Chronic Disease Surveillance
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Chronic Disease Surveillance, published by Clinical Quality Framework. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/aphl-chronic-ig/ and changes regularly. See the Directory of published versions

: Chronic Disease Surveillance Reporting Specification for Seen Patients Cohort - TTL Representation

Active as of 2025-09-25

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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/PlanDefinition/ChronicDSSeenPatients> a fhir:PlanDefinition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ChronicDSSeenPatients"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n<div>\n    <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">ChronicDSSeenPatients</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"PlanDefinition-ChronicDSSeenPatients.html\">Chronic Disease Surveillance Reporting Specification for Seen Patients Cohort</a></td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">0.1.0</td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">Chronic Disease Surveillance Reporting Specification for Seen Patients Cohort</td>\n        </tr>\n        \n\n        \n\n        \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        \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/7.2.0/CodeSystem-plan-definition-type.html\">http://terminology.hl7.org/CodeSystem/plan-definition-type</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>workflow-definition</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>display: </b> <span>Workflow Definition</span>\n                        </p>\n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2025-09-25 08:40:03-0500</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">Clinical Quality Framework</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>Reporting specification for Chronic Disease Surveillance for Seen Patients Cohort</p>\n</div></td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Jurisdiction: </b></th>\n            <td style=\"padding-left: 4px;\">001</td>\n        </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Effective Period: </b></th>\n            <td style=\"padding-left: 4px;\">2021-06-01..</td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Libraries: </b></th>\n            <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    \n                    <tr>\n                        <td><a href=\"Library-SeenPatients.html\">Seen Patients</a></td>\n                    </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Actions: </b></th>\n            <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    \n                    <tr>\n                        <td>\n                            \n                            Start the reporting workflow in response to an encounter-end event\n                            \n                            <br/>\n                            \n                            <b>When:</b>\n                            \n                            <i>Named Event:</i> encounter-end\n                            <br/>\n                            \n                            \n                            \n                            \n                            \n                            \n                        </td>\n                    </tr>\n                    \n                    <tr>\n                        <td>\n                            \n                            Evaluate measure\n                            \n                            <br/>\n                            \n                            \n                            \n                            \n                            <b>Then:</b> <i>Definition:</i> <a href=\"Measure-SeenPatients.html\">Seen Patients</a><br/>\n                            \n                            \n                            \n                        </td>\n                    </tr>\n                    \n                    <tr>\n                        <td>\n                            \n                            Report Chronic Disease Surveillance\n                            \n                            <br/>\n                            \n                            \n                            <b>If:</b>\n                            \n                            <i>Applicability:</i>\n                            \n                            <i>(%measurereport.exists() and %measurereport.group.select(population).where(code.coding.where(code = 'initial-population').exists() and count &gt; 0).exists())</i>\n                            <br/>\n                            \n                            \n                            \n                            <b>Then:</b>\n                            <table class=\"grid-dict\">\n                                \n                                <tr>\n                                    <td>\n                                        \n                                        Create eICR\n                                        \n                                        <br/>\n                                        \n                                        \n                                        \n                                        \n                                        \n                                    </td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        \n                                        Validate eICR\n                                        \n                                        <br/>\n                                        \n                                        \n                                        \n                                        \n                                        \n                                    </td>\n                                </tr>\n                                \n                                <tr>\n                                    <td>\n                                        \n                                        Submit eICR\n                                        \n                                        <br/>\n                                        \n                                        \n                                        \n                                        \n                                        \n                                    </td>\n                                </tr>\n                                \n                            </table>\n                            \n                        </td>\n                    </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \n    </table>\n</div>\n</div>"
  ] ;
  fhir:DomainResource.contained [
     a fhir:Library ;
     fhir:index 0 ;
     fhir:Resource.id [ fhir:value "effective-data-requirements" ] ;
     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.relatedArtifact [
       fhir:index 0 ;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ] ;
       fhir:RelatedArtifact.display [ fhir:value "FHIR model information" ] ;
       fhir:RelatedArtifact.resource [
         fhir:value "http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1" ;
         fhir:link <http://fhir.org/guides/cqf/common/Library/FHIR-ModelInfo|4.0.1>
       ]
     ]
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Element.id [ fhir:value "effective-data-requirements" ] ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements" ] ;
     fhir:Extension.valueCanonical [ fhir:value "#effective-data-requirements" ]
  ], [
     fhir:index 1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem" ] ;
     fhir:Extension.valueReference [
       fhir:link <http://hl7.org/fhir/Device/cqf-tooling> ;
       fhir:Reference.reference [ fhir:value "Device/cqf-tooling" ]
     ]
  ] ;
  fhir:PlanDefinition.url [ fhir:value "http://fhir.org/guides/cqf/aphl/chronic-ds/PlanDefinition/ChronicDSSeenPatients"] ;
  fhir:PlanDefinition.version [ fhir:value "0.1.0"] ;
  fhir:PlanDefinition.name [ fhir:value "ChronicDSSeenPatients"] ;
  fhir:PlanDefinition.title [ fhir:value "Chronic Disease Surveillance Reporting Specification for Seen Patients Cohort"] ;
  fhir:PlanDefinition.type [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/plan-definition-type" ] ;
       fhir:Coding.code [ fhir:value "workflow-definition" ] ;
       fhir:Coding.display [ fhir:value "Workflow Definition" ]
     ]
  ] ;
  fhir:PlanDefinition.status [ fhir:value "active"] ;
  fhir:PlanDefinition.experimental [ fhir:value "true"^^xsd:boolean] ;
  fhir:PlanDefinition.date [ fhir:value "2025-09-25T08:40:03.823-05:00"^^xsd:dateTime] ;
  fhir:PlanDefinition.publisher [ fhir:value "Clinical Quality Framework"] ;
  fhir:PlanDefinition.contact [
     fhir:index 0 ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://cqframework.org" ]
     ]
  ] ;
  fhir:PlanDefinition.description [ fhir:value "Reporting specification for Chronic Disease Surveillance for Seen Patients Cohort"] ;
  fhir:PlanDefinition.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:Coding.code [ fhir:value "001" ]
     ]
  ] ;
  fhir:PlanDefinition.effectivePeriod [
     fhir:Period.start [ fhir:value "2021-06-01"^^xsd:date ]
  ] ;
  fhir:PlanDefinition.library [
     fhir:value "http://fhir.org/guides/cqf/aphl/chronic-ds/Library/SeenPatients" ;
     fhir:index 0 ;
     fhir:link <http://fhir.org/guides/cqf/aphl/chronic-ds/Library/SeenPatients>
  ] ;
  fhir:PlanDefinition.action [
     fhir:index 0 ;
     fhir:Element.id [ fhir:value "start" ] ;
     fhir:PlanDefinition.action.description [ fhir:value "This action represents the start of the reporting workflow in response to the encounter-end event" ] ;
     fhir:PlanDefinition.action.textEquivalent [ fhir:value "Start the reporting workflow in response to an encounter-end event" ] ;
     fhir:PlanDefinition.action.code [
       fhir:index 0 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions" ] ;
         fhir:Coding.code [ fhir:value "initiate-reporting-workflow" ]
       ]
     ] ;
     fhir:PlanDefinition.action.trigger [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "encounter-end" ] ;
       fhir:TriggerDefinition.type [ fhir:value "named-event" ] ;
       fhir:TriggerDefinition.name [ fhir:value "encounter-end" ]
     ] ;
     fhir:PlanDefinition.action.relatedAction [
       fhir:index 0 ;
       fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "evaluate-measure" ] ;
       fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "before-start" ] ;
       fhir:PlanDefinition.action.relatedAction.offsetDuration [
         fhir:Quantity.value [ fhir:value "24"^^xsd:decimal ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "h" ]
       ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Element.id [ fhir:value "evaluate-measure" ] ;
     fhir:PlanDefinition.action.description [ fhir:value "This action represents the evaluation of the measure." ] ;
     fhir:PlanDefinition.action.textEquivalent [ fhir:value "Evaluate measure" ] ;
     fhir:PlanDefinition.action.code [
       fhir:index 0 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions" ] ;
         fhir:Coding.code [ fhir:value "evaluate-measure" ]
       ]
     ] ;
     fhir:PlanDefinition.action.input [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "patient" ] ;
       fhir:DataRequirement.type [ fhir:value "Patient" ]
     ], [
       fhir:index 1 ;
       fhir:Element.id [ fhir:value "conditions" ] ;
       fhir:DataRequirement.type [ fhir:value "Condition" ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "encounter" ] ;
       fhir:DataRequirement.type [ fhir:value "Encounter" ]
     ], [
       fhir:index 3 ;
       fhir:Element.id [ fhir:value "mr" ] ;
       fhir:DataRequirement.type [ fhir:value "MedicationRequest" ]
     ], [
       fhir:index 4 ;
       fhir:Element.id [ fhir:value "obs" ] ;
       fhir:DataRequirement.type [ fhir:value "Observation" ]
     ] ;
     fhir:PlanDefinition.action.output [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "measurereport" ] ;
       fhir:DataRequirement.type [ fhir:value "MeasureReport" ] ;
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/MeasureReport" ;
         fhir:index 0 ;
         fhir:link <http://hl7.org/fhir/MeasureReport>
       ]
     ] ;
     fhir:PlanDefinition.action.relatedAction [
       fhir:index 0 ;
       fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "report-ds" ] ;
       fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "before-start" ]
     ] ;
     fhir:PlanDefinition.action.definitionCanonical [
       fhir:value "http://fhir.org/guides/cqf/aphl/chronic-ds/Measure/SeenPatients" ;
       fhir:link <http://fhir.org/guides/cqf/aphl/chronic-ds/Measure/SeenPatients>
     ]
  ], [
     fhir:index 2 ;
     fhir:Element.id [ fhir:value "report-ds" ] ;
     fhir:PlanDefinition.action.description [ fhir:value "This action represents the reporting of the Chronic Disease Surveillance event." ] ;
     fhir:PlanDefinition.action.textEquivalent [ fhir:value "Report Chronic Disease Surveillance" ] ;
     fhir:PlanDefinition.action.code [
       fhir:index 0 ;
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions" ] ;
         fhir:Coding.code [ fhir:value "execute-reporting-workflow" ]
       ]
     ] ;
     fhir:PlanDefinition.action.condition [
       fhir:index 0 ;
       fhir:PlanDefinition.action.condition.kind [ fhir:value "applicability" ] ;
       fhir:PlanDefinition.action.condition.expression [
         fhir:Expression.language [ fhir:value "text/fhirpath" ] ;
         fhir:Expression.expression [ fhir:value "%measurereport.exists() and %measurereport.group.select(population).where(code.coding.where(code = 'initial-population').exists() and count > 0).exists()" ]
       ]
     ] ;
     fhir:PlanDefinition.action.input [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "measurereport" ] ;
       fhir:DataRequirement.type [ fhir:value "MeasureReport" ]
     ] ;
     fhir:PlanDefinition.action.action [
       fhir:index 0 ;
       fhir:Element.id [ fhir:value "create-eicr" ] ;
       fhir:PlanDefinition.action.description [ fhir:value "This action invokes the creation of the eICR report." ] ;
       fhir:PlanDefinition.action.textEquivalent [ fhir:value "Create eICR" ] ;
       fhir:PlanDefinition.action.code [
         fhir:index 0 ;
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions" ] ;
           fhir:Coding.code [ fhir:value "create-report" ]
         ]
       ] ;
       fhir:PlanDefinition.action.input [
         fhir:index 0 ;
         fhir:Element.id [ fhir:value "patient" ] ;
         fhir:DataRequirement.type [ fhir:value "Patient" ]
       ], [
         fhir:index 1 ;
         fhir:Element.id [ fhir:value "conditions" ] ;
         fhir:DataRequirement.type [ fhir:value "Condition" ]
       ], [
         fhir:index 2 ;
         fhir:Element.id [ fhir:value "encounter" ] ;
         fhir:DataRequirement.type [ fhir:value "Encounter" ]
       ], [
         fhir:index 3 ;
         fhir:Element.id [ fhir:value "mr" ] ;
         fhir:DataRequirement.type [ fhir:value "MedicationRequest" ]
       ], [
         fhir:index 4 ;
         fhir:Element.id [ fhir:value "obs" ] ;
         fhir:DataRequirement.type [ fhir:value "Observation" ]
       ], [
         fhir:index 5 ;
         fhir:Element.id [ fhir:value "measurereport" ] ;
         fhir:DataRequirement.type [ fhir:value "MeasureReport" ]
       ] ;
       fhir:PlanDefinition.action.output [
         fhir:index 0 ;
         fhir:Element.id [ fhir:value "eicr-report-ChronicDSSeenPatients" ] ;
         fhir:DataRequirement.type [ fhir:value "Bundle" ] ;
         fhir:DataRequirement.profile [
           fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-measurereport-bundle" ;
           fhir:index 0 ;
           fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-measurereport-bundle>
         ]
       ] ;
       fhir:PlanDefinition.action.relatedAction [
         fhir:index 0 ;
         fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "validate-eicr" ] ;
         fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "before-start" ]
       ]
     ], [
       fhir:index 1 ;
       fhir:Element.id [ fhir:value "validate-eicr" ] ;
       fhir:PlanDefinition.action.description [ fhir:value "This action represents the validation of the eICR." ] ;
       fhir:PlanDefinition.action.textEquivalent [ fhir:value "Validate eICR" ] ;
       fhir:PlanDefinition.action.code [
         fhir:index 0 ;
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions" ] ;
           fhir:Coding.code [ fhir:value "validate-report" ]
         ]
       ] ;
       fhir:PlanDefinition.action.input [
         fhir:index 0 ;
         fhir:Element.id [ fhir:value "eicr-report-ChronicDSSeenPatients" ] ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension" ] ;
           fhir:Extension.valueString [ fhir:value "eicr-report-ChronicDSSeenPatients" ]
         ] ;
         fhir:DataRequirement.type [ fhir:value "Bundle" ]
       ] ;
       fhir:PlanDefinition.action.output [
         fhir:index 0 ;
         fhir:Element.id [ fhir:value "validated-eicr-report" ] ;
         fhir:DataRequirement.type [ fhir:value "Bundle" ] ;
         fhir:DataRequirement.profile [
           fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle" ;
           fhir:index 0 ;
           fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle>
         ]
       ] ;
       fhir:PlanDefinition.action.relatedAction [
         fhir:index 0 ;
         fhir:PlanDefinition.action.relatedAction.actionId [ fhir:value "submit-eicr" ] ;
         fhir:PlanDefinition.action.relatedAction.relationship [ fhir:value "before-start" ]
       ]
     ], [
       fhir:index 2 ;
       fhir:Element.id [ fhir:value "submit-eicr" ] ;
       fhir:PlanDefinition.action.description [ fhir:value "This action represents the validation of the eICR." ] ;
       fhir:PlanDefinition.action.textEquivalent [ fhir:value "Submit eICR" ] ;
       fhir:PlanDefinition.action.code [
         fhir:index 0 ;
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/medmorph/CodeSystem/us-ph-plandefinition-actions" ] ;
           fhir:Coding.code [ fhir:value "submit-report" ]
         ]
       ] ;
       fhir:PlanDefinition.action.input [
         fhir:index 0 ;
         fhir:Element.id [ fhir:value "validated-eicr-report" ] ;
         fhir:Element.extension [
           fhir:index 0 ;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-relateddata-extension" ] ;
           fhir:Extension.valueString [ fhir:value "validated-eicr-report" ]
         ] ;
         fhir:DataRequirement.type [ fhir:value "Bundle" ]
       ] ;
       fhir:PlanDefinition.action.output [
         fhir:index 0 ;
         fhir:Element.id [ fhir:value "eicr-report-submitted" ] ;
         fhir:DataRequirement.type [ fhir:value "Bundle" ] ;
         fhir:DataRequirement.profile [
           fhir:value "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle" ;
           fhir:index 0 ;
           fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-document-bundle>
         ]
       ]
     ]
  ] .

<http://hl7.org/fhir/Device/cqf-tooling> a fhir:Device .

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

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