Quality Measure Implementation Guide
1.0.1-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 1.0.1-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

: Common Terminology Library - TTL Representation

Page standards status: Trial-use Maturity Level: 4

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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 "CommonTerminologies"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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<td class=\"content-container\">Common Terminology Library</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n<td class=\"content-container\">1.0.0</td>\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<td class=\"content-container\">urn:oid:2.16.840.1.113883.4.642.40.61.28.7</td>\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n\n<td class=\"content-container\">Draft</td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Jurisdiction</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 001}\">Global (Whole world)</span></td>\n</tr>\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n<td class=\"content-container\">HL7 International / Clinical Quality Information</td>\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<td class=\"content-container\"><div><p>This library is the common library for the terminology example measure</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Type</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/library-type logic-library}\">Logic Library</span></td>\n</tr>\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\">/*#xD;\nThis example is purely for illustration purposes to show how all the elements of a#xD;\nFHIR-based quality measure are represented. It is intentionally simplified to show#xD;\nspecific aspects of a measure, and is not intended as an example of a clinically#xD;\nmeaningful measure.#xD;\n*/#xD;\nlibrary CommonTerminologies version '1.0.0'#xD;\n#xD;\nusing FHIR version '4.0.1'#xD;\n#xD;\ninclude hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers#xD;\n#xD;\n// NOTE: Versioning is used in this example to illustrate completely how versioning is applied#xD;\n// References to specific versions of code systems and value sets should be used only when necessary#xD;\n#xD;\ncodesystem \"SNOMED CT:2017-09\": 'http://snomed.info/sct'#xD;\n  version 'http://snomed.info/sct/731000124108/version/201709'#xD;\n</code></pre>\n      </td>\n    </tr>\n    \n    \n    \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 (3792 characters)</code></pre>\n      </td>\n    </tr>\n    \n    \n  \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 (4880 characters)</code></pre>\n      </td>\n    </tr>\n    \n  \n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.9 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:contained ( [
a fhir:Parameters ;
fhir:id [ fhir:v "options" ] ;
    ( fhir:parameter [
fhir:name [ fhir:v "translatorVersion" ] ;
fhir:value [
a fhir:string ;
fhir:v "3.25.0"       ]     ] [
fhir:name [ fhir:v "option" ] ;
fhir:value [
a fhir:string ;
fhir:v "EnableAnnotations"       ]     ] [
fhir:name [ fhir:v "option" ] ;
fhir:value [
a fhir:string ;
fhir:v "EnableLocators"       ]     ] [
fhir:name [ fhir:v "format" ] ;
fhir:value [
a fhir:string ;
fhir:v "JSON"       ]     ] [
fhir:name [ fhir:v "format" ] ;
fhir:value [
a fhir:string ;
fhir:v "XML"       ]     ] [
fhir:name [ fhir:v "analyzeDataRequirements" ] ;
fhir:value [
a fhir:boolean ;
fhir:v false       ]     ] [
fhir:name [ fhir:v "collapseDataRequirements" ] ;
fhir:value [
a fhir:boolean ;
fhir:v true       ]     ] [
fhir:name [ fhir:v "compatibilityLevel" ] ;
fhir:value [
a fhir:string ;
fhir:v "1.5"       ]     ] [
fhir:name [ fhir:v "enableCqlOnly" ] ;
fhir:value [
a fhir:boolean ;
fhir:v false       ]     ] [
fhir:name [ fhir:v "errorLevel" ] ;
fhir:value [
a fhir:string ;
fhir:v "Info"       ]     ] [
fhir:name [ fhir:v "signatureLevel" ] ;
fhir:value [
a fhir:string ;
fhir:v "None"       ]     ] [
fhir:name [ fhir:v "validateUnits" ] ;
fhir:value [
a fhir:boolean ;
fhir:v true       ]     ] [
fhir:name [ fhir:v "verifyOnly" ] ;
fhir:value [
a fhir:boolean ;
fhir:v false       ]     ] )
  ] ) ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-cqlOptions"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "#options" ]     ]
  ] [
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/uv/cqm/Library/CommonTerminologies"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.61.28.7" ]
  ] ) ; # 
  fhir:version [ fhir:v "1.0.0"] ; # 
  fhir:name [ fhir:v "CommonTerminologies"] ; # 
  fhir:title [ fhir:v "Common 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 "2025-09-23T04:07:11+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 common 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://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|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:link <http://hl7.org/fhir/uv/cql/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:content ( [
fhir:contentType [ fhir:v "text/cql" ] ;
fhir:data [ fhir:v "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"^^xsd:base64Binary ]
  ] [
fhir:contentType [ fhir:v "application/elm+xml" ] ;
fhir:data [ fhir:v "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"^^xsd:base64Binary ]
  ] [
fhir:contentType [ fhir:v "application/elm+json" ] ;
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  ] ) . #