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 - XML Representation

Draft as of 2022-02-22

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<Measure xmlns="http://hl7.org/fhir">
  <id value="HBPComponent"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">HBPComponent</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;">http://hl7.org/fhir/us/cqfmeasures/Measure/HBPComponent</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">0.0.001</td>
        </tr>
        
        
        
        <tr>
            <th scope="row"><b>Name: </b></th>
            <td style="padding-left: 4px;">HBPComponent</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented</td>
        </tr>
        
        
        
        <tr>
            <th scope="row"><b>Status: </b></th>
            <td style="padding-left: 4px;">draft</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Experimental: </b></th>
            <td style="padding-left: 4px;">true</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Scoring: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-scoring</span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>proportion</span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>display: </b> <span>Proportion</span>
                        </p>
                        
                    
                
                
            </td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Improvement Notation: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-improvement-notation</span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>increase</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-type</span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>process</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        
        
        
        <tr>
            <th scope="row"><b>Date: </b></th>
            <td style="padding-left: 4px;">2022-02-22T11:37:03-06:00</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Publisher: </b></th>
            <td style="padding-left: 4px;">Clinical Quality Information WG</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Description: </b></th>
            <td style="padding-left: 4px;">This is an example only.</td>
        </tr>
        
        
        
        
        
        
        
            <tr>
                <th scope="row"><b>Supplemental Data: </b></th>
                <td style="padding-left: 4px;">
                    <table class="grid-dict">
                        <tr><th><b>expression</b></th><th><b>system</b></th></tr>
                        
                        <tr>
                            <td>SDE Ethnicity</td>
                            <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>
                        </tr>
                        
                        <tr>
                            <td>SDE Payer</td>
                            <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>
                        </tr>
                        
                        <tr>
                            <td>SDE Race</td>
                            <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>
                        </tr>
                        
                        <tr>
                            <td>SDE Sex</td>
                            <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>
                        </tr>
                        
                    </table>
                </td>
            </tr>
        
        
        
        <tr>
            <th scope="row"><b>Jurisdiction: </b></th>
            <td style="padding-left: 25px;">US</td>
        </tr>
        
        
        
        
        
        
        
        
        
        <tr>
            <th scope="row"><b>Effective Period: </b></th>
            <td style="padding-left: 4px;">2022-01-01..2022-12-31</td>
        </tr>
        
        
        
        
        
        
    </table>
</div>
  </text>
  <contained>
    <Library>
      <id value="effective-data-requirements"/>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="8480-6"/>
          <display value="Systolic blood pressure"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="8462-4"/>
          <display value="Diastolic blood pressure"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="34534-8"/>
          <display value="EKG 12 channel panel"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://loinc.org"/>
          <code value="11524-6"/>
          <display value="EKG study"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="SupplementalDataElements"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Sex"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Sex&quot;:   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"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="0"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Sex"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Sex&quot;:   SDE.&quot;SDE Sex&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Qualifying Encounter During Measurement Period"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Qualifying Encounter During Measurement Period&quot;:   [Encounter: &quot;Encounter to Screen for Blood Pressure&quot;] ValidEncounter       where ValidEncounter.period during &quot;Measurement Period&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="2"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Encounter with Normal Blood Pressure Reading"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with Normal Blood Pressure Reading&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       let EncounterLastSystolicBP: Last([Observation: &quot;Systolic blood pressure&quot;] SystolicBP           where SystolicBP.effective during QualifyingEncounter.period           sort by effective       ),       EncounterLastDiastolicBP: Last([Observation: &quot;Diastolic blood pressure&quot;] 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]' )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="3"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Encounter with Prehypertensive Blood Pressure Reading"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with Prehypertensive Blood Pressure Reading&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       let EncounterLastSystolicBP: Last([Observation: &quot;Systolic blood pressure&quot;] SystolicBP           where SystolicBP.effective during QualifyingEncounter.period           sort by effective       ),       EncounterLastDiastolicBP: Last([Observation: &quot;Diastolic blood pressure&quot;] 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 &gt;= 120 'mm[Hg]'             or EncounterLastDiastolicBP.value &gt;= 80 'mm[Hg]'         )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="4"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Encounter with Order for Intervention for Hypertension"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with Order for Intervention for Hypertension&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       with ( [ServiceRequest: &quot;Lifestyle Recommendation&quot;]         union [ServiceRequest: &quot;Weight Reduction Recommended&quot;]         union [ServiceRequest: &quot;Dietary Recommendations&quot;]         union [ServiceRequest: &quot;Recommendation to Increase Physical Activity&quot;]         union [ServiceRequest: &quot;Referral or Counseling for Alcohol Consumption&quot;] ) HighBloodPressureIntervention         such that HighBloodPressureIntervention.authoredOn same day as start of QualifyingEncounter.period"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="5"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Encounter with Order for Follow Up Within One Year"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with Order for Follow Up Within One Year&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       with [ServiceRequest: &quot;Follow Up Within One Year&quot;] FollowupOneYear         such that FollowupOneYear.authoredOn same day as start of QualifyingEncounter.period"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="6"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Encounter with Referral to Alternate Provider for High Blood Pressure Reading"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with Referral to Alternate Provider for High Blood Pressure Reading&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       with [ServiceRequest: &quot;Referral to Primary Care or Alternate Provider&quot;] Referral         such that Referral.authoredOn same day as start of QualifyingEncounter.period           and Referral.reasonCode in &quot;Finding of Elevated Blood Pressure or Hypertension&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="7"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Encounter with High Blood Pressure Reading"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with High Blood Pressure Reading&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       let EncounterLastSystolicBP: Last([Observation: &quot;Systolic blood pressure&quot;] SystolicBP           where SystolicBP.effective during QualifyingEncounter.period           sort by effective       ),       EncounterLastDiastolicBP: Last([Observation: &quot;Diastolic blood pressure&quot;] DiastolicBP           where DiastolicBP.effective during QualifyingEncounter.period           sort by effective       )       where EncounterLastSystolicBP.value &gt; 0 'mm[Hg]'         and EncounterLastDiastolicBP.value &gt; 0 'mm[Hg]'         and ( EncounterLastSystolicBP.value &gt;= 140 'mm[Hg]'             or EncounterLastDiastolicBP.value &gt;= 90 'mm[Hg]'         )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Encounter with High Blood Pressure Reading Within Year Prior"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with High Blood Pressure Reading Within Year Prior&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       let EncounterLastSystolicBP: Last([Observation: &quot;Systolic blood pressure&quot;] SystolicBP           where SystolicBP.effective 1 year or less before start of QualifyingEncounter.period           sort by effective       ),       EncounterLastDiastolicBP: Last([Observation: &quot;Diastolic blood pressure&quot;] DiastolicBP           where DiastolicBP.effective 1 year or less before start of QualifyingEncounter.period           sort by effective       )       where EncounterLastSystolicBP.value &gt; 0 'mm[Hg]'         and EncounterLastDiastolicBP.value &gt; 0 'mm[Hg]'         and ( EncounterLastSystolicBP.value &gt;= 140 'mm[Hg]'             or EncounterLastDiastolicBP.value &gt;= 90 'mm[Hg]'         )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="9"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Encounter with First Hypertensive Reading"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with First Hypertensive Reading&quot;:   &quot;Encounter with High Blood Pressure Reading&quot;       except &quot;Encounter with High Blood Pressure Reading Within Year Prior&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="10"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Encounter with Order for Follow Up Within 4 Weeks"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with Order for Follow Up Within 4 Weeks&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       with [ServiceRequest: &quot;Follow Up Within 4 Weeks&quot;] Followup4Weeks         such that Followup4Weeks.authoredOn same day as start of QualifyingEncounter.period"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="11"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Encounter with Second Hypertensive Reading"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with Second Hypertensive Reading&quot;:   &quot;Encounter with High Blood Pressure Reading&quot;       intersect &quot;Encounter with High Blood Pressure Reading Within Year Prior&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="12"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Encounter with Order for Laboratory Test for Hypertension"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with Order for Laboratory Test for Hypertension&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       with [ServiceRequest: &quot;Laboratory Tests for Hypertension&quot;] HypertensionLabs         such that HypertensionLabs.authoredOn same day as start of QualifyingEncounter.period"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="13"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Encounter with Order for Electrocardiogram for Hypertension"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with Order for Electrocardiogram for Hypertension&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       with ( [ServiceRequest: &quot;EKG 12 channel panel&quot;]         union [ServiceRequest: &quot;EKG study&quot;] ) ECG         such that ECG.authoredOn same day as start of QualifyingEncounter.period"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="14"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Encounter with Order for Hypertension Medication"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with Order for Hypertension Medication&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       with [MedicationRequest: &quot;Pharmacologic Therapy for Hypertension&quot;] AntihypertensiveMedication         such that AntihypertensiveMedication.authoredOn same day as start of QualifyingEncounter.period"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="15"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Numerator"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Numerator&quot;:   &quot;Encounter with Normal Blood Pressure Reading&quot;       union ( &quot;Encounter with Prehypertensive Blood Pressure Reading&quot;           intersect ( ( &quot;Encounter with Order for Intervention for Hypertension&quot;                 intersect &quot;Encounter with Order for Follow Up Within One Year&quot;             )               union &quot;Encounter with Referral to Alternate Provider for High Blood Pressure Reading&quot;           )       )       union ( &quot;Encounter with First Hypertensive Reading&quot;           intersect ( ( &quot;Encounter with Order for Intervention for Hypertension&quot;                 intersect &quot;Encounter with Order for Follow Up Within 4 Weeks&quot;             )               union &quot;Encounter with Referral to Alternate Provider for High Blood Pressure Reading&quot;           )       )       union ( &quot;Encounter with Second Hypertensive Reading&quot;           intersect ( ( &quot;Encounter with Order for Intervention for Hypertension&quot;                 intersect ( &quot;Encounter with Order for Laboratory Test for Hypertension&quot;                     union &quot;Encounter with Order for Electrocardiogram for Hypertension&quot;                     union &quot;Encounter with Order for Hypertension Medication&quot;                 )             )               union &quot;Encounter with Referral to Alternate Provider for High Blood Pressure Reading&quot;           )       )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="16"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Initial Population"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Initial Population&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       with [Patient] BirthDate         such that Global.&quot;CalendarAgeInYearsAt&quot; ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of &quot;Measurement Period&quot; ) &gt;= 18"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="17"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Denominator"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Denominator&quot;:   &quot;Initial Population&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="18"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="SupplementalDataElements"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Payer"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Payer&quot;:   [Coverage: type in &quot;Payer&quot;] Payer         return {           code: Payer.type,           period: Payer.period         }"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="19"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Payer"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Payer&quot;:   SDE.&quot;SDE Payer&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="20"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="SupplementalDataElements"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Ethnicity"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Ethnicity&quot;:   (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"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="21"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Ethnicity"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Ethnicity&quot;:   SDE.&quot;SDE Ethnicity&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="22"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Denominator Exclusions"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Denominator Exclusions&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       with [Condition: &quot;Diagnosis of Hypertension&quot;] Hypertension         such that Global.&quot;Prevalence Period&quot; ( Hypertension ) overlaps before QualifyingEncounter.period"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="23"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="SupplementalDataElements"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Race"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Race&quot;:   (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"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="24"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Race"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Race&quot;:   SDE.&quot;SDE Race&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="25"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       with ( [Observation: &quot;Systolic blood pressure&quot;]         union [Observation: &quot;Diastolic blood pressure&quot;] ) NoBPScreen         such that ( NoBPScreen.code in &quot;Medical Reason&quot;             or NoBPScreen.code in &quot;Patient Declined&quot;         )           and NoBPScreen.effective same day as start of QualifyingEncounter.period           and &quot;Not Done&quot;(NoBPScreen)           and NoBPScreen.status = 'final'"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="26"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Encounter with Order for Hypertension Follow Up Declined by Patient"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Encounter with Order for Hypertension Follow Up Declined by Patient&quot;:   &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter       with ( [ServiceRequest: &quot;EKG 12 channel panel&quot;]         union [ServiceRequest: &quot;EKG study&quot;]         union [ServiceRequest: &quot;Follow Up Within One Year&quot;]         union [ServiceRequest: &quot;Follow Up Within 4 Weeks&quot;]         union [ServiceRequest: &quot;Referral to Primary Care or Alternate Provider&quot;]         union [ServiceRequest: &quot;Lifestyle Recommendation&quot;]         union [ServiceRequest: &quot;Weight Reduction Recommended&quot;]         union [ServiceRequest: &quot;Dietary Recommendations&quot;]         union [ServiceRequest: &quot;Recommendation to Increase Physical Activity&quot;]         union [ServiceRequest: &quot;Referral or Counseling for Alcohol Consumption&quot;]         union [ServiceRequest: &quot;Laboratory Tests for Hypertension&quot;]         union [MedicationRequest: &quot;Pharmacologic Therapy for Hypertension&quot;] ) NoFollowUpOrdered         such that NoFollowUpOrdered.doNotPerform is true           and NoFollowUpOrdered.code in &quot;Patient Declined&quot;           and NoFollowUpOrdered.authoredOn same day as start of QualifyingEncounter.period"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="27"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="HBPComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Denominator Exceptions"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Denominator Exceptions&quot;:   &quot;Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement&quot;       union &quot;Encounter with Order for Hypertension Follow Up Declined by Patient&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="28"/>
        </extension>
      </extension>
      <name value="EffectiveDataRequirements"/>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
      </type>
      <date value="2022-02-22T10:37:03-07:00"/>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library SDE"/>
        <resource
                  value="http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource
                  value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Global"/>
        <resource
                  value="http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system LOINC"/>
        <resource value="http://loinc.org"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Encounter to Screen for Blood Pressure"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Lifestyle Recommendation"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Weight Reduction Recommended"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Dietary Recommendations"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Recommendation to Increase Physical Activity"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display
                 value="Value set Referral or Counseling for Alcohol Consumption"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Follow Up Within One Year"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display
                 value="Value set Referral to Primary Care or Alternate Provider"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display
                 value="Value set Finding of Elevated Blood Pressure or Hypertension"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.514"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Follow Up Within 4 Weeks"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Laboratory Tests for Hypertension"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Pharmacologic Therapy for Hypertension"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Payer"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Diagnosis of Hypertension"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Medical Reason"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Patient Declined"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1582"/>
      </relatedArtifact>
      <parameter>
        <name value="Measurement Period"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Period"/>
      </parameter>
      <parameter>
        <name value="SDE Sex"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Coding"/>
      </parameter>
      <parameter>
        <name value="Numerator"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Encounter"/>
      </parameter>
      <parameter>
        <name value="Denominator"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Encounter"/>
      </parameter>
      <parameter>
        <name value="SDE Payer"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Any"/>
      </parameter>
      <parameter>
        <name value="Initial Population"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Encounter"/>
      </parameter>
      <parameter>
        <name value="SDE Ethnicity"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Coding"/>
      </parameter>
      <parameter>
        <name value="Denominator Exclusions"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Encounter"/>
      </parameter>
      <parameter>
        <name value="SDE Race"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Coding"/>
      </parameter>
      <parameter>
        <name value="Denominator Exceptions"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Encounter"/>
      </parameter>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8480-6"/>
            <display value="Systolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8462-4"/>
            <display value="Diastolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8480-6"/>
            <display value="Systolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8462-4"/>
            <display value="Diastolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8480-6"/>
            <display value="Systolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8462-4"/>
            <display value="Diastolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8480-6"/>
            <display value="Systolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8462-4"/>
            <display value="Diastolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8462-4"/>
            <display value="Diastolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8480-6"/>
            <display value="Systolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8462-4"/>
            <display value="Diastolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8480-6"/>
            <display value="Systolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8480-6"/>
            <display value="Systolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8462-4"/>
            <display value="Diastolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8480-6"/>
            <display value="Systolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8462-4"/>
            <display value="Diastolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8462-4"/>
            <display value="Diastolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="value"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="8480-6"/>
            <display value="Systolic blood pressure"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Coverage"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
        <mustSupport value="period"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Patient"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
        <mustSupport value="extension"/>
        <mustSupport value="birthDate"/>
        <mustSupport value="value"/>
        <mustSupport value="url"/>
      </dataRequirement>
      <dataRequirement>
        <type value="MedicationRequest"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
        <mustSupport value="authoredOn"/>
        <mustSupport value="medication"/>
        <codeFilter>
          <path value="medication"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="period"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="ServiceRequest"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="34534-8"/>
            <display value="EKG 12 channel panel"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="ServiceRequest"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="11524-6"/>
            <display value="EKG study"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="ServiceRequest"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="34534-8"/>
            <display value="EKG 12 channel panel"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="ServiceRequest"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="11524-6"/>
            <display value="EKG study"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="ServiceRequest"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="ServiceRequest"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="ServiceRequest"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="ServiceRequest"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="ServiceRequest"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="ServiceRequest"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <mustSupport value="code"/>
        <mustSupport value="authoredOn"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="ServiceRequest"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <mustSupport value="code"/>
        <mustSupport value="authoredOn"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="ServiceRequest"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <mustSupport value="code"/>
        <mustSupport value="authoredOn"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="ServiceRequest"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
        <mustSupport value="code"/>
        <mustSupport value="authoredOn"/>
        <mustSupport value="reasonCode"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Condition"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
        <mustSupport value="code"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263"/>
        </codeFilter>
      </dataRequirement>
    </Library>
  </contained>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
    <valueCode value="Encounter"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem">
    <valueReference>
      <reference value="Device/software-system-example"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements" id="effective-data-requirements">
    <valueReference>
      <reference value="#effective-data-requirements"/>
    </valueReference>
  </extension>
  <url value="http://hl7.org/fhir/us/cqfmeasures/Measure/HBPComponent"/>
  <version value="0.0.001"/>
  <name value="HBPComponent"/>
  <title
         value="Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2022-02-22T11:37:03-06:00"/>
  <publisher value="Clinical Quality Information WG"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description value="This is an example only."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <effectivePeriod>
    <start value="2022-01-01"/>
    <end value="2022-12-31"/>
  </effectivePeriod>
  <library value="http://hl7.org/fhir/us/cqfmeasures/Library/HBPComponent"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="proportion"/>
      <display value="Proportion"/>
    </coding>
  </scoring>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
      <code value="process"/>
    </coding>
  </type>
  <improvementNotation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
      <code value="increase"/>
    </coding>
  </improvementNotation>
  <group>
    <population id="53248B01-E1CF-4C67-AE39-8483F8114CAE">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Initial Population"/>
      </criteria>
    </population>
    <population id="9D2AB719-A4D5-41D3-8785-7DBE8CA10FD3">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator"/>
      </criteria>
    </population>
    <population id="165DEA75-8DF1-4F2C-9F8A-BBEE1A02A5D6">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator-exclusion"/>
          <display value="Denominator Exclusion"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator Exclusions"/>
      </criteria>
    </population>
    <population id="BF70F2AC-568C-4587-AF54-E4F54E6FCC83">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator-exception"/>
          <display value="Denominator Exception"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator Exceptions"/>
      </criteria>
    </population>
    <population id="7B0319A6-913B-4F39-8D3C-04FA0A6B5C3A">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Numerator"/>
      </criteria>
    </population>
  </group>
  <supplementalData id="cd02ebb6-a0bf-4196-90f9-80f2a8a79bbf">
    <usage>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Ethnicity"/>
    </criteria>
  </supplementalData>
  <supplementalData id="a67a3fc7-cedd-4d78-b7b0-4718fa7f3e2b">
    <usage>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Payer"/>
    </criteria>
  </supplementalData>
  <supplementalData id="3dc8840d-cc30-44af-a233-3b2b6c602060">
    <usage>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Race"/>
    </criteria>
  </supplementalData>
  <supplementalData id="5a4e95aa-f8b3-400f-89b3-02555a361251">
    <usage>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Sex"/>
    </criteria>
  </supplementalData>
</Measure>