Quality Measure Implementation Guide
5.0.0 - STU5 United States of America 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 5.0.0 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

: RiskAdjustment_FHIR2 - TTL Representation

Active as of 2025-08-26

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@prefix fhir: <http://hl7.org/fhir/> .
@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:Library ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "risk-adjustment-FHIR2"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">#xD;\n   <table class=\"grid dict\">#xD;\n      <tr>#xD;\n         <th scope=\"row\"><b>Id: </b></th>#xD;\n         <td style=\"padding-left: 25px; padding-right: 25px;\">riskadjustment-fhir2</td>#xD;\n      </tr>#xD;\n      <tr>#xD;\n         <th scope=\"row\"><b>Type: </b></th>#xD;\n         <td style=\"padding-right: 25px;\"><span><br/><span><span style=\"padding-left: 25px;\"><b>system: </b><span>http://terminology.hl7.org/CodeSystem/library-type</span><br/></span><span style=\"padding-left: 25px;\"><b>code: </b><span>logic-library</span></span></span></span></td>#xD;\n      </tr>#xD;\n      <tr>#xD;\n         <th scope=\"row\"><b>Version: </b></th>#xD;\n         <td style=\"padding-left: 25px; padding-right: 25px;\">0.0.001</td>#xD;\n      </tr>#xD;\n      <tr>#xD;\n         <th scope=\"row\"><b>Status: </b></th>#xD;\n         <td style=\"padding-left: 25px; padding-right: 25px;\">active</td>#xD;\n      </tr>#xD;\n      <tr style=\"vertical-align: top;\">#xD;\n         <th scope=\"row\"><a id=\"cql-content\"><b>Content: </b></a></th>#xD;\n         <td style=\"padding-left: 25px; padding-right: 25px;\"><b>type: </b><span>text/cql</span></td>#xD;\n      </tr>#xD;\n      <tr>#xD;\n         <td colspan=\"2\" style=\"padding-left: 25px; padding-right: 25px;\">#xD;\n            <pre><code class=\"language-cql\">library RiskAdjustment_FHIR2 version '0.0.001'#xD;\n#xD;\nusing FHIR version '1.0.2'#xD;\n#xD;\ninclude FHIRHelpers version '1.0.2' called FHIRHelpers#xD;\ninclude SupplementalDataElements_FHIR2 version '1.0.0' called SDE#xD;\n#xD;\nvalueset \"Serum Albumin\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.60'#xD;\nvalueset \"Cirrhosis or other liver disease\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.63'#xD;\nvalueset \"Encounter Inpatient\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307'#xD;\nvalueset \"CABG_Open and Endoscopic\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1029.39'#xD;\nvalueset \"Bilirubin\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.2400'#xD;\n#xD;\nparameter \"Measurement Period\" Interval&lt;DateTime&gt;#xD;\n#xD;\ncontext Patient#xD;\n#xD;\ndefine \"SDE Ethnicity\":#xD;\n  SDE.\"SDE Ethnicity\"#xD;\n#xD;\ndefine \"SDE Payer\":#xD;\n  SDE.\"SDE Payer\"#xD;\n#xD;\ndefine \"SDE Race\":#xD;\n  SDE.\"SDE Race\"#xD;\n#xD;\ndefine \"SDE Sex\":#xD;\n  SDE.\"SDE Sex\"#xD;\n#xD;\ndefine \"Encounter Inpatient 365\": [\"Encounter\": \"Encounter Inpatient\"] E#xD;\n    where FHIRHelpers.ToQuantity(E.length) &lt;= 365 days // Shouldn't need the ToQuantity, need a FHIR.Duration conversion#xD;\n      and E.period ends during \"Measurement Period\"#xD;\n	and E.status.value in {'finished'}#xD;\n#xD;\ndefine \"CABG_Open and Endoscopic During Encounter\": [\"Procedure\": \"CABG_Open and Endoscopic\"] P#xD;\n    with \"Encounter Inpatient 365\" E#xD;\n      such that P.performedPeriod starts during E.period#xD;\n	and P.status.value in {'completed'}#xD;\n#xD;\ndefine \"Hepatic Failure\":#xD;\n    exists (\"Cirrhosis Dx\")#xD;\n    and exists (\"Bilirubin Test\")#xD;\n    and exists (\"Serum Albumin Test\")#xD;\n#xD;\ndefine \"Cirrhosis Dx\": [\"Condition\": \"Cirrhosis or other liver disease\"] D#xD;\n    with \"CABG_Open and Endoscopic During Encounter\" C#xD;\n	such that D.onsetDateTime.value before start of C.performedPeriod#xD;\n	such that Coalesce (D.onsetDateTime.value, start of ToInterval(D.onsetPeriod)) before start of ToInterval(C.performedPeriod)#xD;\n#xD;\ndefine \"Bilirubin Test\":#xD;\n[\"Observation\": \"Bilirubin\"] L#xD;\n    with \"CABG_Open and Endoscopic During Encounter\" C#xD;\n      such that L.effectiveDateTime.value before start of C.performedPeriod#xD;\nsuch that Coalesce (L.effectiveDateTime.value, start of ToInterval(L.effectivePeriod)) starts before start of ToInterval(C.performedPeriod)#xD;\n    with \"Encounter Inpatient 365\" E#xD;\n      such that L.effectiveDateTime.value during E.period#xD;\n    where L.valueQuantity &gt; 2 'mg/dL'#xD;\n      and L.status.value in {'final', 'amended', 'corrected', 'appended'}#xD;\n#xD;\ndefine \"Serum Albumin Test\":#xD;\n[\"Observation\": \"Serum Albumin\"] L#xD;\n    with \"CABG_Open and Endoscopic During Encounter\" C#xD;\n      such that L.effectiveDateTime.value before start of C.performedPeriod#xD;\n    with \"Encounter Inpatient 365\" E#xD;\n      such that L.effectiveDateTime.value during E.period#xD;\n    where L.valueQuantity &lt; 3.5 'g/dL'#xD;\n      and L.status.value in {'final', 'amended', 'corrected', 'appended'}#xD;\n#xD;\ndefine \"Initial Population\": \"Encounter Inpatient 365\"#xD;\n#xD;\ndefine \"Denominator\": \"Initial Population\"#xD;\n#xD;\ndefine \"Numerator\": \"CABG_Open and Endoscopic During Encounter\"#xD;\n</code></pre>#xD;\n         </td>#xD;\n      </tr>#xD;\n   </table>#xD;\n</div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "cqi"     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/Library/risk-adjustment-FHIR2"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.0.001"] ; # 
  fhir:name [ fhir:v "RiskAdjustment_FHIR2"] ; # 
  fhir:title [ fhir:v "RiskAdjustment_FHIR2"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v true] ; # 
  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 "2025-08-26T16:28:46+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 "Example library illustrating risk adjustment with FHIR DSTU2"] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ]     ] )
  ] ) ; # 
  fhir:content ( [
fhir:contentType [ fhir:v "application/elm+xml" ] ;
fhir:data [ fhir:v "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"^^xsd:base64Binary ]
  ] [
fhir:contentType [ fhir:v "text/cql" ] ;
fhir:data [ fhir:v "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"^^xsd:base64Binary ]
  ] ) . #