Quality Measure Implementation Guide (STU3)
3.0.0 - STU 3
US
Quality Measure Implementation Guide (STU3)
3.0.0 - STU 3
US
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v3.0.0: STU3) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
| Draft as of 2022-02-22 |
{
"resourceType" : "Measure",
"id" : "HBPComponent",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm",
"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\">\n <table class=\"grid dict\">\n \n <tr>\n <th scope=\"row\"><b>Id: </b></th>\n <td style=\"padding-left: 4px;\">HBPComponent</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Url: </b></th>\n <td style=\"padding-left: 4px;\">http://hl7.org/fhir/us/cqfmeasures/Measure/HBPComponent</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Version: </b></th>\n <td style=\"padding-left: 4px;\">0.0.001</td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Name: </b></th>\n <td style=\"padding-left: 4px;\">HBPComponent</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Title: </b></th>\n <td style=\"padding-left: 4px;\">Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented</td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Status: </b></th>\n <td style=\"padding-left: 4px;\">draft</td>\n </tr>\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 <tr>\n <th scope=\"row\"><b>Scoring: </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/measure-scoring</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>proportion</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>display: </b> <span>Proportion</span>\n </p>\n \n \n \n \n </td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Improvement Notation: </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/measure-improvement-notation</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>increase</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\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/measure-type</span>\n </p>\n \n \n <p style=\"margin-bottom: 5px;\">\n <b>code: </b> <span>process</span>\n </p>\n \n \n \n \n \n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Date: </b></th>\n <td style=\"padding-left: 4px;\">2022-02-22T11:37:03-06:00</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Publisher: </b></th>\n <td style=\"padding-left: 4px;\">Clinical Quality Information WG</td>\n </tr>\n \n \n <tr>\n <th scope=\"row\"><b>Description: </b></th>\n <td style=\"padding-left: 4px;\">This is an example only.</td>\n </tr>\n \n \n \n \n \n \n \n <tr>\n <th scope=\"row\"><b>Supplemental Data: </b></th>\n <td style=\"padding-left: 4px;\">\n <table class=\"grid-dict\">\n <tr><th><b>expression</b></th><th><b>system</b></th></tr>\n \n <tr>\n <td>SDE Ethnicity</td>\n <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n </tr>\n \n <tr>\n <td>SDE Payer</td>\n <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n </tr>\n \n <tr>\n <td>SDE Race</td>\n <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n </tr>\n \n <tr>\n <td>SDE Sex</td>\n <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n </tr>\n \n </table>\n </td>\n </tr>\n \n \n \n <tr>\n <th scope=\"row\"><b>Jurisdiction: </b></th>\n <td style=\"padding-left: 25px;\">US</td>\n </tr>\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;\">2022-01-01..2022-12-31</td>\n </tr>\n \n \n \n \n \n \n </table>\n</div>"
},
"contained" : [
{
"resourceType" : "Library",
"id" : "effective-data-requirements",
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "8480-6",
"display" : "Systolic blood pressure"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "8462-4",
"display" : "Diastolic blood pressure"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "34534-8",
"display" : "EKG 12 channel panel"
}
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "11524-6",
"display" : "EKG study"
}
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SupplementalDataElements"
},
{
"url" : "name",
"valueString" : "SDE Sex"
},
{
"url" : "statement",
"valueString" : "define \"SDE Sex\": case when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' } when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' } else null end"
},
{
"url" : "displaySequence",
"valueInteger" : 0
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "SDE Sex"
},
{
"url" : "statement",
"valueString" : "define \"SDE Sex\": SDE.\"SDE Sex\""
},
{
"url" : "displaySequence",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Qualifying Encounter During Measurement Period"
},
{
"url" : "statement",
"valueString" : "define \"Qualifying Encounter During Measurement Period\": [Encounter: \"Encounter to Screen for Blood Pressure\"] ValidEncounter where ValidEncounter.period during \"Measurement Period\""
},
{
"url" : "displaySequence",
"valueInteger" : 2
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with Normal Blood Pressure Reading"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with Normal Blood Pressure Reading\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter let EncounterLastSystolicBP: Last([Observation: \"Systolic blood pressure\"] SystolicBP where SystolicBP.effective during QualifyingEncounter.period sort by effective ), EncounterLastDiastolicBP: Last([Observation: \"Diastolic blood pressure\"] DiastolicBP where DiastolicBP.effective during QualifyingEncounter.period sort by effective ) where EncounterLastSystolicBP.value included in Interval[1 'mm[Hg]', 120 'mm[Hg]' ) and EncounterLastDiastolicBP.value included in Interval[1 'mm[Hg]', 80 'mm[Hg]' )"
},
{
"url" : "displaySequence",
"valueInteger" : 3
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with Prehypertensive Blood Pressure Reading"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with Prehypertensive Blood Pressure Reading\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter let EncounterLastSystolicBP: Last([Observation: \"Systolic blood pressure\"] SystolicBP where SystolicBP.effective during QualifyingEncounter.period sort by effective ), EncounterLastDiastolicBP: Last([Observation: \"Diastolic blood pressure\"] DiastolicBP where DiastolicBP.effective during QualifyingEncounter.period sort by effective ) where EncounterLastSystolicBP.value included in Interval[1 'mm[Hg]', 140 'mm[Hg]' ) and EncounterLastDiastolicBP.value included in Interval[1 'mm[Hg]', 90 'mm[Hg]' ) and ( EncounterLastSystolicBP.value >= 120 'mm[Hg]' or EncounterLastDiastolicBP.value >= 80 'mm[Hg]' )"
},
{
"url" : "displaySequence",
"valueInteger" : 4
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with Order for Intervention for Hypertension"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with Order for Intervention for Hypertension\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with ( [ServiceRequest: \"Lifestyle Recommendation\"] union [ServiceRequest: \"Weight Reduction Recommended\"] union [ServiceRequest: \"Dietary Recommendations\"] union [ServiceRequest: \"Recommendation to Increase Physical Activity\"] union [ServiceRequest: \"Referral or Counseling for Alcohol Consumption\"] ) HighBloodPressureIntervention such that HighBloodPressureIntervention.authoredOn same day as start of QualifyingEncounter.period"
},
{
"url" : "displaySequence",
"valueInteger" : 5
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with Order for Follow Up Within One Year"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with Order for Follow Up Within One Year\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [ServiceRequest: \"Follow Up Within One Year\"] FollowupOneYear such that FollowupOneYear.authoredOn same day as start of QualifyingEncounter.period"
},
{
"url" : "displaySequence",
"valueInteger" : 6
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with Referral to Alternate Provider for High Blood Pressure Reading"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with Referral to Alternate Provider for High Blood Pressure Reading\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [ServiceRequest: \"Referral to Primary Care or Alternate Provider\"] Referral such that Referral.authoredOn same day as start of QualifyingEncounter.period and Referral.reasonCode in \"Finding of Elevated Blood Pressure or Hypertension\""
},
{
"url" : "displaySequence",
"valueInteger" : 7
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with High Blood Pressure Reading"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with High Blood Pressure Reading\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter let EncounterLastSystolicBP: Last([Observation: \"Systolic blood pressure\"] SystolicBP where SystolicBP.effective during QualifyingEncounter.period sort by effective ), EncounterLastDiastolicBP: Last([Observation: \"Diastolic blood pressure\"] DiastolicBP where DiastolicBP.effective during QualifyingEncounter.period sort by effective ) where EncounterLastSystolicBP.value > 0 'mm[Hg]' and EncounterLastDiastolicBP.value > 0 'mm[Hg]' and ( EncounterLastSystolicBP.value >= 140 'mm[Hg]' or EncounterLastDiastolicBP.value >= 90 'mm[Hg]' )"
},
{
"url" : "displaySequence",
"valueInteger" : 8
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with High Blood Pressure Reading Within Year Prior"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with High Blood Pressure Reading Within Year Prior\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter let EncounterLastSystolicBP: Last([Observation: \"Systolic blood pressure\"] SystolicBP where SystolicBP.effective 1 year or less before start of QualifyingEncounter.period sort by effective ), EncounterLastDiastolicBP: Last([Observation: \"Diastolic blood pressure\"] DiastolicBP where DiastolicBP.effective 1 year or less before start of QualifyingEncounter.period sort by effective ) where EncounterLastSystolicBP.value > 0 'mm[Hg]' and EncounterLastDiastolicBP.value > 0 'mm[Hg]' and ( EncounterLastSystolicBP.value >= 140 'mm[Hg]' or EncounterLastDiastolicBP.value >= 90 'mm[Hg]' )"
},
{
"url" : "displaySequence",
"valueInteger" : 9
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with First Hypertensive Reading"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with First Hypertensive Reading\": \"Encounter with High Blood Pressure Reading\" except \"Encounter with High Blood Pressure Reading Within Year Prior\""
},
{
"url" : "displaySequence",
"valueInteger" : 10
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with Order for Follow Up Within 4 Weeks"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with Order for Follow Up Within 4 Weeks\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [ServiceRequest: \"Follow Up Within 4 Weeks\"] Followup4Weeks such that Followup4Weeks.authoredOn same day as start of QualifyingEncounter.period"
},
{
"url" : "displaySequence",
"valueInteger" : 11
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with Second Hypertensive Reading"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with Second Hypertensive Reading\": \"Encounter with High Blood Pressure Reading\" intersect \"Encounter with High Blood Pressure Reading Within Year Prior\""
},
{
"url" : "displaySequence",
"valueInteger" : 12
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with Order for Laboratory Test for Hypertension"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with Order for Laboratory Test for Hypertension\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [ServiceRequest: \"Laboratory Tests for Hypertension\"] HypertensionLabs such that HypertensionLabs.authoredOn same day as start of QualifyingEncounter.period"
},
{
"url" : "displaySequence",
"valueInteger" : 13
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with Order for Electrocardiogram for Hypertension"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with Order for Electrocardiogram for Hypertension\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with ( [ServiceRequest: \"EKG 12 channel panel\"] union [ServiceRequest: \"EKG study\"] ) ECG such that ECG.authoredOn same day as start of QualifyingEncounter.period"
},
{
"url" : "displaySequence",
"valueInteger" : 14
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with Order for Hypertension Medication"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with Order for Hypertension Medication\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [MedicationRequest: \"Pharmacologic Therapy for Hypertension\"] AntihypertensiveMedication such that AntihypertensiveMedication.authoredOn same day as start of QualifyingEncounter.period"
},
{
"url" : "displaySequence",
"valueInteger" : 15
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Numerator"
},
{
"url" : "statement",
"valueString" : "define \"Numerator\": \"Encounter with Normal Blood Pressure Reading\" union ( \"Encounter with Prehypertensive Blood Pressure Reading\" intersect ( ( \"Encounter with Order for Intervention for Hypertension\" intersect \"Encounter with Order for Follow Up Within One Year\" ) union \"Encounter with Referral to Alternate Provider for High Blood Pressure Reading\" ) ) union ( \"Encounter with First Hypertensive Reading\" intersect ( ( \"Encounter with Order for Intervention for Hypertension\" intersect \"Encounter with Order for Follow Up Within 4 Weeks\" ) union \"Encounter with Referral to Alternate Provider for High Blood Pressure Reading\" ) ) union ( \"Encounter with Second Hypertensive Reading\" intersect ( ( \"Encounter with Order for Intervention for Hypertension\" intersect ( \"Encounter with Order for Laboratory Test for Hypertension\" union \"Encounter with Order for Electrocardiogram for Hypertension\" union \"Encounter with Order for Hypertension Medication\" ) ) union \"Encounter with Referral to Alternate Provider for High Blood Pressure Reading\" ) )"
},
{
"url" : "displaySequence",
"valueInteger" : 16
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Initial Population"
},
{
"url" : "statement",
"valueString" : "define \"Initial Population\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [Patient] BirthDate such that Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of \"Measurement Period\" ) >= 18"
},
{
"url" : "displaySequence",
"valueInteger" : 17
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Denominator"
},
{
"url" : "statement",
"valueString" : "define \"Denominator\": \"Initial Population\""
},
{
"url" : "displaySequence",
"valueInteger" : 18
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SupplementalDataElements"
},
{
"url" : "name",
"valueString" : "SDE Payer"
},
{
"url" : "statement",
"valueString" : "define \"SDE Payer\": [Coverage: type in \"Payer\"] Payer return { code: Payer.type, period: Payer.period }"
},
{
"url" : "displaySequence",
"valueInteger" : 19
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "SDE Payer"
},
{
"url" : "statement",
"valueString" : "define \"SDE Payer\": SDE.\"SDE Payer\""
},
{
"url" : "displaySequence",
"valueInteger" : 20
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SupplementalDataElements"
},
{
"url" : "name",
"valueString" : "SDE Ethnicity"
},
{
"url" : "statement",
"valueString" : "define \"SDE Ethnicity\": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding"
},
{
"url" : "displaySequence",
"valueInteger" : 21
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "SDE Ethnicity"
},
{
"url" : "statement",
"valueString" : "define \"SDE Ethnicity\": SDE.\"SDE Ethnicity\""
},
{
"url" : "displaySequence",
"valueInteger" : 22
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Denominator Exclusions"
},
{
"url" : "statement",
"valueString" : "define \"Denominator Exclusions\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [Condition: \"Diagnosis of Hypertension\"] Hypertension such that Global.\"Prevalence Period\" ( Hypertension ) overlaps before QualifyingEncounter.period"
},
{
"url" : "displaySequence",
"valueInteger" : 23
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "SupplementalDataElements"
},
{
"url" : "name",
"valueString" : "SDE Race"
},
{
"url" : "statement",
"valueString" : "define \"SDE Race\": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding"
},
{
"url" : "displaySequence",
"valueInteger" : 24
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "SDE Race"
},
{
"url" : "statement",
"valueString" : "define \"SDE Race\": SDE.\"SDE Race\""
},
{
"url" : "displaySequence",
"valueInteger" : 25
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with ( [Observation: \"Systolic blood pressure\"] union [Observation: \"Diastolic blood pressure\"] ) NoBPScreen such that ( NoBPScreen.code in \"Medical Reason\" or NoBPScreen.code in \"Patient Declined\" ) and NoBPScreen.effective same day as start of QualifyingEncounter.period and \"Not Done\"(NoBPScreen) and NoBPScreen.status = 'final'"
},
{
"url" : "displaySequence",
"valueInteger" : 26
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Encounter with Order for Hypertension Follow Up Declined by Patient"
},
{
"url" : "statement",
"valueString" : "define \"Encounter with Order for Hypertension Follow Up Declined by Patient\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with ( [ServiceRequest: \"EKG 12 channel panel\"] union [ServiceRequest: \"EKG study\"] union [ServiceRequest: \"Follow Up Within One Year\"] union [ServiceRequest: \"Follow Up Within 4 Weeks\"] union [ServiceRequest: \"Referral to Primary Care or Alternate Provider\"] union [ServiceRequest: \"Lifestyle Recommendation\"] union [ServiceRequest: \"Weight Reduction Recommended\"] union [ServiceRequest: \"Dietary Recommendations\"] union [ServiceRequest: \"Recommendation to Increase Physical Activity\"] union [ServiceRequest: \"Referral or Counseling for Alcohol Consumption\"] union [ServiceRequest: \"Laboratory Tests for Hypertension\"] union [MedicationRequest: \"Pharmacologic Therapy for Hypertension\"] ) NoFollowUpOrdered such that NoFollowUpOrdered.doNotPerform is true and NoFollowUpOrdered.code in \"Patient Declined\" and NoFollowUpOrdered.authoredOn same day as start of QualifyingEncounter.period"
},
{
"url" : "displaySequence",
"valueInteger" : 27
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
},
{
"extension" : [
{
"url" : "libraryName",
"valueString" : "HBPComponent"
},
{
"url" : "name",
"valueString" : "Denominator Exceptions"
},
{
"url" : "statement",
"valueString" : "define \"Denominator Exceptions\": \"Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement\" union \"Encounter with Order for Hypertension Follow Up Declined by Patient\""
},
{
"url" : "displaySequence",
"valueInteger" : 28
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
}
],
"name" : "EffectiveDataRequirements",
"status" : "active",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/library-type",
"code" : "module-definition"
}
]
},
"date" : "2022-02-22T10:37:03-07:00",
"relatedArtifact" : [
{
"type" : "depends-on",
"display" : "Library SDE",
"resource" : "http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000"
},
{
"type" : "depends-on",
"display" : "Library FHIRHelpers",
"resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
},
{
"type" : "depends-on",
"display" : "Library Global",
"resource" : "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000"
},
{
"type" : "depends-on",
"display" : "Code system LOINC",
"resource" : "http://loinc.org"
},
{
"type" : "depends-on",
"display" : "Value set Encounter to Screen for Blood Pressure",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920"
},
{
"type" : "depends-on",
"display" : "Value set Lifestyle Recommendation",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581"
},
{
"type" : "depends-on",
"display" : "Value set Weight Reduction Recommended",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510"
},
{
"type" : "depends-on",
"display" : "Value set Dietary Recommendations",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515"
},
{
"type" : "depends-on",
"display" : "Value set Recommendation to Increase Physical Activity",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518"
},
{
"type" : "depends-on",
"display" : "Value set Referral or Counseling for Alcohol Consumption",
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},
{
"type" : "depends-on",
"display" : "Value set Follow Up Within One Year",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579"
},
{
"type" : "depends-on",
"display" : "Value set Referral to Primary Care or Alternate Provider",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580"
},
{
"type" : "depends-on",
"display" : "Value set Finding of Elevated Blood Pressure or Hypertension",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.514"
},
{
"type" : "depends-on",
"display" : "Value set Follow Up Within 4 Weeks",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578"
},
{
"type" : "depends-on",
"display" : "Value set Laboratory Tests for Hypertension",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482"
},
{
"type" : "depends-on",
"display" : "Value set Pharmacologic Therapy for Hypertension",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577"
},
{
"type" : "depends-on",
"display" : "Value set Payer",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
},
{
"type" : "depends-on",
"display" : "Value set Diagnosis of Hypertension",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263"
},
{
"type" : "depends-on",
"display" : "Value set Medical Reason",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007"
},
{
"type" : "depends-on",
"display" : "Value set Patient Declined",
"resource" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1582"
}
],
"parameter" : [
{
"name" : "Measurement Period",
"use" : "in",
"min" : 0,
"max" : "1",
"type" : "Period"
},
{
"name" : "SDE Sex",
"use" : "out",
"min" : 0,
"max" : "1",
"type" : "Coding"
},
{
"name" : "Numerator",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Encounter"
},
{
"name" : "Denominator",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Encounter"
},
{
"name" : "SDE Payer",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Any"
},
{
"name" : "Initial Population",
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"min" : 0,
"max" : "*",
"type" : "Encounter"
},
{
"name" : "SDE Ethnicity",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Coding"
},
{
"name" : "Denominator Exclusions",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Encounter"
},
{
"name" : "SDE Race",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Coding"
},
{
"name" : "Denominator Exceptions",
"use" : "out",
"min" : 0,
"max" : "*",
"type" : "Encounter"
}
],
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{
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],
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],
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}
]
}
]
},
{
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]
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{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580"
}
]
},
{
"type" : "Condition",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/Condition"
],
"mustSupport" : [
"code"
],
"codeFilter" : [
{
"path" : "code",
"valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263"
}
]
}
]
}
],
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
"valueCode" : "Encounter"
},
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
"valueReference" : {
"reference" : "Device/software-system-example"
}
},
{
"id" : "effective-data-requirements",
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
"valueReference" : {
"reference" : "#effective-data-requirements"
}
}
],
"url" : "http://hl7.org/fhir/us/cqfmeasures/Measure/HBPComponent",
"version" : "0.0.001",
"name" : "HBPComponent",
"title" : "Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented",
"status" : "draft",
"experimental" : true,
"date" : "2022-02-22T11:37:03-06:00",
"publisher" : "Clinical Quality Information WG",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cqi"
}
]
}
],
"description" : "This is an example only.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"effectivePeriod" : {
"start" : "2022-01-01",
"end" : "2022-12-31"
},
"library" : [
"http://hl7.org/fhir/us/cqfmeasures/Library/HBPComponent"
],
"scoring" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "proportion",
"display" : "Proportion"
}
]
},
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-type",
"code" : "process"
}
]
}
],
"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase"
}
]
},
"group" : [
{
"population" : [
{
"id" : "53248B01-E1CF-4C67-AE39-8483F8114CAE",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "initial-population",
"display" : "Initial Population"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Initial Population"
}
},
{
"id" : "9D2AB719-A4D5-41D3-8785-7DBE8CA10FD3",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator",
"display" : "Denominator"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Denominator"
}
},
{
"id" : "165DEA75-8DF1-4F2C-9F8A-BBEE1A02A5D6",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion",
"display" : "Denominator Exclusion"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Denominator Exclusions"
}
},
{
"id" : "BF70F2AC-568C-4587-AF54-E4F54E6FCC83",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exception",
"display" : "Denominator Exception"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Denominator Exceptions"
}
},
{
"id" : "7B0319A6-913B-4F39-8D3C-04FA0A6B5C3A",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator",
"display" : "Numerator"
}
]
},
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "Numerator"
}
}
]
}
],
"supplementalData" : [
{
"id" : "cd02ebb6-a0bf-4196-90f9-80f2a8a79bbf",
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "SDE Ethnicity"
}
},
{
"id" : "a67a3fc7-cedd-4d78-b7b0-4718fa7f3e2b",
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "SDE Payer"
}
},
{
"id" : "3dc8840d-cc30-44af-a233-3b2b6c602060",
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "SDE Race"
}
},
{
"id" : "5a4e95aa-f8b3-400f-89b3-02555a361251",
"usage" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-data-usage",
"code" : "supplemental-data"
}
]
}
],
"criteria" : {
"language" : "text/cql-identifier",
"expression" : "SDE Sex"
}
}
]
}
IG © 2019+ Clinical Quality Information WG. Package hl7.fhir.us.cqfmeasures#3.0.0 based on FHIR 4.0.1. Generated 2022-04-28
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