Quality Measure Implementation Guide
2.0.0-ballot - STU 2 Ballot

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

## : Terminology FHIR

Page standards status: Informative

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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 "Terminology-FHIR"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-cohortmeasure"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-cohortmeasure>     ] [
    fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure>     ] [
    fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<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\n<td class=\"content-container\">Terminology FHIR</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n\n<td class=\"content-container\">1.0.0</td>\n\n\n</tr>\n\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n\n<td class=\"content-container\">Terminology_FHIR</td>\n\n\n</tr>\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n\n<td class=\"content-container\">urn:oid:2.16.840.1.113883.4.642.40.61.29.19</td>\n\n\n</tr>\n\n\n\n  \n    \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Effective Period</th>\n\n\n\n<td class=\"content-container\">2018-01-01 through 2018-12-31</td>\n\n\n</tr>\n\n  \n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Approval Date</th>\n\n\n\n<td class=\"content-container\">2019-03-08</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Last Review Date</th>\n\n\n\n<td class=\"content-container\">2019-03-08</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n\n\n<td class=\"content-container\">true</td>\n\n\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Jurisdiction</th>\n\n\n\n<td class=\"content-container\">\n    001 from <a href=\"http://unstats.un.org/unsd/methods/m49/m49.htm\">http://unstats.un.org/unsd/methods/m49/m49.htm</a> \n\n\n</td>\n\n\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n\n\n<td class=\"content-container\">\n    Health Quality Measure Document\n\n\n</td>\n\n\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\n<td class=\"content-container\">HL7 International / Clinical Quality Information</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n\n<td class=\"content-container\"><div><p>This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM</p>\n</div></td>\n\n\n</tr>\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Basis</th>\n\n\n\n<td class=\"content-container\">Encounter</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n\n\n<td class=\"content-container\">\n    Cohort\n\n\n</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Improvement Notation</th>\n\n\n\n<td class=\"content-container\">\n    Decreased score indicates improvement\n\n\n</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Type</th>\n\n\n\n<td class=\"content-container\">\n    process from <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html\">http://terminology.hl7.org/CodeSystem/measure-type</a> \n\n\n</td>\n\n\n</tr>\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\">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\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\">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\n<td class=\"content-container\"><a href=\"Library-Terminology.html\">Terminology Library</a></td>\n\n\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    <em><a href=\"#parameters\">Parameters</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  <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> Terminology</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"terminology-inpatient-encounter\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Inpatient Encounter\":\n  [\"Encounter\": type in \"Encounter Inpatient SNOMEDCT Value Set\"] E\n    where E.status = 'finished'</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> Terminology</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"terminology-initial-population\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Initial Population\":\n  \"Inpatient Encounter\"</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<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\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 Encounter Inpatient SNOMEDCT Value Set\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.5.307|20260210/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307|20260210</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307|20260210</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>: FHIR model information\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://hl7.org/fhir/uv/cql/STU2/Library-FHIR-ModelInfo.html\">http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1</tt>\n    \n  </td>\n</tr>\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\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>: 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\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/2.16.840.1.113883.3.666.5.307|20260210/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307|20260210</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"parameters\"> </a>Parameters</th>\n\n\n</tr>\n  \n  \n  <tr>\n  \n\n<th scope=\"row\" class=\"row-header\"/>\n\n\n  <td class=\"content-container\">\n    <table>\n      <thead>\n        <tr>\n          <td><em>Name</em></td>\n          <td><em>Use</em></td>\n          <td><em>Card.</em></td>\n          <td><em>Type</em></td>\n          <td><em>Documentation</em></td>\n        </tr>\n      </thead>\n      <tbody>\n      \n        <tr>\n          <td>Initial Population</td>\n          <td>Out</td>\n          <td>0..*</td>\n          <td>Encounter</td>\n          <td/>\n        </tr>\n      \n      </tbody>\n    </table>\n  </td>\n</tr>\n\n  \n  \n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.5.4 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:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Terminology"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Inpatient Encounter"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Inpatient Encounter\":\n  [\"Encounter\": type in \"Encounter Inpatient SNOMEDCT Value Set\"] E\n    where E.status = 'finished'"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 0         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Terminology"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Initial Population"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Initial Population\":\n  \"Inpatient Encounter\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 1         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "FHIRHelpers"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ToString"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define function ToString(value EncounterStatus): value.value"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 2         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition>       ]     ] ) ;
    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:l <http://terminology.hl7.org/CodeSystem/library-type>         ] ;
    fhir:code [ fhir:v "module-definition" ]       ] )     ] ;
        ( fhir:relatedArtifact [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "FHIR model information" ] ;
    fhir:resource [
    fhir:v "http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo?version=4.0.1>       ]     ] [
    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:l <http://hl7.org/fhir/uv/cql/Library/FHIRHelpers?version=4.0.1>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Encounter Inpatient SNOMEDCT Value Set" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307|20260210"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307?version=20260210>       ]     ] ) ;
        ( fhir:parameter [
    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:dataRequirement [
    fhir:type [ fhir:v "Encounter" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/StructureDefinition/Encounter"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/Encounter>       ] ) ;
          ( fhir:mustSupport [ fhir:v "type" ] [ fhir:v "status" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "type" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307|20260210"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307?version=20260210>         ]       ] )     ] )
      ] ) ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis>     ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "Encounter"     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements>     ] ;
    fhir:value [
    a fhir:Canonical ;
    fhir:v "#effective-data-requirements"^^xsd:anyURI ;
    fhir:l <#effective-data-requirements>     ]
      ] ) ; #
      fhir:url [
    fhir:v "http://hl7.org/fhir/uv/cqm/Measure/Terminology-FHIR"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/cqm/Measure/Terminology-FHIR>
      ] ; #
      fhir:identifier ( [
    fhir:use [ fhir:v "official" ] ;
    fhir:system [
    fhir:v "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"^^xsd:anyURI ;
    fhir:l <http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm>     ] ;
    fhir:value [ fhir:v "Terminology_FHIR" ]
      ] [
    fhir:system [
    fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
    fhir:l <urn:ietf:rfc:3986>     ] ;
    fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.61.29.19" ]
      ] ) ; #
      fhir:version [ fhir:v "1.0.0"] ; #
      fhir:name [ fhir:v "Terminology_FHIR"] ; #
      fhir:title [ fhir:v "Terminology FHIR"] ; #
      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 "This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM"] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ;
    fhir:l <http://unstats.un.org/unsd/methods/m49/m49.htm>       ] ;
    fhir:code [ fhir:v "001" ]     ] )
      ] ) ; #
      fhir:approvalDate [ fhir:v "2019-03-08"^^xsd:date] ; #
      fhir:lastReviewDate [ fhir:v "2019-03-08"^^xsd:date] ; #
      fhir:effectivePeriod [
    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:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "57024-2" ] ;
    fhir:display [ fhir:v "Health Quality Measure Document" ]     ] )
      ] ) ; #
      fhir:library ( [
    fhir:v "http://hl7.org/fhir/uv/cqm/Library/Terminology"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/cqm/Library/Terminology>
      ] ) ; #
      fhir:scoring [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-scoring>       ] ;
    fhir:code [ fhir:v "cohort" ] ;
    fhir:display [ fhir:v "Cohort" ]     ] )
      ] ; #
      fhir:type ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-type>       ] ;
    fhir:code [ fhir:v "process" ]     ] )
      ] ) ; #
      fhir:improvementNotation [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-improvement-notation>       ] ;
    fhir:code [ fhir:v "decrease" ] ;
    fhir:display [ fhir:v "Decreased 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:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "primary"       ]     ] ) ;
        ( fhir:population [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId>         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "primary-terminology-initial-population"         ]       ] ) ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    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" ]       ]     ] )
      ] ) . #