<status value="active"/> <date value="2014-03-26"/> <compose> <include> <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"/> <filter> <property value="concept"/> <op value="is-a"/> <value value="QUALF"/> </filter> </include> </compose> </ValueSet>

Include codes from http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType where concept is-a QUALF

<status value="active"/> <date value="2014-03-26"/> <compose> <include> <system value="http://terminology.hl7.org/CodeSystem/v3-ActRelationshipType"/> <filter> <property value="concept"/> <op value="is-a"/> <value value="QUALF"/> </filter> </include> </compose> </ValueSet>