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

: Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented - TTL Representation

Draft as of 2022-02-22

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@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 -------------------------------------------------------------------

 a fhir:Measure;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "HBPComponent"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm>     ], [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm";
       fhir:index 1;
       fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm>     ]
  ];
  fhir:Resource.language [ fhir:value "en"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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>"
  ];
  fhir:DomainResource.contained [
     a fhir:Library;
     fhir:index 0;
     fhir:Resource.id [ fhir:value "effective-data-requirements" ];
     fhir:DomainResource.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
       fhir:Extension.valueCoding [
         a loinc:8480-6;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "8480-6" ];
         fhir:Coding.display [ fhir:value "Systolic blood pressure" ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
       fhir:Extension.valueCoding [
         a loinc:8462-4;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "8462-4" ];
         fhir:Coding.display [ fhir:value "Diastolic blood pressure" ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
       fhir:Extension.valueCoding [
         a loinc:34534-8;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "34534-8" ];
         fhir:Coding.display [ fhir:value "EKG 12 channel panel" ]       ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
       fhir:Extension.valueCoding [
         a loinc:11524-6;
         fhir:Coding.system [ fhir:value "http://loinc.org" ];
         fhir:Coding.code [ fhir:value "11524-6" ];
         fhir:Coding.display [ fhir:value "EKG study" ]       ]     ], [
       fhir:index 4;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Sex" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 5;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Sex" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"SDE Sex\":   SDE.\"SDE Sex\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 6;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Qualifying Encounter During Measurement Period" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Qualifying Encounter During Measurement Period\":   [Encounter: \"Encounter to Screen for Blood Pressure\"] ValidEncounter       where ValidEncounter.period during \"Measurement Period\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 7;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with Normal Blood Pressure Reading" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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]' )" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 8;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with Prehypertensive Blood Pressure Reading" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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]'         )" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 9;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with Order for Intervention for Hypertension" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "5"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 10;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with Order for Follow Up Within One Year" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 11;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with Referral to Alternate Provider for High Blood Pressure Reading" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "7"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 12;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with High Blood Pressure Reading" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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]'         )" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "8"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 13;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with High Blood Pressure Reading Within Year Prior" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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]'         )" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "9"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 14;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with First Hypertensive Reading" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Encounter with First Hypertensive Reading\":   \"Encounter with High Blood Pressure Reading\"       except \"Encounter with High Blood Pressure Reading Within Year Prior\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "10"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 15;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with Order for Follow Up Within 4 Weeks" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "11"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 16;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with Second Hypertensive Reading" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Encounter with Second Hypertensive Reading\":   \"Encounter with High Blood Pressure Reading\"       intersect \"Encounter with High Blood Pressure Reading Within Year Prior\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "12"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 17;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with Order for Laboratory Test for Hypertension" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "13"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 18;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with Order for Electrocardiogram for Hypertension" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "14"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 19;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with Order for Hypertension Medication" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "15"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 20;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Numerator" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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\"           )       )" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "16"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 21;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Initial Population" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "17"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 22;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Denominator" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"Denominator\":   \"Initial Population\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "18"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 23;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Payer" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"SDE Payer\":   [Coverage: type in \"Payer\"] Payer         return {           code: Payer.type,           period: Payer.period         }" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "19"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 24;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Payer" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"SDE Payer\":   SDE.\"SDE Payer\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "20"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 25;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Ethnicity" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "21"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 26;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Ethnicity" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"SDE Ethnicity\":   SDE.\"SDE Ethnicity\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "22"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 27;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Denominator Exclusions" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "23"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 28;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Race" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "24"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 29;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "SDE Race" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "define \"SDE Race\":   SDE.\"SDE Race\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "25"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 30;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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'" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "26"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 31;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Encounter with Order for Hypertension Follow Up Declined by Patient" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "27"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ], [
       fhir:index 32;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "libraryName" ];
         fhir:Extension.valueString [ fhir:value "HBPComponent" ]       ], [
         fhir:index 1;
         fhir:Extension.url [ fhir:value "name" ];
         fhir:Extension.valueString [ fhir:value "Denominator Exceptions" ]       ], [
         fhir:index 2;
         fhir:Extension.url [ fhir:value "statement" ];
         fhir:Extension.valueString [ fhir:value "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\"" ]       ], [
         fhir:index 3;
         fhir:Extension.url [ fhir:value "displaySequence" ];
         fhir:Extension.valueInteger [ fhir:value "28"^^xsd:integer ]       ];
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]     ];
     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.date [ fhir:value "2022-02-22T10:37:03-07:00"^^xsd:dateTime ];
     fhir:Library.relatedArtifact [
       fhir:index 0;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Library SDE" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000";
         fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000>       ]     ], [
       fhir:index 1;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1";
         fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1>       ]     ], [
       fhir:index 2;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Library Global" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000";
         fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000>       ]     ], [
       fhir:index 3;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Code system LOINC" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://loinc.org";
         fhir:link <http://loinc.org>       ]     ], [
       fhir:index 4;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Encounter to Screen for Blood Pressure" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920>       ]     ], [
       fhir:index 5;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Lifestyle Recommendation" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581>       ]     ], [
       fhir:index 6;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Weight Reduction Recommended" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510>       ]     ], [
       fhir:index 7;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Dietary Recommendations" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515>       ]     ], [
       fhir:index 8;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Recommendation to Increase Physical Activity" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518>       ]     ], [
       fhir:index 9;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Referral or Counseling for Alcohol Consumption" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583>       ]     ], [
       fhir:index 10;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Follow Up Within One Year" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579>       ]     ], [
       fhir:index 11;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Referral to Primary Care or Alternate Provider" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580>       ]     ], [
       fhir:index 12;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Finding of Elevated Blood Pressure or Hypertension" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.514";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.514>       ]     ], [
       fhir:index 13;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Follow Up Within 4 Weeks" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578>       ]     ], [
       fhir:index 14;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Laboratory Tests for Hypertension" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482>       ]     ], [
       fhir:index 15;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Pharmacologic Therapy for Hypertension" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577>       ]     ], [
       fhir:index 16;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Payer" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591>       ]     ], [
       fhir:index 17;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Diagnosis of Hypertension" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263>       ]     ], [
       fhir:index 18;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Medical Reason" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007>       ]     ], [
       fhir:index 19;
       fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
       fhir:RelatedArtifact.display [ fhir:value "Value set Patient Declined" ];
       fhir:RelatedArtifact.resource [
         fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1582";
         fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1582>       ]     ];
     fhir:Library.parameter [
       fhir:index 0;
       fhir:ParameterDefinition.name [ fhir:value "Measurement Period" ];
       fhir:ParameterDefinition.use [ fhir:value "in" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "Period" ]     ], [
       fhir:index 1;
       fhir:ParameterDefinition.name [ fhir:value "SDE Sex" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "Coding" ]     ], [
       fhir:index 2;
       fhir:ParameterDefinition.name [ fhir:value "Numerator" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ], [
       fhir:index 3;
       fhir:ParameterDefinition.name [ fhir:value "Denominator" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ], [
       fhir:index 4;
       fhir:ParameterDefinition.name [ fhir:value "SDE Payer" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Any" ]     ], [
       fhir:index 5;
       fhir:ParameterDefinition.name [ fhir:value "Initial Population" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ], [
       fhir:index 6;
       fhir:ParameterDefinition.name [ fhir:value "SDE Ethnicity" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Coding" ]     ], [
       fhir:index 7;
       fhir:ParameterDefinition.name [ fhir:value "Denominator Exclusions" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ], [
       fhir:index 8;
       fhir:ParameterDefinition.name [ fhir:value "SDE Race" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Coding" ]     ], [
       fhir:index 9;
       fhir:ParameterDefinition.name [ fhir:value "Denominator Exceptions" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ];
     fhir:Library.dataRequirement [
       fhir:index 0;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8480-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8480-6" ];
           fhir:Coding.display [ fhir:value "Systolic blood pressure" ]         ]       ]     ], [
       fhir:index 1;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8462-4;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8462-4" ];
           fhir:Coding.display [ fhir:value "Diastolic blood pressure" ]         ]       ]     ], [
       fhir:index 2;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8480-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8480-6" ];
           fhir:Coding.display [ fhir:value "Systolic blood pressure" ]         ]       ]     ], [
       fhir:index 3;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8462-4;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8462-4" ];
           fhir:Coding.display [ fhir:value "Diastolic blood pressure" ]         ]       ]     ], [
       fhir:index 4;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8480-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8480-6" ];
           fhir:Coding.display [ fhir:value "Systolic blood pressure" ]         ]       ]     ], [
       fhir:index 5;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8462-4;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8462-4" ];
           fhir:Coding.display [ fhir:value "Diastolic blood pressure" ]         ]       ]     ], [
       fhir:index 6;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8480-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8480-6" ];
           fhir:Coding.display [ fhir:value "Systolic blood pressure" ]         ]       ]     ], [
       fhir:index 7;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8462-4;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8462-4" ];
           fhir:Coding.display [ fhir:value "Diastolic blood pressure" ]         ]       ]     ], [
       fhir:index 8;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8462-4;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8462-4" ];
           fhir:Coding.display [ fhir:value "Diastolic blood pressure" ]         ]       ]     ], [
       fhir:index 9;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8480-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8480-6" ];
           fhir:Coding.display [ fhir:value "Systolic blood pressure" ]         ]       ]     ], [
       fhir:index 10;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8462-4;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8462-4" ];
           fhir:Coding.display [ fhir:value "Diastolic blood pressure" ]         ]       ]     ], [
       fhir:index 11;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8480-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8480-6" ];
           fhir:Coding.display [ fhir:value "Systolic blood pressure" ]         ]       ]     ], [
       fhir:index 12;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8480-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8480-6" ];
           fhir:Coding.display [ fhir:value "Systolic blood pressure" ]         ]       ]     ], [
       fhir:index 13;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8462-4;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8462-4" ];
           fhir:Coding.display [ fhir:value "Diastolic blood pressure" ]         ]       ]     ], [
       fhir:index 14;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8480-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8480-6" ];
           fhir:Coding.display [ fhir:value "Systolic blood pressure" ]         ]       ]     ], [
       fhir:index 15;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8462-4;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8462-4" ];
           fhir:Coding.display [ fhir:value "Diastolic blood pressure" ]         ]       ]     ], [
       fhir:index 16;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8462-4;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8462-4" ];
           fhir:Coding.display [ fhir:value "Diastolic blood pressure" ]         ]       ]     ], [
       fhir:index 17;
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "effective";
         fhir:index 0       ], [
         fhir:value "code";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:8480-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "8480-6" ];
           fhir:Coding.display [ fhir:value "Systolic blood pressure" ]         ]       ]     ], [
       fhir:index 18;
       fhir:DataRequirement.type [ fhir:value "Coverage" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Coverage";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Coverage>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "period";
         fhir:index 0       ], [
         fhir:value "type";
         fhir:index 1       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591>         ]       ]     ], [
       fhir:index 19;
       fhir:DataRequirement.type [ fhir:value "Patient" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "extension";
         fhir:index 0       ], [
         fhir:value "birthDate";
         fhir:index 1       ], [
         fhir:value "value";
         fhir:index 2       ], [
         fhir:value "url";
         fhir:index 3       ]     ], [
       fhir:index 20;
       fhir:DataRequirement.type [ fhir:value "MedicationRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/MedicationRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "authoredOn";
         fhir:index 0       ], [
         fhir:value "medication";
         fhir:index 1       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "medication" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577>         ]       ]     ], [
       fhir:index 21;
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "period";
         fhir:index 0       ], [
         fhir:value "type";
         fhir:index 1       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920>         ]       ]     ], [
       fhir:index 22;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:34534-8;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "34534-8" ];
           fhir:Coding.display [ fhir:value "EKG 12 channel panel" ]         ]       ]     ], [
       fhir:index 23;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:11524-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "11524-6" ];
           fhir:Coding.display [ fhir:value "EKG study" ]         ]       ]     ], [
       fhir:index 24;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:34534-8;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "34534-8" ];
           fhir:Coding.display [ fhir:value "EKG 12 channel panel" ]         ]       ]     ], [
       fhir:index 25;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           a loinc:11524-6;
           fhir:Coding.system [ fhir:value "http://loinc.org" ];
           fhir:Coding.code [ fhir:value "11524-6" ];
           fhir:Coding.display [ fhir:value "EKG study" ]         ]       ]     ], [
       fhir:index 26;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581>         ]       ]     ], [
       fhir:index 27;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510>         ]       ]     ], [
       fhir:index 28;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515>         ]       ]     ], [
       fhir:index 29;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518>         ]       ]     ], [
       fhir:index 30;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583>         ]       ]     ], [
       fhir:index 31;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ], [
         fhir:value "authoredOn";
         fhir:index 1       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482>         ]       ]     ], [
       fhir:index 32;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ], [
         fhir:value "authoredOn";
         fhir:index 1       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579>         ]       ]     ], [
       fhir:index 33;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ], [
         fhir:value "authoredOn";
         fhir:index 1       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578>         ]       ]     ], [
       fhir:index 34;
       fhir:DataRequirement.type [ fhir:value "ServiceRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/ServiceRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/ServiceRequest>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ], [
         fhir:value "authoredOn";
         fhir:index 1       ], [
         fhir:value "reasonCode";
         fhir:index 2       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580>         ]       ]     ], [
       fhir:index 35;
       fhir:DataRequirement.type [ fhir:value "Condition" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Condition>       ];
       fhir:DataRequirement.mustSupport [
         fhir:value "code";
         fhir:index 0       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263>         ]       ]     ]
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
     fhir:Extension.valueCode [ fhir:value "Encounter" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "Device/software-system-example" ]     ]
  ], [
     fhir:index 2;
     fhir:Element.id [ fhir:value "effective-data-requirements" ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements" ];
     fhir:Extension.valueReference [
       fhir:Reference.reference [ fhir:value "#effective-data-requirements" ]     ]
  ];
  fhir:Measure.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/HBPComponent"];
  fhir:Measure.version [ fhir:value "0.0.001"];
  fhir:Measure.name [ fhir:value "HBPComponent"];
  fhir:Measure.title [ fhir:value "Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented"];
  fhir:Measure.status [ fhir:value "draft"];
  fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:Measure.date [ fhir:value "2022-02-22T11:37:03-06:00"^^xsd:dateTime];
  fhir:Measure.publisher [ fhir:value "Clinical Quality Information WG"];
  fhir:Measure.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cqi" ]     ]
  ];
  fhir:Measure.description [ fhir:value "This is an example only."];
  fhir:Measure.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ];
  fhir:Measure.effectivePeriod [
     fhir:Period.start [ fhir:value "2022-01-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2022-12-31"^^xsd:date ]
  ];
  fhir:Measure.library [
     fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/HBPComponent";
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/HBPComponent>
  ];
  fhir:Measure.scoring [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
       fhir:Coding.code [ fhir:value "proportion" ];
       fhir:Coding.display [ fhir:value "Proportion" ]     ]
  ];
  fhir:Measure.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
       fhir:Coding.code [ fhir:value "process" ]     ]
  ];
  fhir:Measure.improvementNotation [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
       fhir:Coding.code [ fhir:value "increase" ]     ]
  ];
  fhir:Measure.group [
     fhir:index 0;
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Element.id [ fhir:value "53248B01-E1CF-4C67-AE39-8483F8114CAE" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Initial Population" ]       ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "9D2AB719-A4D5-41D3-8785-7DBE8CA10FD3" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ];
           fhir:Coding.display [ fhir:value "Denominator" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Denominator" ]       ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "165DEA75-8DF1-4F2C-9F8A-BBEE1A02A5D6" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator-exclusion" ];
           fhir:Coding.display [ fhir:value "Denominator Exclusion" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Denominator Exclusions" ]       ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "BF70F2AC-568C-4587-AF54-E4F54E6FCC83" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator-exception" ];
           fhir:Coding.display [ fhir:value "Denominator Exception" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Denominator Exceptions" ]       ]     ], [
       fhir:index 4;
       fhir:Element.id [ fhir:value "7B0319A6-913B-4F39-8D3C-04FA0A6B5C3A" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ];
           fhir:Coding.display [ fhir:value "Numerator" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Numerator" ]       ]     ]
  ];
  fhir:Measure.supplementalData [
     fhir:index 0;
     fhir:Element.id [ fhir:value "cd02ebb6-a0bf-4196-90f9-80f2a8a79bbf" ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql-identifier" ];
       fhir:Expression.expression [ fhir:value "SDE Ethnicity" ]     ]
  ], [
     fhir:index 1;
     fhir:Element.id [ fhir:value "a67a3fc7-cedd-4d78-b7b0-4718fa7f3e2b" ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql-identifier" ];
       fhir:Expression.expression [ fhir:value "SDE Payer" ]     ]
  ], [
     fhir:index 2;
     fhir:Element.id [ fhir:value "3dc8840d-cc30-44af-a233-3b2b6c602060" ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql-identifier" ];
       fhir:Expression.expression [ fhir:value "SDE Race" ]     ]
  ], [
     fhir:index 3;
     fhir:Element.id [ fhir:value "5a4e95aa-f8b3-400f-89b3-02555a361251" ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql-identifier" ];
       fhir:Expression.expression [ fhir:value "SDE Sex" ]     ]
  ].

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

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.