Quality Measure Implementation Guide
1.0.0 - STU 1 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 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

: Terminology FHIR - TTL Representation

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@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:Measure ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "Terminology-FHIR"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-cohortmeasure"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-cohortmeasure>     ] [
fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure>     ] [
fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure>     ] )
  ] ; # 
  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\">Terminology FHIR</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\">Terminology_FHIR</td>\n</tr>\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:2.16.840.1.113883.4.642.40.61.29.19</td>\n</tr>\n\n\n\n  \n    \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Effective Period</th>\n\n\n<td class=\"content-container\">2018-01-01 through 2018-12-31</td>\n</tr>\n\n  \n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Approval Date</th>\n\n\n<td class=\"content-container\">2019-03-08</td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Last Review Date</th>\n\n\n<td class=\"content-container\">2019-03-08</td>\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n\n<td class=\"content-container\">true</td>\n</tr>\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<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Topic</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://loinc.org 57024-2}\">Health Quality Measure Document</span></td>\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<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 example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Basis</th>\n\n\n<td class=\"content-container\">Encounter</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring cohort}\">Cohort</span></td>\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Type</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-type process}\">Process</span></td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Improvement Notation</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation decrease}\">Decreased score indicates improvement</span></td>\n</tr>\n\n\n\n\n\n\n\n\n\n  \n  \n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: primary)</th>\n\n\n</tr>\n  \n  \n  \n\n\n\n\n\n\n\n\n\n  \n  \n    \n    \n    <tr>\n      \n        \n\n<th scope=\"row\" class=\"row-header\">Initial Population</th>\n\n\n      \n      <td class=\"content-container\">\n        \n        <em>ID</em>: primary-terminology-initial-population\n        <br/>\n        \n        \n          \n          <em>Description</em>: No description provided\n          \n        \n        \n          \n            \n              \n              <em>Criteria</em>: <a href=\"#primary-primary-terminology-initial-population\">Initial Population</a> \n            \n          \n          \n        \n        \n        \n      </td>\n    </tr>\n  \n\n  \n\n\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Logic</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Primary Library</th>\n\n\n<td class=\"content-container\"><a href=\"Library-Terminology.html\">Terminology Library</a></td>\n</tr>\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\">Contents</th>\n  <td class=\"content-container\">\n    <em><a href=\"#population-criteria\">Population Criteria</a></em>\n    <br/>\n    <em><a href=\"#definitions\">Logic Definitions</a></em>\n    <br/>\n    <em><a href=\"#terminology\">Terminology</a></em>\n    <br/>\n    <em><a href=\"#dependencies\">Dependencies</a></em>\n    <br/>\n    <em><a href=\"#data-requirements\">Data Requirements</a></em>\n    <br/>\n  </td>\n</tr>\n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"population-criteria\"> </a>Population Criteria</th>\n\n\n</tr>\n  \n  \n  \n\n  \n  \n  \n    \n    <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Group (Rate) (ID: primary)</th>\n\n\n</tr>\n  \n  \n  \n  \n    \n      \n        \n          \n        \n          \n            \n              \n            \n            \n            \n            <tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    \n    Initial Population\n    \n  </th>\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      \n      <a name=\"primary-primary-terminology-initial-population\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Initial Population\":\n  \"Inpatient Encounter\"</code></pre>\n    \n      \n      <a href=\"#terminology-initial-population\"><em>Definition</em></a>\n    \n  </td>\n\n</tr>\n\n          \n        \n          \n        \n      \n    \n  \n\n  \n  \n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"definitions\"> </a>Logic Definitions</th>\n\n\n</tr>\n  \n  \n          \n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> Terminology</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"terminology-inpatient-encounter\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Inpatient Encounter\":\n  [\"Encounter\": type in \"Encounter Inpatient SNOMEDCT Value Set\"] E\n    where E.status = 'finished'</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> Terminology</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"terminology-initial-population\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define \"Initial Population\":\n  \"Inpatient Encounter\"</code></pre>\n  </td>\n\n</tr>\n\n\n\n        \n\n\n\n\n        \n        \n\n\n\n        \n\n\n\n        \n\n\n<tr>\n  <th scope=\"row\" rowspan=\"2\" class=\"row-header\">\n    Logic Definition\n  </th>\n\n  <td class=\"content-container\"><em>Library Name:</em> FHIRHelpers</td>\n\n</tr>\n<tr>\n\n  <td>\n    \n    \n    \n    \n      <a name=\"fhirhelpers-tostring\"> </a>\n    \n    <pre style=\"border: none;\" class=\"content-container highlight language-cql\"><code class=\"language-cql\">define function ToString(value EncounterStatus): value.value</code></pre>\n  </td>\n\n</tr>\n\n\n\n\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"terminology\"> </a>Terminology</th>\n\n\n</tr>\n  \n  \n  \n\n \n\n\n<tr>\n  \n  \n\n<th scope=\"row\" class=\"row-header\">Value Set</th>\n\n\n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Value set Encounter Inpatient SNOMEDCT Value Set\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.7.307|20160929/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929</tt>\n    \n  </td>\n</tr>\n \n\n\n  \n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"dependencies\"> </a>Dependencies</th>\n\n\n</tr>\n  \n  \n  \n\n\n<tr>\n  \n\n<th scope=\"row\" class=\"row-header\">Dependency</th>\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  </td>\n</tr>\n \n\n \n\n\n  \n  \n\n\n  <tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"data-requirements\"> </a>Data Requirements</th>\n\n\n</tr>\n  \n  \n  \n<tr>\n  <th scope=\"row\" class=\"row-header\">Data Requirement</th>\n  <td class=\"content-container\">\n    <em>Type</em>: Encounter\n    <br/>\n  \n    <em>Profile(s)</em>: \n  \n    <a href=\"http://hl7.org/fhir/R4/encounter.html\">Encounter</a>\n    <br/>        \n  \n   \n   \n    <em>Must Support Elements</em>: type, status\n    <br/>\n   \n  \n    <em>Code Filter(s)</em>: \n    <br/>\n  \n  \n    <span class=\"tab-one\"><em>Path</em>: type</span>\n    <br/>\n  \n  \n  \n    <span class=\"tab-one\"><em>ValueSet</em>:</span> <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.7.307|20160929/expansion\">http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929</a>\n    <br/> \n  \n  \n  \n   \n  </td>\n</tr>\n\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:Library ;
fhir:id [ fhir:v "effective-data-requirements" ] ;
    ( fhir:extension [
      ( fhir:extension [
fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Terminology"         ]       ] [
fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Inpatient Encounter"         ]       ] [
fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "define \"Inpatient Encounter\":\n  [\"Encounter\": type in \"Encounter Inpatient SNOMEDCT Value Set\"] E\n    where E.status = 'finished'"         ]       ] [
fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
fhir:value [
a fhir:integer ;
fhir:v 0         ]       ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
      ( fhir:extension [
fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Terminology"         ]       ] [
fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "Initial Population"         ]       ] [
fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "define \"Initial Population\":\n  \"Inpatient Encounter\""         ]       ] [
fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
fhir:value [
a fhir:integer ;
fhir:v 1         ]       ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] [
      ( fhir:extension [
fhir:url [ fhir:v "libraryName"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "FHIRHelpers"         ]       ] [
fhir:url [ fhir:v "name"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "ToString"         ]       ] [
fhir:url [ fhir:v "statement"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "define function ToString(value EncounterStatus): value.value"         ]       ] [
fhir:url [ fhir:v "displaySequence"^^xsd:anyURI ] ;
fhir:value [
a fhir:integer ;
fhir:v 2         ]       ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"^^xsd:anyURI ]     ] ) ;
fhir:name [ fhir:v "EffectiveDataRequirements" ] ;
fhir:status [ fhir:v "active" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "module-definition" ]       ] )     ] ;
    ( fhir:relatedArtifact [
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 "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 "Initial Population" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v 0 ] ;
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:mustSupport [ fhir:v "type" ] [ fhir:v "status" ] ) ;
      ( 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:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis"^^xsd:anyURI ] ;
fhir:value [
a fhir:code ;
fhir:v "Encounter"     ]
  ] [
fhir:id [ fhir:v "effective-data-requirements" ] ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements"^^xsd:anyURI ] ;
fhir:value [
a fhir:canonical ;
fhir:v "#effective-data-requirements"^^xsd:anyURI     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/uv/cqm/Measure/Terminology-FHIR"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Terminology_FHIR" ]
  ] [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.61.29.19" ]
  ] ) ; # 
  fhir:version [ fhir:v "1.0.0"] ; # 
  fhir:name [ fhir:v "Terminology_FHIR"] ; # 
  fhir:title [ fhir:v "Terminology FHIR"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v true] ; # 
  fhir:date [ fhir:v "2025-08-13"^^xsd:date] ; # 
  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 example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM"] ; # 
  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:approvalDate [ fhir:v "2019-03-08"^^xsd:date] ; # 
  fhir:lastReviewDate [ fhir:v "2019-03-08"^^xsd:date] ; # 
  fhir:effectivePeriod [
fhir:start [ fhir:v "2018-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2018-12-31"^^xsd:date ]
  ] ; # 
  fhir:topic ( [
    ( fhir:coding [
a loinc:57024-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "57024-2" ] ;
fhir:display [ fhir:v "Health Quality Measure Document" ]     ] )
  ] ) ; # 
  fhir:library ( [
fhir:v "http://hl7.org/fhir/uv/cqm/Library/Terminology"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cqm/Library/Terminology>
  ] ) ; # 
  fhir:scoring [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ;
fhir:code [ fhir:v "cohort" ] ;
fhir:display [ fhir:v "Cohort" ]     ] )
  ] ; # 
  fhir:type ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "process" ]     ] )
  ] ) ; # 
  fhir:improvementNotation [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "decrease" ] ;
fhir:display [ fhir:v "Decreased score indicates improvement" ]     ] )
  ] ; # 
  fhir:group ( [
fhir:id [ fhir:v "group-1" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "primary"       ]     ] ) ;
    ( fhir:population [
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "primary-terminology-initial-population"         ]       ] ) ;
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "initial-population" ] ;
fhir:display [ fhir:v "Initial Population" ]         ] )       ] ;
fhir:criteria [
fhir:language [ fhir:v "text/cql-identifier" ] ;
fhir:expression [ fhir:v "Initial Population" ]       ]     ] )
  ] ) . #