th scope="row"><b>Related Artifacts: </b></th>
          <td style="padding-left: 4px;">
            
            
            
            <p><b>Dependencies</b></p>
            <ul>
              
                <li><a href="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1">http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</a></li>
              
                <li><a href="http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1">http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1</a></li>
              
                <li><a href="http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709">http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709</a></li>
              
                <li><a href="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929</a></li>
              
            </ul>
            
            
            
            
            
          </td>
        </tr>
        
        
        <tr>
          <th scope="row"><b>Parameters: </b></th>
          <td style="padding-left: 4px;">
            <table class="grid-dict">
              <tr><th><b>Name</b></th><th><b>Type</b></th><th><b>Min</b></th><th><b>Max</b></th><th><b>In/Out</b></th></tr>
              
                <tr><th>Measurement Period</th><th>Period</th><th>0</th><th>1</th><th>in</th></tr>
              
                <tr><th>Inpatient Encounter</th><th>Encounter</th><th>0</th><th>*</th><th>out</th></tr>
              
            </table>
          </td>
        </tr>
        
        
        <tr>
          <th scope="row"><b>Data Requirements:</b></th>
          <td style="padding-left: 4px;">
            <table class="grid-dict">
              <tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>
              
                <tr>
                  <th>Encounter</th>
                  <th>http://hl7.org/fhir/StructureDefinition/Encounter</th>
                  <th></th>
                  <th>
                    
                      <b>code filter: </b>
                      
                      <br/>
                      
                      
                      <span style="padding-left: 4px;">
                          <b>path: </b><span>type</span>
                      </span>
                      
                      <br/>
                      
                      
                      
                      <span style="padding-left: 4px;">
                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929</span>
                      </span>
                      
                      
                    
                      <b>code filter: </b>
                      
                      <br/>
                      
                      
                      <span style="padding-left: 4px;">
                          <b>path: </b><span>status</span>
                      </span>
                      
                      <br/>
                      
                      
                      
                      
                          
                          <p style="margin-bottom: 5px;">
                              <b>system: </b> <span><a href="http://hl7.org/fhir/R4/codesystem-encounter-status.html">EncounterStatus</a></span>
                          </p>
                          
                          
                          <p style="margin-bottom: 5px;">
                              <b>code: </b> <span>finished</span>
                          </p>
                          
                          
                      
                    
                  </th>
                </tr>
              
            </table>
          </td>
        </tr>
        
        
        
        <tr>
          <td colspan="2">
            <table>
              <tr><th><a id="cql-content"><b>Content: </b></a> text/cql</th></tr>
              <tr><td><pre><code class="language-cql">/*
This example is purely for illustration purposes to show how all the elements of a
FHIR-based quality measure are represented. It is intentionally simplified to show
specific aspects of a measure, and is not intended as an example of a clinically
meaningful measure.
*/
library Terminology version '1.0.0'

using FHIR version '4.0.1'

include FHIRHelpers version '4.0.1' called FHIRHelpers
include CommonTerminologies version '1.0.000' called Common

// NOTE: Versioning is used in this example to illustrate completely how versioning is applied
// References to specific versions of code systems and value sets should be used only when necessary

valueset &quot;Encounter Inpatient SNOMEDCT Value Set&quot;:
   'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929'

code &quot;Venous foot pump, device (physical object)&quot;: '442023007' from Common.&quot;SNOMED CT:2017-09&quot;
code &quot;Right foot&quot;: '7769000' from Common.&quot;SNOMED CT:2017-09&quot;

parameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;

define &quot;Inpatient Encounter&quot;:
  [&quot;Encounter&quot;: type in &quot;Encounter Inpatient SNOMEDCT Value Set&quot;] E
    where E.status = 'finished'

// DeviceUseStatement has a known issue with the publication tooling
// so it is removed to allow this IG to publish until that is fixed
//define &quot;Venous Foot Pumps Applied&quot;:
//  [&quot;DeviceUseStatement&quot;: code in &quot;Venous foot pump, device (physical object)&quot;] D
//    where D.status = 'completed'
//      and D.bodySite ~ ToConcept(&quot;Right foot&quot;)
</code></pre></td></tr>
            </table>
          </td>
        </tr>
        
        
        
    </table>
</div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem">
    <valueReference>
      <reference value="Device/software-system-example"/>
    </valueReference>
  </extension>
  <url value="http://hl7.org/fhir/us/cqfmeasures/Library/Terminology-FHIR"/>
  <version value="1.0.0"/>
  <name value="Terminology"/>
  <title value="Terminology Library"/>
  <status value="draft"/>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
      <code value="logic-library"/>
    </coding>
  </type>
  <date value="2023-08-28T20:14:01+00:00"/>
  <publisher value="Clinical Quality Information WG"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description
               value="This library is the primary measure library for the terminology example measure"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="FHIR model information"/>
    <resource
              value="http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Library FHIRHelpers"/>
    <resource
              value="http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Code system SNOMED CT:2017-09"/>
    <resource
              value="http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709"/>
  </relatedArtifact>
  <relatedArtifact>
    <type value="depends-on"/>
    <display value="Value set Encounter Inpatient SNOMEDCT Value Set"/>
    <resource
              value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929"/>
  </relatedArtifact>
  <parameter>
    <name value="Measurement Period"/>
    <use value="in"/>
    <min value="0"/>
    <max value="1"/>
    <type value="Period"/>
  </parameter>
  <parameter>
    <name value="Inpatient Encounter"/>
    <use value="out"/>
    <min value="0"/>
    <max value="*"/>
    <type value="Encounter"/>
  </parameter>
  <dataRequirement>
    <type value="Encounter"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
    <codeFilter>
      <path value="type"/>
      <valueSet
                value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929"/>
    </codeFilter>
    <codeFilter>
      <path value="status"/>
      <code>
        <system value="http://hl7.org/fhir/encounter-status"/>
        <code value="finished"/>
      </code>
    </codeFilter>
  </dataRequirement>
  <content>
    <contentType value="text/cql"/>
    <data
          value="LyoKVGhpcyBleGFtcGxlIGlzIHB1cmVseSBmb3IgaWxsdXN0cmF0aW9uIHB1cnBvc2VzIHRvIHNob3cgaG93IGFsbCB0aGUgZWxlbWVudHMgb2YgYQpGSElSLWJhc2VkIHF1YWxpdHkgbWVhc3VyZSBhcmUgcmVwcmVzZW50ZWQuIEl0IGlzIGludGVudGlvbmFsbHkgc2ltcGxpZmllZCB0byBzaG93CnNwZWNpZmljIGFzcGVjdHMgb2YgYSBtZWFzdXJlLCBhbmQgaXMgbm90IGludGVuZGVkIGFzIGFuIGV4YW1wbGUgb2YgYSBjbGluaWNhbGx5Cm1lYW5pbmdmdWwgbWVhc3VyZS4KKi8KbGlicmFyeSBUZXJtaW5vbG9neSB2ZXJzaW9uICcxLjAuMCcKCnVzaW5nIEZISVIgdmVyc2lvbiAnNC4wLjEnCgppbmNsdWRlIEZISVJIZWxwZXJzIHZlcnNpb24gJzQuMC4xJyBjYWxsZWQgRkhJUkhlbHBlcnMKaW5jbHVkZSBDb21tb25UZXJtaW5vbG9naWVzIHZlcnNpb24gJzEuMC4wMDAnIGNhbGxlZCBDb21tb24KCi8vIE5PVEU6IFZlcnNpb25pbmcgaXMgdXNlZCBpbiB0aGlzIGV4YW1wbGUgdG8gaWxsdXN0cmF0ZSBjb21wbGV0ZWx5IGhvdyB2ZXJzaW9uaW5nIGlzIGFwcGxpZWQKLy8gUmVmZXJlbmNlcyB0byBzcGVjaWZpYyB2ZXJzaW9ucyBvZiBjb2RlIHN5c3RlbXMgYW5kIHZhbHVlIHNldHMgc2hvdWxkIGJlIHVzZWQgb25seSB3aGVuIG5lY2Vzc2FyeQoKdmFsdWVzZXQgIkVuY291bnRlciBJbnBhdGllbnQgU05PTUVEQ1QgVmFsdWUgU2V0IjoKICAgJ2h0dHA6Ly9jdHMubmxtLm5paC5nb3YvZmhpci9WYWx1ZVNldC8yLjE2Ljg0MC4xLjExMzg4My4zLjY2Ni43LjMwN3wyMDE2MDkyOScKCmNvZGUgIlZlbm91cyBmb290IHB1bXAsIGRldmljZSAocGh5c2ljYWwgb2JqZWN0KSI6ICc0NDIwMjMwMDcnIGZyb20gQ29tbW9uLiJTTk9NRUQgQ1Q6MjAxNy0wOSIKY29kZSAiUmlnaHQgZm9vdCI6ICc3NzY5MDAwJyBmcm9tIENvbW1vbi4iU05PTUVEIENUOjIwMTctMDkiCgpwYXJhbWV0ZXIgIk1lYXN1cmVtZW50IFBlcmlvZCIgSW50ZXJ2YWw8RGF0ZVRpbWU+CgpkZWZpbmUgIklucGF0aWVudCBFbmNvdW50ZXIiOgogIFsiRW5jb3VudGVyIjogdHlwZSBpbiAiRW5jb3VudGVyIElucGF0aWVudCBTTk9NRURDVCBWYWx1ZSBTZXQiXSBFCiAgICB3aGVyZSBFLnN0YXR1cyA9ICdmaW5pc2hlZCcKCi8vIERldmljZVVzZVN0YXRlbWVudCBoYXMgYSBrbm93biBpc3N1ZSB3aXRoIHRoZSBwdWJsaWNhdGlvbiB0b29saW5nCi8vIHNvIGl0IGlzIHJlbW92ZWQgdG8gYWxsb3cgdGhpcyBJRyB0byBwdWJsaXNoIHVudGlsIHRoYXQgaXMgZml4ZWQKLy9kZWZpbmUgIlZlbm91cyBGb290IFB1bXBzIEFwcGxpZWQiOgovLyAgWyJEZXZpY2VVc2VTdGF0ZW1lbnQiOiBjb2RlIGluICJWZW5vdXMgZm9vdCBwdW1wLCBkZXZpY2UgKHBoeXNpY2FsIG9iamVjdCkiXSBECi8vICAgIHdoZXJlIEQuc3RhdHVzID0gJ2NvbXBsZXRlZCcKLy8gICAgICBhbmQgRC5ib2R5U2l0ZSB+IFRvQ29uY2VwdCgiUmlnaHQgZm9vdCIpCg=="/>
  </content>
</Library>