Quality Measure Implementation Guide
2.0.0-cibuild - CI Build 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 2.0.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-cqm/ and changes regularly. See the Directory of published versions

: EXM Improvement Activities

Page standards status: Informative

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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 -------------------------------------------------------------------

<http://hl7.org/fhir/Library/EXMIA> a fhir:Library ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "EXMIA"] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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\n<td class=\"content-container\">EXM Improvement Activities</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\">2.0.0-cibuild</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\">urn:oid:2.16.840.1.113883.4.642.40.61.28.17</td>\n\n\n</tr>\n\n\n\n\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\">FHIR\n</td>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n\n\n<td class=\"content-container\">CQL\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 library provides an example of logic for an IA (Improvement Activities) measure.</p>\n</div></td>\n\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n\n<td class=\"content-container\">\n    logic-library from <a href=\"http://terminology.hl7.org/7.2.0/CodeSystem-library-type.html\">http://terminology.hl7.org/CodeSystem/library-type</a> \n\n\n</td>\n\n\n</tr>\n\n\n\n<tr>\n  \n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\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    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value Set Attestation Question\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <code>http://example.org/fhir/ValueSet/attestation-question</code>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://example.org/fhir/ValueSet/attestation-question</tt>\n    \n    \n    \n  </td>\n</tr>\n\n\n\n\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Observation\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a>\n    <br/>        \n  \n   \n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: code</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <code>http://example.org/fhir/ValueSet/attestation-question</code>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\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<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>Practitioner</td>\n          <td>Out</td>\n          <td>0..1</td>\n          <td>Practitioner</td>\n          <td/>\n        </tr>\n      \n        <tr>\n          <td>Measure Population</td>\n          <td>Out</td>\n          <td>0..1</td>\n          <td>Practitioner</td>\n          <td/>\n        </tr>\n      \n      </tbody>\n    </table>\n  </td>\n</tr>\n\n\n\n\n\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Library Content</th>\n\n\n</tr>\n  \n    \n    <tr>\n      <th scope=\"row\" class=\"row-header\">CQL Content</th>\n      <td>\n        <a name=\"cql-content\"> </a>\n        <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">library EXMIA\n\nusing FHIR version '4.0.1'\n\ninclude hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers\n\nvalueset \"Attestation Question\": 'http://example.org/fhir/ValueSet/attestation-question'\n\ncontext Practitioner\n\ndefine \"Measure Population\":\n  Practitioner\n\ndefine function \"Measure Observation\"(Practitioner Practitioner):\n  [Observation: \"Attestation Question\"] O\n    return FHIRHelpers.ToBoolean(O.value)\n</code></pre>\n      </td>\n    </tr>\n    \n  \n    \n    <tr>\n      <th scope=\"row\" class=\"row-header\">ELM XML Content</th>\n      <td>\n        <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code>Encoded data </code></pre>\n      </td>\n    </tr>\n    \n  \n    \n    <tr>\n      <th scope=\"row\" class=\"row-header\">ELM JSON Content</th>\n      <td>\n        <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code>Encoded data </code></pre>\n      </td>\n    </tr>\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>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
     fhir:Extension.valueCode [ fhir:value "cqi" ]
  ] ;
  fhir:Library.url [ fhir:value "http://hl7.org/fhir/uv/cqm/Library/EXMIA"] ;
  fhir:Library.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.40.61.28.17" ]
  ] ;
  fhir:Library.version [ fhir:value "2.0.0-cibuild"] ;
  fhir:Library.name [ fhir:value "EXMIA"] ;
  fhir:Library.title [ fhir:value "EXM Improvement Activities"] ;
  fhir:Library.status [ fhir:value "active"] ;
  fhir:Library.experimental [ fhir:value "true"^^xsd:boolean] ;
  fhir:Library.type [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/library-type" ] ;
       fhir:Coding.code [ fhir:value "logic-library" ]
     ]
  ] ;
  fhir:Library.date [ fhir:value "2026-07-08T12:53:09+00:00"^^xsd:dateTime] ;
  fhir:Library.publisher [ fhir:value "HL7 International / Clinical Quality Information"] ;
  fhir:Library.contact [
     fhir:index -1 ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cqi" ]
     ]
  ] ;
  fhir:Library.description [ fhir:value "This library provides an example of logic for an IA (Improvement Activities) measure."] ;
  fhir:Library.jurisdiction [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:Coding.code [ fhir:value "001" ]
     ]
  ] ;
  fhir:Library.topic [
     fhir:index -1 ;
     fhir:CodeableConcept.text [ fhir:value "FHIR" ]
  ], [
     fhir:index -1 ;
     fhir:CodeableConcept.text [ fhir:value "CQL" ]
  ] ;
  fhir:Library.relatedArtifact [
     fhir:index -1 ;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
     fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ] ;
     fhir:RelatedArtifact.resource [
       fhir:value "http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1" ;
       fhir:link <http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1>
     ]
  ], [
     fhir:index -1 ;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
     fhir:RelatedArtifact.display [ fhir:value "Value Set Attestation Question" ] ;
     fhir:RelatedArtifact.resource [
       fhir:value "http://example.org/fhir/ValueSet/attestation-question" ;
       fhir:link <http://example.org/fhir/ValueSet/attestation-question>
     ]
  ] ;
  fhir:Library.parameter [
     fhir:index -1 ;
     fhir:ParameterDefinition.name [ fhir:value "Practitioner" ] ;
     fhir:ParameterDefinition.use [ fhir:value "out" ] ;
     fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ] ;
     fhir:ParameterDefinition.max [ fhir:value "1" ] ;
     fhir:ParameterDefinition.type [ fhir:value "Practitioner" ]
  ], [
     fhir:index -1 ;
     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 "1" ] ;
     fhir:ParameterDefinition.type [ fhir:value "Practitioner" ]
  ] ;
  fhir:Library.dataRequirement [
     fhir:index -1 ;
     fhir:DataRequirement.type [ fhir:value "Observation" ] ;
     fhir:DataRequirement.profile [
       fhir:value "http://hl7.org/fhir/StructureDefinition/Observation" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>
     ] ;
     fhir:DataRequirement.codeFilter [
       fhir:index -1 ;
       fhir:DataRequirement.codeFilter.path [ fhir:value "code" ] ;
       fhir:DataRequirement.codeFilter.valueSet [
         fhir:value "http://example.org/fhir/ValueSet/attestation-question" ;
         fhir:link <http://example.org/fhir/ValueSet/attestation-question>
       ]
     ]
  ] ;
  fhir:Library.content [
     fhir:index -1 ;
     fhir:Attachment.contentType [ fhir:value "text/cql" ] ;
     fhir:Attachment.data [ fhir:value "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"^^xsd:base64Binary ]
  ], [
     fhir:index -1 ;
     fhir:Attachment.contentType [ fhir:value "application/elm+xml" ] ;
     fhir:Attachment.data [ fhir:value "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1" localId="0">
   <annotation translatorOptions="EnableAnnotations,EnableLocators,DisableListDemotion,DisableListPromotion" signatureLevel="All" xsi:type="a:CqlToElmInfo"/>
   <annotation xsi:type="a:Annotation">
      <a:s r="220">
         <a:s>library EXMIA</a:s>
      </a:s>
   </annotation>
   <identifier id="EXMIA" system="http://hl7.org/fhir/uv/cqm"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localId="1" localIdentifier="System" uri="urn:hl7-org:elm-types:r1" version="1.0.0"/>
      <def localId="206" locator="3:1-3:26" localIdentifier="FHIR" uri="http://hl7.org/fhir" version="4.0.1">
         <annotation xsi:type="a:Annotation">
            <a:s r="206">
               <a:s>using </a:s>
               <a:s>
                  <a:s>FHIR</a:s>
               </a:s>
               <a:s> version '4.0.1'</a:s>
            </a:s>
         </annotation>
      </def>
   </usings>
   <includes>
      <def localId="208" locator="5:1-5:70" localIdentifier="FHIRHelpers" path="http://hl7.org/fhir/uv/cql/FHIRHelpers" version="4.0.1">
         <annotation xsi:type="a:Annotation">
            <a:s r="208">
               <a:s>include </a:s>
               <a:s>
                  <a:s>hl7.fhir.uv.cql.FHIRHelpers</a:s>
               </a:s>
               <a:s> version '4.0.1' called FHIRHelpers</a:s>
            </a:s>
         </annotation>
      </def>
   </includes>
   <valueSets>
      <def localId="210" locator="7:1-7:88" name="Attestation Question" id="http://example.org/fhir/ValueSet/attestation-question" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="210">
               <a:s>valueset &quot;Attestation Question&quot;: 'http://example.org/fhir/ValueSet/attestation-question'</a:s>
            </a:s>
         </annotation>
      </def>
   </valueSets>
   <contexts>
      <def localId="215" locator="9:1-9:20" name="Practitioner"/>
   </contexts>
   <statements>
      <def localId="213" locator="9:1-9:20" name="Practitioner" context="Practitioner">
         <expression localId="214" xsi:type="SingletonFrom">
            <operand localId="212" locator="9:1-9:20" dataType="fhir:Practitioner" templateId="http://hl7.org/fhir/StructureDefinition/Practitioner" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def localId="218" locator="11:1-12:14" name="Measure Population" context="Practitioner" accessLevel="Public">
         <annotation xsi:type="a:Annotation">
            <a:s r="218">
               <a:s>define &quot;Measure Population&quot;:
  </a:s>
               <a:s r="219">
                  <a:s>Practitioner</a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="219" locator="12:3-12:14" name="Practitioner" xsi:type="ExpressionRef"/>
      </def>
      <def localId="220" locator="14:1-16:41" name="Measure Observation" context="Practitioner" accessLevel="Public" xsi:type="FunctionDef">
         <annotation xsi:type="a:Annotation">
            <a:s r="220">
               <a:s>define function &quot;Measure Observation&quot;(Practitioner Practitioner):
  </a:s>
               <a:s r="241">
                  <a:s r="241">
                     <a:s>
                        <a:s r="225">
                           <a:s r="228">
                              <a:s r="228">
                                 <a:s>[Observation: </a:s>
                                 <a:s>
                                    <a:s>&quot;Attestation Question&quot;</a:s>
                                 </a:s>
                                 <a:s>]</a:s>
                              </a:s>
                           </a:s>
                           <a:s> O</a:s>
                        </a:s>
                     </a:s>
                     <a:s>
    </a:s>
                     <a:s r="234">
                        <a:s>return </a:s>
                        <a:s r="238">
                           <a:s r="235">
                              <a:s>FHIRHelpers</a:s>
                           </a:s>
                           <a:s>.</a:s>
                           <a:s r="238">
                              <a:s>ToBoolean(</a:s>
                              <a:s r="237">
                                 <a:s r="236">
                                    <a:s>O</a:s>
                                 </a:s>
                                 <a:s>.</a:s>
                                 <a:s r="237">
                                    <a:s>value</a:s>
                                 </a:s>
                              </a:s>
                              <a:s>)</a:s>
                           </a:s>
                        </a:s>
                     </a:s>
                  </a:s>
               </a:s>
            </a:s>
         </annotation>
         <expression localId="241" locator="15:3-16:41" xsi:type="Query">
            <source localId="225" locator="15:3-15:41" alias="O">
               <expression localId="228" locator="15:3-15:39" dataType="fhir:Observation" templateId="http://hl7.org/fhir/StructureDefinition/Observation" codeProperty="code" codeComparator="in" xsi:type="Retrieve">
                  <codes localId="227" locator="15:17-15:38" name="Attestation Question" preserve="true" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <return localId="234" locator="16:5-16:41">
               <expression localId="238" locator="16:12-16:41" name="ToBoolean" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                  <signature localId="240" name="fhir:boolean" xsi:type="NamedTypeSpecifier"/>
                  <operand localId="239" asType="fhir:boolean" xsi:type="As">
                     <operand localId="237" locator="16:34-16:40" path="value" scope="O" xsi:type="Property"/>
                  </operand>
               </expression>
            </return>
         </expression>
         <operand localId="222" name="Practitioner">
            <operandTypeSpecifier localId="221" locator="14:52-14:63" name="fhir:Practitioner" xsi:type="NamedTypeSpecifier"/>
         </operand>
      </def>
   </statements>
</library>
"^^xsd:base64Binary ]
  ], [
     fhir:index -1 ;
     fhir:Attachment.contentType [ fhir:value "application/elm+json" ] ;
     fhir:Attachment.data [ fhir:value "{
   "library" : {
      "localId" : "0",
      "annotation" : [ {
         "translatorOptions" : "EnableAnnotations,EnableLocators,DisableListDemotion,DisableListPromotion",
         "signatureLevel" : "All",
         "type" : "CqlToElmInfo"
      }, {
         "type" : "Annotation",
         "s" : {
            "r" : "220",
            "s" : [ {
               "value" : [ "","library EXMIA" ]
            } ]
         }
      } ],
      "identifier" : {
         "id" : "EXMIA",
         "system" : "http://hl7.org/fhir/uv/cqm"
      },
      "schemaIdentifier" : {
         "id" : "urn:hl7-org:elm",
         "version" : "r1"
      },
      "usings" : {
         "def" : [ {
            "localId" : "1",
            "localIdentifier" : "System",
            "uri" : "urn:hl7-org:elm-types:r1",
            "version" : "1.0.0"
         }, {
            "localId" : "206",
            "locator" : "3:1-3:26",
            "localIdentifier" : "FHIR",
            "uri" : "http://hl7.org/fhir",
            "version" : "4.0.1",
            "annotation" : [ {
               "type" : "Annotation",
               "s" : {
                  "r" : "206",
                  "s" : [ {
                     "value" : [ "","using " ]
                  }, {
                     "s" : [ {
                        "value" : [ "FHIR" ]
                     } ]
                  }, {
                     "value" : [ " version '4.0.1'" ]
                  } ]
               }
            } ]
         } ]
      },
      "includes" : {
         "def" : [ {
            "localId" : "208",
            "locator" : "5:1-5:70",
            "localIdentifier" : "FHIRHelpers",
            "path" : "http://hl7.org/fhir/uv/cql/FHIRHelpers",
            "version" : "4.0.1",
            "annotation" : [ {
               "type" : "Annotation",
               "s" : {
                  "r" : "208",
                  "s" : [ {
                     "value" : [ "","include " ]
                  }, {
                     "s" : [ {
                        "value" : [ "hl7",".","fhir",".","uv",".","cql",".","FHIRHelpers" ]
                     } ]
                  }, {
                     "value" : [ " version ","'4.0.1'"," called ","FHIRHelpers" ]
                  } ]
               }
            } ]
         } ]
      },
      "valueSets" : {
         "def" : [ {
            "localId" : "210",
            "locator" : "7:1-7:88",
            "name" : "Attestation Question",
            "id" : "http://example.org/fhir/ValueSet/attestation-question",
            "accessLevel" : "Public",
            "annotation" : [ {
               "type" : "Annotation",
               "s" : {
                  "r" : "210",
                  "s" : [ {
                     "value" : [ "","valueset ","\"Attestation Question\"",": ","'http://example.org/fhir/ValueSet/attestation-question'" ]
                  } ]
               }
            } ],
            "codeSystem" : [ ]
         } ]
      },
      "contexts" : {
         "def" : [ {
            "localId" : "215",
            "locator" : "9:1-9:20",
            "name" : "Practitioner"
         } ]
      },
      "statements" : {
         "def" : [ {
            "localId" : "213",
            "locator" : "9:1-9:20",
            "name" : "Practitioner",
            "context" : "Practitioner",
            "expression" : {
               "localId" : "214",
               "type" : "SingletonFrom",
               "signature" : [ ],
               "operand" : {
                  "localId" : "212",
                  "locator" : "9:1-9:20",
                  "dataType" : "{http://hl7.org/fhir}Practitioner",
                  "templateId" : "http://hl7.org/fhir/StructureDefinition/Practitioner",
                  "type" : "Retrieve",
                  "include" : [ ],
                  "codeFilter" : [ ],
                  "dateFilter" : [ ],
                  "otherFilter" : [ ]
               }
            }
         }, {
            "localId" : "218",
            "locator" : "11:1-12:14",
            "name" : "Measure Population",
            "context" : "Practitioner",
            "accessLevel" : "Public",
            "annotation" : [ {
               "type" : "Annotation",
               "s" : {
                  "r" : "218",
                  "s" : [ {
                     "value" : [ "","define ","\"Measure Population\"",":\n  " ]
                  }, {
                     "r" : "219",
                     "s" : [ {
                        "value" : [ "Practitioner" ]
                     } ]
                  } ]
               }
            } ],
            "expression" : {
               "localId" : "219",
               "locator" : "12:3-12:14",
               "name" : "Practitioner",
               "type" : "ExpressionRef"
            }
         }, {
            "localId" : "220",
            "locator" : "14:1-16:41",
            "name" : "Measure Observation",
            "context" : "Practitioner",
            "accessLevel" : "Public",
            "type" : "FunctionDef",
            "annotation" : [ {
               "type" : "Annotation",
               "s" : {
                  "r" : "220",
                  "s" : [ {
                     "value" : [ "","define function \"Measure Observation\"(Practitioner Practitioner):\n  " ]
                  }, {
                     "r" : "241",
                     "s" : [ {
                        "r" : "241",
                        "s" : [ {
                           "s" : [ {
                              "r" : "225",
                              "s" : [ {
                                 "r" : "228",
                                 "s" : [ {
                                    "r" : "228",
                                    "s" : [ {
                                       "value" : [ "[","Observation",": " ]
                                    }, {
                                       "s" : [ {
                                          "value" : [ "\"Attestation Question\"" ]
                                       } ]
                                    }, {
                                       "value" : [ "]" ]
                                    } ]
                                 } ]
                              }, {
                                 "value" : [ " ","O" ]
                              } ]
                           } ]
                        }, {
                           "value" : [ "\n    " ]
                        }, {
                           "r" : "234",
                           "s" : [ {
                              "value" : [ "return " ]
                           }, {
                              "r" : "238",
                              "s" : [ {
                                 "r" : "235",
                                 "s" : [ {
                                    "value" : [ "FHIRHelpers" ]
                                 } ]
                              }, {
                                 "value" : [ "." ]
                              }, {
                                 "r" : "238",
                                 "s" : [ {
                                    "value" : [ "ToBoolean","(" ]
                                 }, {
                                    "r" : "237",
                                    "s" : [ {
                                       "r" : "236",
                                       "s" : [ {
                                          "value" : [ "O" ]
                                       } ]
                                    }, {
                                       "value" : [ "." ]
                                    }, {
                                       "r" : "237",
                                       "s" : [ {
                                          "value" : [ "value" ]
                                       } ]
                                    } ]
                                 }, {
                                    "value" : [ ")" ]
                                 } ]
                              } ]
                           } ]
                        } ]
                     } ]
                  } ]
               }
            } ],
            "expression" : {
               "localId" : "241",
               "locator" : "15:3-16:41",
               "type" : "Query",
               "source" : [ {
                  "localId" : "225",
                  "locator" : "15:3-15:41",
                  "alias" : "O",
                  "expression" : {
                     "localId" : "228",
                     "locator" : "15:3-15:39",
                     "dataType" : "{http://hl7.org/fhir}Observation",
                     "templateId" : "http://hl7.org/fhir/StructureDefinition/Observation",
                     "codeProperty" : "code",
                     "codeComparator" : "in",
                     "type" : "Retrieve",
                     "codes" : {
                        "localId" : "227",
                        "locator" : "15:17-15:38",
                        "name" : "Attestation Question",
                        "preserve" : true,
                        "type" : "ValueSetRef"
                     },
                     "include" : [ ],
                     "codeFilter" : [ ],
                     "dateFilter" : [ ],
                     "otherFilter" : [ ]
                  }
               } ],
               "let" : [ ],
               "relationship" : [ ],
               "return" : {
                  "localId" : "234",
                  "locator" : "16:5-16:41",
                  "expression" : {
                     "localId" : "238",
                     "locator" : "16:12-16:41",
                     "name" : "ToBoolean",
                     "libraryName" : "FHIRHelpers",
                     "type" : "FunctionRef",
                     "signature" : [ {
                        "localId" : "240",
                        "name" : "{http://hl7.org/fhir}boolean",
                        "type" : "NamedTypeSpecifier"
                     } ],
                     "operand" : [ {
                        "localId" : "239",
                        "asType" : "{http://hl7.org/fhir}boolean",
                        "type" : "As",
                        "signature" : [ ],
                        "operand" : {
                           "localId" : "237",
                           "locator" : "16:34-16:40",
                           "path" : "value",
                           "scope" : "O",
                           "type" : "Property"
                        }
                     } ]
                  }
               }
            },
            "operand" : [ {
               "localId" : "222",
               "name" : "Practitioner",
               "operandTypeSpecifier" : {
                  "localId" : "221",
                  "locator" : "14:52-14:63",
                  "name" : "{http://hl7.org/fhir}Practitioner",
                  "type" : "NamedTypeSpecifier"
               }
            } ]
         } ]
      }
   }
}"^^xsd:base64Binary ]
  ] .

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

<http://hl7.org/fhir/Library/EXMIA.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Library/EXMIA.ttl> .