Quality Measure Implementation Guide (STU4)
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Quality Measure Implementation Guide (STU4), published by Clinical Quality Information WG. This is not an authorized publication; it is the continuous build for version 4.0.0-ballot). This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions

: Measure with default value measurement period - TTL Representation

Active as of 2022-02-22

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@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:Measure;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "measure-exm-default"]; # 
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-measure-cqfm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cv-measure-cqfm>     ], [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm";
       fhir:index 1;
       fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm>     ]
  ]; # 
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">measure-exm-default</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm-default\">http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm-default</a></td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">5.0.0</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Identifier: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                <p style=\"margin-bottom: 5px;\">\n                    <b>value: </b> <span>55</span>\n                </p>\n                \n            </td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Name: </b></th>\n            <td style=\"padding-left: 4px;\">EXM55</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">Measure with default value measurement period</td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td style=\"padding-left: 4px;\">active</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Experimental: </b></th>\n            <td style=\"padding-left: 4px;\">true</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Scoring: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span><a href=\"http://terminology.hl7.org/CodeSystem/measure-scoring\">http://terminology.hl7.org/CodeSystem/measure-scoring</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>continuous-variable</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>display: </b> <span>Continuous Variable</span>\n                        </p>\n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Improvement Notation: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span><a href=\"http://terminology.hl7.org/CodeSystem/measure-improvement-notation\">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>decrease</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>display: </b> <span>Decreased score indicates improvement</span>\n                        </p>\n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span><a href=\"http://terminology.hl7.org/CodeSystem/measure-type\">http://terminology.hl7.org/CodeSystem/measure-type</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>process</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2022-02-22</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">Clinical Quality Information WG</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>This example illustrates a continuous variable measure represented as a FHIR eCQM</p>\n</div></td>\n        </tr>\n        \n        \n        \n        \n        \n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Use Context: </b></th>\n            <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    <tr><th><b>code</b></th><th><b>value</b></th></tr>\n                    \n                      <tr>\n                        <td>program</td>\n                        <td/>\n                      </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Jurisdiction: </b></th>\n            <td style=\"padding-left: 25px;\">US</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Topic: </b></th>\n            <td style=\"padding-left: 25px;\">57024-2</td>\n        </tr>\n        \n        \n        \n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Approval Date: </b></th>\n            <td style=\"padding-left: 4px;\">2019-03-08</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Last Review Date: </b></th>\n            <td style=\"padding-left: 4px;\">2019-03-08</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Effective Period: </b></th>\n            <td style=\"padding-left: 4px;\">2018-01-01..2018-12-31</td>\n        </tr>\n        \n        \n        \n        \n        \n        \n    </table>\n</div>"
  ]; # 
  fhir:DomainResource.contained [
     a fhir:Library;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "effective-data-requirements" ];
     fhir:DomainResource.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/diagnosis-role" ];
         fhir:Coding.code [ fhir:value "billing" ];
         fhir:Coding.display [ fhir:value "Billing" ]       ]     ], [
       fhir:index 1;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "EXM55" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Inpatient Encounter" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Inpatient Encounter\" :\n  [\"Encounter\"] Encounter\n    where LengthInDays(Encounter.period) <= 120\n      and Encounter.period ends during \"Measurement Period\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 2;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "EXM55" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Stratification 3" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Stratification 3\" :\n  \"Inpatient Encounter\" Encounter\n    where PrincipalDiagnosis(Encounter) is null" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 3;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "EXM55" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Stratification 2" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Stratification 2\" :\n  \"Inpatient Encounter\" Encounter\n    where PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 4;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "EXM55" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Measure Population Exclusion" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Measure Population Exclusion\" :\n  \"Inpatient Encounter\" Encounter\n    with [\"Encounter\" : \"Emergency Department Visit\"] ED\n      such that ED.period ends 1 hour or less before start of Encounter.period\n        and ED.status = 'finished'\n        and ED.hospitalization.admitSource in \"Hospital Settings\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 5;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "EXM55" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Stratification 1" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Stratification 1\" :\n  \"Inpatient Encounter\" Encounter\n    where not (PrincipalDiagnosis(Encounter).code in \"Psychiatric/Mental Health Patient\")" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 6;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "EXM55" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Initial Population" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Initial Population\" :\n  \"Inpatient Encounter\" Encounter\n    with [\"Encounter\" : \"Emergency Department Visit\"] ED\n     such that ED.status = 'finished'\n       and ED.period ends 1 hour or less before start of Encounter.period" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "5"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 7;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "EXM55" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Measure Population" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Measure Population\" :\n  \"Initial Population\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ];
     fhir:Library.name [ fhir:value "EffectiveDataRequirements" ];
     fhir:Library.status [ fhir:value "active" ];
     fhir:Library.type [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/library-type" ];
         fhir:Coding.code [ fhir:value "module-definition" ]       ]     ];
     fhir:Library.date [ fhir:value "2022-02-22T10:37:03-07:00"^^xsd:dateTime ];
     fhir:Library.relatedArtifact [
       fhir:index 0;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1";
         fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1>       ]     ], [
       fhir:index 1;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Code system Diagnosis Role" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://terminology.hl7.org/CodeSystem/diagnosis-role";
         fhir:link <http://terminology.hl7.org/CodeSystem/diagnosis-role>       ]     ], [
       fhir:index 2;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Psychiatric/Mental Health Patient" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.299>       ]     ], [
       fhir:index 3;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Emergency Department Visit" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292>       ]     ], [
       fhir:index 4;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Hospital Settings" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1111.126>       ]     ];
     fhir:Library.parameter [
       fhir:index 0;
       fhir:ParameterDefinition.name [ fhir:value "Measurement Period" ];
       fhir:ParameterDefinition.use [ fhir:value "in" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "Period" ]     ], [
       fhir:index 1;
       fhir:ParameterDefinition.name [ fhir:value "Stratification 3" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ], [
       fhir:index 2;
       fhir:ParameterDefinition.name [ fhir:value "Stratification 2" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ], [
       fhir:index 3;
       fhir:ParameterDefinition.name [ fhir:value "Measure Population Exclusion" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ], [
       fhir:index 4;
       fhir:ParameterDefinition.name [ fhir:value "Stratification 1" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ], [
       fhir:index 5;
       fhir:ParameterDefinition.name [ fhir:value "Initial Population" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ], [
       fhir:index 6;
       fhir:ParameterDefinition.name [ fhir:value "Measure Population" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ];
     fhir:Library.dataRequirement [
       fhir:index 0;
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "period";
         fhir:index 0       ], [
         fhir:value "hospitalization";
         fhir:index 1       ], [
         fhir:value "hospitalization.admitSource";
         fhir:index 2       ], [
         fhir:value "type";
         fhir:index 3       ], [
         fhir:value "status";
         fhir:index 4       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.292>         ]       ]     ], [
       fhir:index 1;
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "period";
         fhir:index 0       ]     ], [
       fhir:index 2;
       fhir:DataRequirement.type [ fhir:value "Condition" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Condition>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "id";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "id" ]       ]     ]
  ]; # 
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
     fhir:Extension.valueCode [ fhir:value "Encounter" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "Device/software-system-example" ]     ]
  ], [
     fhir:index 2;
     fhir:Element.id [ fhir:value "effective-data-requirements" ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "#effective-data-requirements" ]     ]
  ]; # 
  fhir:Measure.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm-default"]; # 
  fhir:Measure.identifier [
     fhir:index 0;
     fhir:Identifier.use [ fhir:value "official" ];
     fhir:Identifier.system [ fhir:value "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm" ];
     fhir:Identifier.value [ fhir:value "55" ]
  ]; # 
  fhir:Measure.version [ fhir:value "5.0.0"]; # 
  fhir:Measure.name [ fhir:value "EXM55"]; # 
  fhir:Measure.title [ fhir:value "Measure with default value measurement period"]; # 
  fhir:Measure.status [ fhir:value "active"]; # 
  fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean]; # 
  fhir:Measure.date [ fhir:value "2022-02-22"^^xsd:date]; # 
  fhir:Measure.publisher [ fhir:value "Clinical Quality Information WG"]; # 
  fhir:Measure.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cqi" ]     ]
  ]; # 
  fhir:Measure.description [ fhir:value "This example illustrates a continuous variable measure represented as a FHIR eCQM"]; # 
  fhir:Measure.useContext [
     fhir:index 0;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ];
       fhir:Coding.code [ fhir:value "program" ]     ];
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs" ];
         fhir:Coding.code [ fhir:value "eh-cah" ];
         fhir:Coding.display [ fhir:value "EH/CAH" ]       ]     ]
  ]; # 
  fhir:Measure.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ]; # 
  fhir:Measure.approvalDate [ fhir:value "2019-03-08"^^xsd:date]; # 
  fhir:Measure.lastReviewDate [ fhir:value "2019-03-08"^^xsd:date]; # 
  fhir:Measure.effectivePeriod [
     fhir:Period.start [ fhir:value "2018-01-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2018-12-31"^^xsd:date ]
  ]; # 
  fhir:Measure.topic [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       a loinc:57024-2;
       fhir:Coding.system [ fhir:value "http://loinc.org" ];
       fhir:Coding.code [ fhir:value "57024-2" ];
       fhir:Coding.display [ fhir:value "Health Quality Measure Document" ]     ]
  ]; # 
  fhir:Measure.library [
     fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/EXM55";
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/EXM55>
  ]; # 
  fhir:Measure.scoring [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
       fhir:Coding.code [ fhir:value "continuous-variable" ];
       fhir:Coding.display [ fhir:value "Continuous Variable" ]     ]
  ]; # 
  fhir:Measure.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
       fhir:Coding.code [ fhir:value "process" ]     ]
  ]; # 
  fhir:Measure.improvementNotation [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
       fhir:Coding.code [ fhir:value "decrease" ];
       fhir:Coding.display [ fhir:value "Decreased score indicates improvement" ]     ]
  ]; # 
  fhir:Measure.group [
     fhir:index 0;
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Initial Population" ]       ]     ], [
       fhir:index 1;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-population" ];
           fhir:Coding.display [ fhir:value "Measure Population" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Measure Population" ]       ]     ], [
       fhir:index 2;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-population-exclusion" ];
           fhir:Coding.display [ fhir:value "Measure Population Exclusion" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Measure Population Exclusion" ]       ]     ], [
       fhir:index 3;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-criteriaReference" ];
         fhir:Extension.valueString [ fhir:value "measure-population-identifier" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod" ];
         fhir:Extension.valueCode [ fhir:value "median" ]       ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-observation" ];
           fhir:Coding.display [ fhir:value "Measure Observation" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Measure Observation" ]       ]     ];
     fhir:Measure.group.stratifier [
       fhir:index 0;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo" ];
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
             fhir:Coding.code [ fhir:value "initial-population" ];
             fhir:Coding.display [ fhir:value "Initial Population" ]           ]         ]       ];
       fhir:Measure.group.stratifier.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.display [ fhir:value "Stratification 1" ]         ]       ];
       fhir:Measure.group.stratifier.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Stratification 1" ]       ]     ], [
       fhir:index 1;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo" ];
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
             fhir:Coding.code [ fhir:value "initial-population" ];
             fhir:Coding.display [ fhir:value "Initial Population" ]           ]         ]       ];
       fhir:Measure.group.stratifier.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.display [ fhir:value "Stratification 2" ]         ]       ];
       fhir:Measure.group.stratifier.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Stratification 2" ]       ]     ], [
       fhir:index 2;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo" ];
         fhir:Extension.valueCodeableConcept [
           fhir:CodeableConcept.coding [
             fhir:index 0;
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
             fhir:Coding.code [ fhir:value "initial-population" ];
             fhir:Coding.display [ fhir:value "Initial Population" ]           ]         ]       ];
       fhir:Measure.group.stratifier.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.display [ fhir:value "Stratification 3" ]         ]       ];
       fhir:Measure.group.stratifier.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Stratification 3" ]       ]     ]
  ]. # 

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.