Quality Measure Implementation Guide
1.0.0-ballot - ballot International flag

Quality Measure Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions

: Terminology Library - TTL Representation

Draft as of 2024-12-10

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:Library ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "Terminology-FHIR"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n    <table class=\"grid dict\">\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">Terminology Library</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">Terminology-FHIR</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">1.0.0</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"Library-Terminology-FHIR.html\">Terminology Library</a></td>\n        </tr>\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td style=\"padding-left: 4px;\">draft</td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span><a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-library-type.html\">http://terminology.hl7.org/CodeSystem/library-type</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>logic-library</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2024-12-10 20:48:29+0000</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">HL7 International / Clinical Quality Information</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>This library is the primary measure library for the terminology example measure</p>\n</div></td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Jurisdiction: </b></th>\n            <td style=\"padding-left: 4px;\">001</td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Related Artifacts: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <p><b>Dependencies</b></p>\n                <ul>\n                  \n                    <li><code>http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1</code></li>\n                  \n                    <li><code>http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1</code></li>\n                  \n                    <li><code>http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709</code></li>\n                  \n                    <li><code>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929</code></li>\n                  \n                </ul>\n                \n                \n                \n                \n                \n            </td>\n        </tr>\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Parameters: </b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              <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>\n              \n                <tr><th>Measurement Period</th><th>Period</th><th>0</th><th>1</th><th>In</th></tr>\n              \n                <tr><th>Inpatient Encounter</th><th>Encounter</th><th>0</th><th>*</th><th>Out</th></tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Data Requirements:</b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              <tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/StructureDefinition/Encounter</th>\n                  <th/>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929</span>\n                      </span>\n                      \n                      \n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>status</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>system: </b> <span><a href=\"http://hl7.org/fhir/R4/codesystem-encounter-status.html\">http://hl7.org/fhir/encounter-status</a></span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>code: </b> <span>finished</span>\n                          </p>\n                          \n                          \n                      \n                    \n                  </th>\n                </tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n\n        \n        \n        <tr>\n          <td colspan=\"2\">\n            <table>\n              <tr><th><a id=\"cql-content\"><b>Content: </b></a> text/cql</th></tr>\n              <tr><td><pre><code class=\"language-cql\">/*\nThis example is purely for illustration purposes to show how all the elements of a\nFHIR-based quality measure are represented. It is intentionally simplified to show\nspecific aspects of a measure, and is not intended as an example of a clinically\nmeaningful measure.\n*/\nlibrary Terminology version '1.0.0'\n\nusing FHIR version '4.0.1'\n\ninclude FHIRHelpers version '4.0.1' called FHIRHelpers\ninclude CommonTerminologies version '1.0.000' called Common\n\n// NOTE: Versioning is used in this example to illustrate completely how versioning is applied\n// References to specific versions of code systems and value sets should be used only when necessary\n\nvalueset &quot;Encounter Inpatient SNOMEDCT Value Set&quot;:\n   'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929'\n\ncode &quot;Venous foot pump, device (physical object)&quot;: '442023007' from Common.&quot;SNOMED CT:2017-09&quot;\ncode &quot;Right foot&quot;: '7769000' from Common.&quot;SNOMED CT:2017-09&quot;\n\nparameter &quot;Measurement Period&quot; Interval&lt;DateTime&gt;\n\ndefine &quot;Inpatient Encounter&quot;:\n  [&quot;Encounter&quot;: type in &quot;Encounter Inpatient SNOMEDCT Value Set&quot;] E\n    where E.status = 'finished'\n\n// DeviceUseStatement has a known issue with the publication tooling\n// so it is removed to allow this IG to publish until that is fixed\n//define &quot;Venous Foot Pumps Applied&quot;:\n//  [&quot;DeviceUseStatement&quot;: code in &quot;Venous foot pump, device (physical object)&quot;] D\n//    where D.status = 'completed'\n//      and D.bodySite ~ ToConcept(&quot;Right foot&quot;)\n</code></pre></td></tr>\n            </table>\n          </td>\n        </tr>\n        \n        \n        \n    </table>\n</div>\n</div>"
  ] ; # 
  fhir:extension ( [
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:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "cqi" ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqfmeasures/Library/Terminology-FHIR"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "1.0.0"] ; # 
  fhir:name [ fhir:v "Terminology"] ; # 
  fhir:title [ fhir:v "Terminology Library"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:type [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "logic-library" ]     ] )
  ] ; # 
  fhir:date [ fhir:v "2024-12-10T20:48:29+00:00"^^xsd:dateTime] ; # 
  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 library is the primary measure library for the terminology example measure"] ; # 
  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:relatedArtifact ( [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "FHIR model information" ] ;
fhir:resource [
fhir:v "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1"^^xsd:anyURI ;
fhir:link <http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1>     ]
  ] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "Library FHIRHelpers" ] ;
fhir:resource [
fhir:v "http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1"^^xsd:anyURI ;
fhir:link <http://fhir.org/guides/common/Library/FHIRHelpers|4.0.1>     ]
  ] [
fhir:type [ fhir:v "depends-on" ] ;
fhir:display [ fhir:v "Code system SNOMED CT:2017-09" ] ;
fhir:resource [
fhir:v "http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709"^^xsd:anyURI ;
fhir:link <http://snomed.info/sct|http://snomed.info/sct/731000124108/version/201709>     ]
  ] [
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/2.16.840.1.113883.3.666.7.307|20160929"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929>     ]
  ] ) ; # 
  fhir:parameter ( [
fhir:name [ fhir:v "Measurement Period" ] ;
fhir:use [ fhir:v "in" ] ;
fhir:min [ fhir:v "0"^^xsd:integer ] ;
fhir:max [ fhir:v "1" ] ;
fhir:type [ fhir:v "Period" ]
  ] [
fhir:name [ fhir:v "Inpatient Encounter" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v "0"^^xsd:integer ] ;
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:link <http://hl7.org/fhir/StructureDefinition/Encounter>     ] ) ;
    ( fhir:codeFilter [
fhir:path [ fhir:v "type" ] ;
fhir:valueSet [
fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929"^^xsd:anyURI ;
fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929>       ]     ] [
fhir:path [ fhir:v "status" ] ;
      ( fhir:code [
fhir:system [ fhir:v "http://hl7.org/fhir/encounter-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "finished" ]       ] )     ] )
  ] ) ; # 
  fhir:content ( [
fhir:contentType [ fhir:v "text/cql" ] ;
fhir:data [ fhir:v "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"^^xsd:base64Binary ]
  ] ) . #