Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
Quality Measure Implementation Guide (STU4)
4.0.0 - STU4
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
| Draft as of 2022-02-22 |
<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"/>
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<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>Download cql: </b></th>
<td style="padding-left: 4px;"><a href="Library-HBPComponent.cql">HBPComponent.cql</a></td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="Measure-HBPComponent.html">Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented</a></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;">
<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;">
<span>increase </span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>process </span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2022-02-22 11:37:03-0600</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;"><div><p>This is an example only.</p>
</div></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>
<tr>
<th scope="row"><b> Supplemental Data Elements: </b></th>
<td style="padding-left: 4px;">
SDE Ethnicity
SDE Payer
SDE Race
SDE Sex
</td>
</tr>
<tr>
<th scope="row"><b>Libraries: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><td><a href="Library-HBPComponent.html">HBP Component Library</a></td></tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Related Artifact Dependencies: </b></th>
<td style="padding-left: 4px;">
<li><a href="Library-SupplementalDataElements.html">Supplemental Data Elements Library</a></li>
<li><a href="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1">http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</a></li>
<li><a href="Library-MATGlobalCommonFunctions.html">MAT Global Common Functions FHIR Library</a></li>
<li><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-loinc.html">Logical Observation Identifiers, Names and Codes (LOINC)</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1920/expansion">Encounter to Screen for Blood Pressure</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1581/expansion">Lifestyle Recommendation</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1510/expansion">Weight Reduction Recommended</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1515/expansion">Dietary Recommendations</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1518/expansion">Recommendation to Increase Physical Activity</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1583/expansion">Referral or Counseling for Alcohol Consumption</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1579/expansion">Follow Up Within One Year</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1580/expansion">Referral to Primary Care or Alternate Provider</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1047.514/expansion">Finding of Elevated Blood Pressure or Hypertension</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1578/expansion">Follow Up Within 4 Weeks</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1482/expansion">Laboratory Tests for Hypertension</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.1577/expansion">Pharmacologic Therapy for Hypertension</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion">Payer</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.263/expansion">Diagnosis of Hypertension</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1007/expansion">Medical Reason</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1582/expansion">Patient Declined</a></li>
</td>
</tr>
<tr>
<th scope="row"><b>Parameters:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>name</b></th><th><b>use</b></th><th><b>min</b></th><th><b>max</b></th><th><b>type</b></th></tr>
<tr>
<td>Measurement Period</td>
<td>in</td>
<td>0</td>
<td>1</td>
<td>Period</td>
</tr>
<tr>
<td>SDE Sex</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>Coding</td>
</tr>
<tr>
<td>Numerator</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Denominator</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>SDE Payer</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Resource</td>
</tr>
<tr>
<td>Initial Population</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>SDE Ethnicity</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Coding</td>
</tr>
<tr>
<td>Denominator Exclusions</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>SDE Race</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Coding</td>
</tr>
<tr>
<td>Denominator Exceptions</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>DataRequirements:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>Type</b></th><th><b>Must Support</b></th><th><b>Valueset Name</b></th><th><b>Valueset</b></th></tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
code
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
code
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
value
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Coverage</td>
<td>
period
type
</td>
<td>
Payer
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion">Payer</a></td>
</tr>
<tr>
<td>Patient</td>
<td>
extension
birthDate
value
url
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>MedicationRequest</td>
<td>
authoredOn
medication
</td>
<td>
Pharmacologic Therapy for Hypertension
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.1577/expansion">Pharmacologic Therapy for Hypertension</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
period
type
</td>
<td>
Encounter to Screen for Blood Pressure
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1920/expansion">Encounter to Screen for Blood Pressure</a></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>
code
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>
code
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>
code
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>
code
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>
code
</td>
<td>
Lifestyle Recommendation
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1581/expansion">Lifestyle Recommendation</a></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>
code
</td>
<td>
Weight Reduction Recommended
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1510/expansion">Weight Reduction Recommended</a></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>
code
</td>
<td>
Dietary Recommendations
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1515/expansion">Dietary Recommendations</a></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>
code
</td>
<td>
Recommendation to Increase Physical Activity
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1518/expansion">Recommendation to Increase Physical Activity</a></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>
code
</td>
<td>
Referral or Counseling for Alcohol Consumption
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1583/expansion">Referral or Counseling for Alcohol Consumption</a></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>
code
authoredOn
</td>
<td>
Laboratory Tests for Hypertension
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1482/expansion">Laboratory Tests for Hypertension</a></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>
code
authoredOn
</td>
<td>
Follow Up Within One Year
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1579/expansion">Follow Up Within One Year</a></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>
code
authoredOn
</td>
<td>
Follow Up Within 4 Weeks
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1578/expansion">Follow Up Within 4 Weeks</a></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>
code
authoredOn
reasonCode
</td>
<td>
Referral to Primary Care or Alternate Provider
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1580/expansion">Referral to Primary Care or Alternate Provider</a></td>
</tr>
<tr>
<td>Condition</td>
<td>
code
</td>
<td>
Diagnosis of Hypertension
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.263/expansion">Diagnosis of Hypertension</a></td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Direct Reference Codes:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>display</b></th><th><b>code</b></th><th><b>system</b></th></tr>
<tr>
<td>Systolic blood pressure</td>
<td>8480-6</td>
<td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-loinc.html">Logical Observation Identifiers, Names and Codes (LOINC)</a></td>
</tr>
<tr>
<td>Diastolic blood pressure</td>
<td>8462-4</td>
<td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-loinc.html">Logical Observation Identifiers, Names and Codes (LOINC)</a></td>
</tr>
<tr>
<td>12 lead EKG panel</td>
<td>34534-8</td>
<td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-loinc.html">Logical Observation Identifiers, Names and Codes (LOINC)</a></td>
</tr>
<tr>
<td>EKG study</td>
<td>11524-6</td>
<td><a href="http://terminology.hl7.org/5.2.0/CodeSystem-v3-loinc.html">Logical Observation Identifiers, Names and Codes (LOINC)</a></td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Logic Definitions:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<th><b>Group</b></th><th><b>Scoring</b></th><th><b>Population Criteria</b></th><th><b>Expression</b></th>
</tr>
<tr>
<td> </td>
<td>
<b>Measure scoring:</b>
<p style="margin-bottom: 5px;">
<span>Proportion</span>
</p>
</td>
<tr>
<td/>
<td/>
<td>Initial Population</td>
<td>
<pre><code class="language-cql">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</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Denominator</td>
<td>
<pre><code class="language-cql">define "Denominator": "Initial Population"</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Denominator Exclusion</td>
<td>
<pre><code class="language-cql">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</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Denominator Exception</td>
<td>
<pre><code class="language-cql">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"</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Numerator</td>
<td>
<pre><code class="language-cql">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" ) )</code></pre>
</td>
</tr>
</tr>
</table>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>SupplementalDataElements</td>
<td>SDE Sex</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>SDE Sex</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Sex": SDE."SDE Sex"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Qualifying Encounter During Measurement Period</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Qualifying Encounter During Measurement Period": [Encounter: "Encounter to Screen for Blood Pressure"] ValidEncounter where ValidEncounter.period during "Measurement Period"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Normal Blood Pressure Reading</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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]' )</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Prehypertensive Blood Pressure Reading</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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]' )</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Intervention for Hypertension</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Follow Up Within One Year</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Referral to Alternate Provider for High Blood Pressure Reading</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with High Blood Pressure Reading</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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]' )</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with High Blood Pressure Reading Within Year Prior</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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]' )</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with First Hypertensive Reading</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Encounter with First Hypertensive Reading": "Encounter with High Blood Pressure Reading" except "Encounter with High Blood Pressure Reading Within Year Prior"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Follow Up Within 4 Weeks</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Second Hypertensive Reading</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Encounter with Second Hypertensive Reading": "Encounter with High Blood Pressure Reading" intersect "Encounter with High Blood Pressure Reading Within Year Prior"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Laboratory Test for Hypertension</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Electrocardiogram for Hypertension</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Encounter with Order for Electrocardiogram for Hypertension": "Qualifying Encounter During Measurement Period" QualifyingEncounter with ( [ServiceRequest: "12 lead EKG panel"] union [ServiceRequest: "EKG study"] ) ECG such that ECG.authoredOn same day as start of QualifyingEncounter.period</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Hypertension Medication</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Numerator</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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" ) )</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Initial Population</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Denominator</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Denominator": "Initial Population"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>SupplementalDataElements</td>
<td>SDE Payer</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Payer": [Coverage: type in "Payer"] Payer return { code: Payer.type, period: Payer.period }</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>SDE Payer</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Payer": SDE."SDE Payer"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>SupplementalDataElements</td>
<td>SDE Ethnicity</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>SDE Ethnicity</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Ethnicity": SDE."SDE Ethnicity"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Denominator Exclusions</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>SupplementalDataElements</td>
<td>SDE Race</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>SDE Race</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Race": SDE."SDE Race"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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'</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Hypertension Follow Up Declined by Patient</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Encounter with Order for Hypertension Follow Up Declined by Patient": "Qualifying Encounter During Measurement Period" QualifyingEncounter with ( [ServiceRequest: "12 lead EKG 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</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Denominator Exceptions</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">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"</code></pre></td>
</tr>
</table>
</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="12 lead EKG 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 "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"/>
</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 "SDE Sex": SDE."SDE Sex""/>
</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 "Qualifying Encounter During Measurement Period": [Encounter: "Encounter to Screen for Blood Pressure"] ValidEncounter where ValidEncounter.period during "Measurement Period""/>
</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 "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]' )"/>
</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 "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]' )"/>
</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 "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"/>
</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 "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"/>
</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 "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""/>
</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 "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]' )"/>
</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 "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]' )"/>
</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 "Encounter with First Hypertensive Reading": "Encounter with High Blood Pressure Reading" except "Encounter with High Blood Pressure Reading Within Year Prior""/>
</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 "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"/>
</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 "Encounter with Second Hypertensive Reading": "Encounter with High Blood Pressure Reading" intersect "Encounter with High Blood Pressure Reading Within Year Prior""/>
</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 "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"/>
</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 "Encounter with Order for Electrocardiogram for Hypertension": "Qualifying Encounter During Measurement Period" QualifyingEncounter with ( [ServiceRequest: "12 lead EKG panel"] union [ServiceRequest: "EKG study"] ) 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 "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"/>
</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 "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" ) )"/>
</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 "Initial Population": "Qualifying Encounter During Measurement Period" QualifyingEncounter with [Patient] BirthDate such that Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 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 "Denominator": "Initial Population""/>
</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 "SDE Payer": [Coverage: type in "Payer"] 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 "SDE Payer": SDE."SDE Payer""/>
</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 "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"/>
</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 "SDE Ethnicity": SDE."SDE Ethnicity""/>
</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 "Denominator Exclusions": "Qualifying Encounter During Measurement Period" QualifyingEncounter with [Condition: "Diagnosis of Hypertension"] Hypertension such that Global."Prevalence Period" ( 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 "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"/>
</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 "SDE Race": SDE."SDE Race""/>
</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 "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'"/>
</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 "Encounter with Order for Hypertension Follow Up Declined by Patient": "Qualifying Encounter During Measurement Period" QualifyingEncounter with ( [ServiceRequest: "12 lead EKG 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"/>
</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 "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""/>
</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="Resource"/>
</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="12 lead EKG 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="12 lead EKG 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>
IG © 2019+ Clinical Quality Information WG. Package hl7.fhir.us.cqfmeasures#4.0.0 based on FHIR 4.0.1. Generated 2023-08-28
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