eCQM QICore Content Implementation Guide
2025.0.0 - CI Build

eCQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/ecqm-content-qicore-2025/ and changes regularly. See the Directory of published versions

: CMS349FHIRHIVScreening - TTL Representation

Active as of 2025-04-15

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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 sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Library ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "CMS349FHIRHIVScreening"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablelibrary>     ] [
fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-computablelibrary>     ] [
fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablelibrary>     ] [
fhir:v "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-executablelibrary>     ] [
fhir:v "http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cql/StructureDefinition/cql-library>     ] [
fhir:v "http://hl7.org/fhir/uv/cql/StructureDefinition/elm-json-library"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cql/StructureDefinition/elm-json-library>     ] [
fhir:v "http://hl7.org/fhir/uv/cql/StructureDefinition/elm-xml-library"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/cql/StructureDefinition/elm-xml-library>     ] )
  ] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <table class=\"grid dict\">\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">CMS349FHIRHIVScreening</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">CMS349FHIRHIVScreening</td>\n        </tr>\n        \n\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">0.3.000</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\">https://madie.cms.gov/Library/CMS349FHIRHIVScreening</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\">\n                <b>\n                    \n                        official\n                    \n                </b>\n            </th>\n            <td style=\"padding-left: 4px;\">\n                \n                <p style=\"margin-bottom: 5px;\">\n                    <span>CMS349FHIRHIVScreening</span>\n                </p>\n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n\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>http://terminology.hl7.org/CodeSystem/library-type</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>logic-library</span>\n                        </p>\n                        \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;\">2025-04-15T18:46:00+00:00</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">Centers for Disease Control and Prevention (CDC)</td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\">CMS349FHIRHIVScreening</td>\n        </tr>\n        \n\n        \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\"><b>Related Artifacts: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                \n                \n                <p><b>Dependencies</b></p>\n                <ul>\n                  \n                    <li>https://madie.cms.gov/Library/SupplementalDataElements|5.1.000</li>\n                  \n                    <li>https://madie.cms.gov/Library/FHIRHelpers|4.4.000</li>\n                  \n                    <li>https://madie.cms.gov/Library/QICoreCommon|4.0.000</li>\n                  \n                    <li>http://loinc.org</li>\n                  \n                    <li>http://terminology.hl7.org/CodeSystem/condition-ver-status</li>\n                  \n                    <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1056.50</li>\n                  \n                    <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022</li>\n                  \n                    <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</li>\n                  \n                    <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024</li>\n                  \n                    <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</li>\n                  \n                    <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</li>\n                  \n                    <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003</li>\n                  \n                </ul>\n                \n                \n                \n                \n                \n            </td>\n        </tr>\n        \n\n        \n\n        \n        <tr>\n          <th scope=\"row\"><b>Data Requirements:</b></th>\n          <td style=\"padding-left: 4px;\">\n            <table class=\"grid-dict\">\n              <tr><th><b>Type</b></th><th><b>Profile</b></th><th><b>MS</b></th><th><b>Code Filter</b></th></tr>\n              \n                <tr>\n                  <th>Patient</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient</th>\n                  <th>;;;</th>\n                  <th>\n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Observation</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab</th>\n                  <th>;;;;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1056.50</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Observation</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation-lab</th>\n                  <th>;;;;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>system: </b> <span>http://loinc.org</span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>code: </b> <span>75622-1</span>\n                          </p>\n                          \n                          \n                          <p style=\"margin-bottom: 5px;\">\n                              <b>display: </b> <span>HIV 1 and 2 tests - Meaningful Use set</span>\n                          </p>\n                          \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Encounter</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter</th>\n                  <th>;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Coverage</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage</th>\n                  <th>;;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>type</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Condition</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns</th>\n                  <th>;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n                <tr>\n                  <th>Condition</th>\n                  <th>http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis</th>\n                  <th>;</th>\n                  <th>\n                    \n                      <b>code filter: </b>\n                      \n                      <br/>\n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>path: </b><span>code</span>\n                      </span>\n                      \n                      <br/>\n                      \n                      \n                      \n                      <span style=\"padding-left: 4px;\">\n                          <b>value set: </b><span>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003</span>\n                      </span>\n                      \n                      \n                    \n                  </th>\n                </tr>\n              \n            </table>\n          </td>\n        </tr>\n        \n\n        \n        \n        <tr>\n          <td colspan=\"2\">\n            <table>\n              <tr><th><a id=\"cql-content\"><b>Content: </b></a> text/cql</th></tr>\n              <tr><td><pre><code class=\"language-cql\">library CMS349FHIRHIVScreening version '0.3.000'#xD;\n#xD;\nusing QICore version '6.0.0'#xD;\n#xD;\ninclude FHIRHelpers version '4.4.000' called FHIRHelpers#xD;\ninclude SupplementalDataElements version '5.1.000' called SDE#xD;\ninclude CQMCommon version '4.0.000' called CQMCommon#xD;\ninclude QICoreCommon version '4.0.000' called QICoreCommon#xD;\n#xD;\ncodesystem \"LOINC\": 'http://loinc.org'#xD;\ncodesystem \"ActCode\": 'http://terminology.hl7.org/CodeSystem/v3-ActCode'#xD;\ncodesystem \"ConditionClinicalStatusCodes\": 'http://terminology.hl7.org/CodeSystem/condition-clinical'#xD;\ncodesystem \"ConditionVerificationStatus\": 'http://terminology.hl7.org/CodeSystem/condition-ver-status'#xD;\ncodesystem \"SNOMEDCT\": 'http://snomed.info/sct'#xD;\n#xD;\nvalueset \"HIV\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.120.12.1003'#xD;\nvalueset \"Human Immunodeficiency Virus (HIV) Laboratory Test Codes (Ab and Ag)\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1056.50'#xD;\nvalueset \"Office Visit\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'#xD;\nvalueset \"Preventive Care Services - Established Office Visit, 18 and Up\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'#xD;\nvalueset \"Preventive Care Services, Initial Office Visit, 0 to 17\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1022'#xD;\nvalueset \"Preventive Care Services-Initial Office Visit, 18 and Up\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'#xD;\nvalueset \"Preventive Care, Established Office Visit, 0 to 17\": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1024'#xD;\n#xD;\ncode \"Birth date\": '21112-8' from \"LOINC\" display 'Birth date'#xD;\ncode \"HIV 1 and 2 tests - Meaningful Use set\": '75622-1' from \"LOINC\" display 'HIV 1 and 2 tests - Meaningful Use set'#xD;\ncode \"AMB\": 'AMB' from \"ActCode\" display 'Ambulatory'#xD;\ncode \"active\": 'active' from \"ConditionClinicalStatusCodes\"#xD;\ncode \"refuted\": 'refuted' from \"ConditionVerificationStatus\"#xD;\ncode \"Dead (finding)\": '419099009' from \"SNOMEDCT\" display 'Dead (finding)'#xD;\n#xD;\nparameter \"Measurement Period\" Interval&lt;DateTime&gt;#xD;\n#xD;\ncontext Patient#xD;\n#xD;\ndefine \"Initial Population\":#xD;\n  AgeInYearsAt(date from start of \"Measurement Period\") in Interval[15, 65]#xD;\n    and exists \"Qualifying Encounters\"#xD;\n#xD;\ndefine \"Denominator\":#xD;\n  \"Initial Population\"#xD;\n#xD;\ndefine \"Numerator\":#xD;\n  ( \"Has HIV Test Performed\" )#xD;\n#xD;\ndefine \"Denominator Exclusions\":#xD;\n  exists ( ( [ConditionProblemsHealthConcerns: \"HIV\"]#xD;\n      union [ConditionEncounterDiagnosis: \"HIV\"] ) HIVDiagnosis#xD;\n      where HIVDiagnosis.prevalenceInterval ( ) starts before day of start of \"Measurement Period\"#xD;\n        and HIVDiagnosis.verificationStatus !~ \"refuted\"#xD;\n  )#xD;\n#xD;\ndefine \"Denominator Exceptions\":#xD;\n  \"Patient Expired\"#xD;\n#xD;\ndefine \"Qualifying Encounters\":#xD;\n  ( [\"Encounter\": type in \"Preventive Care Services, Initial Office Visit, 0 to 17\"]#xD;\n    union [\"Encounter\": type in \"Preventive Care Services-Initial Office Visit, 18 and Up\"]#xD;\n    union [\"Encounter\": type in \"Preventive Care, Established Office Visit, 0 to 17\"]#xD;\n    union [\"Encounter\": type in \"Preventive Care Services - Established Office Visit, 18 and Up\"]#xD;\n    union [\"Encounter\": type in \"Office Visit\"] ) Encounter#xD;\n    where Encounter.period during day of \"Measurement Period\"#xD;\n      and Encounter.status = 'finished'#xD;\n#xD;\ndefine \"Patient Expired\":#xD;\n  Patient.deceased on or before end of \"Measurement Period\"#xD;\n#xD;\ndefine \"Has HIV Test Performed\":#xD;\n  exists ( [\"LaboratoryResultObservation\": \"Human Immunodeficiency Virus (HIV) Laboratory Test Codes (Ab and Ag)\"]#xD;\n    union [\"LaboratoryResultObservation\": \"HIV 1 and 2 tests - Meaningful Use set\"] ) HIVTest#xD;\n    where HIVTest.value is not null#xD;\n      and AgeInYearsAt(date from start of HIVTest.effective.toInterval()) in Interval[15, 65]#xD;\n      and HIVTest.effective.toInterval ( ) starts before end of \"Measurement Period\"#xD;\n      and ( HIVTest.status = 'final'#xD;\n          or HIVTest.status = 'amended'#xD;\n          or HIVTest.status = 'corrected'#xD;\n      )#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\"</code></pre></td></tr>\n            </table>\n          </td>\n        </tr>\n        \n        \n        \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 "option" ] ;
fhir:value [
a fhir:string ;
fhir:v "DisableListDemotion"       ]     ] [
fhir:name [ fhir:v "option" ] ;
fhir:value [
a fhir:string ;
fhir:v "DisableListPromotion"       ]     ] [
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 false       ]     ] [
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 "Overloads"       ]     ] [
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-directReferenceCode"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding, loinc:21112-8 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "21112-8" ] ;
fhir:display [ fhir:v "Birth date" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding, loinc:75622-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "75622-1" ] ;
fhir:display [ fhir:v "HIV 1 and 2 tests - Meaningful Use set" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "AMB" ] ;
fhir:display [ fhir:v "AMB" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ] ;
fhir:display [ fhir:v "active" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "refuted" ] ;
fhir:display [ fhir:v "refuted" ]     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding, sct:419099009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "419099009" ] ;
fhir:display [ fhir:v "Dead (finding)" ]     ]
  ] [
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 "https://madie.cms.gov/Library/CMS349FHIRHIVScreening"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:use [ fhir:v "official" ] ;
fhir:system [ fhir:v "https://madie.cms.gov/login"^^xsd:anyURI ] ;
fhir:value [ fhir:v "CMS349FHIRHIVScreening" ]
  ] ) ; # 
  fhir:version [ fhir:v "0.3.000"] ; # 
  fhir:name [ fhir:v "CMS349FHIRHIVScreening"] ; # 
  fhir:title [ fhir:v "CMS349FHIRHIVScreening"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  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 "2025-04-15T18:46:00+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "Centers for Disease Control and Prevention (CDC)"] ; # 
  fhir:description [ fhir:v "CMS349FHIRHIVScreening"] ; # 
  fhir:content ( [
fhir:contentType [ fhir:v "text/cql" ] ;
fhir:data [ fhir:v "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"^^xsd:base64Binary ]
  ] ) . #