| Library Name | Name | sequence |
|---|
| HBPComponent |
SDE Sex |
define "SDE Sex":
SDE."SDE Sex"
| Library Name | Name | sequence |
|---|
| SupplementalDataElements |
SDE Sex |
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
| Library Name | Name | sequence |
|---|
| HBPComponent |
Numerator |
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"
)
)
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with Normal Blood Pressure Reading |
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]' )
| Library Name | Name | sequence |
|---|
| HBPComponent |
Qualifying Encounter During Measurement Period |
define "Qualifying Encounter During Measurement Period":
[Encounter: "Encounter to Screen for Blood Pressure"] ValidEncounter
where ValidEncounter.period during "Measurement Period"
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with Prehypertensive Blood Pressure Reading |
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]'
)
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with Order for Intervention for Hypertension |
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
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with Order for Follow Up Within One Year |
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
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with Referral to Alternate Provider for High Blood Pressure Reading |
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"
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with First Hypertensive Reading |
define "Encounter with First Hypertensive Reading":
"Encounter with High Blood Pressure Reading"
except "Encounter with High Blood Pressure Reading Within Year Prior"
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with High Blood Pressure Reading |
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]'
)
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with High Blood Pressure Reading Within Year Prior |
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]'
)
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with Order for Follow Up Within 4 Weeks |
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
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with Second Hypertensive Reading |
define "Encounter with Second Hypertensive Reading":
"Encounter with High Blood Pressure Reading"
intersect "Encounter with High Blood Pressure Reading Within Year Prior"
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with Order for Laboratory Test for Hypertension |
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
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with Order for Electrocardiogram for Hypertension |
define "Encounter with Order for Electrocardiogram for Hypertension":
"Qualifying Encounter During Measurement Period" QualifyingEncounter
with ( [ServiceRequest: "EKG 12 channel panel"]
union [ServiceRequest: "EKG study"] ) ECG
such that ECG.authoredOn same day as start of QualifyingEncounter.period
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with Order for Hypertension Medication |
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
| Library Name | Name | sequence |
|---|
| HBPComponent |
Denominator |
define "Denominator":
"Initial Population"
| Library Name | Name | sequence |
|---|
| HBPComponent |
Initial Population |
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
| Library Name | Name | sequence |
|---|
| HBPComponent |
SDE Payer |
define "SDE Payer":
SDE."SDE Payer"
| Library Name | Name | sequence |
|---|
| SupplementalDataElements |
SDE Payer |
define "SDE Payer":
[Coverage: type in "Payer"] Payer
return {
code: Payer.type,
period: Payer.period
}
| Library Name | Name | sequence |
|---|
| HBPComponent |
Initial Population |
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
| Library Name | Name | sequence |
|---|
| HBPComponent |
SDE Ethnicity |
define "SDE Ethnicity":
SDE."SDE Ethnicity"
| Library Name | Name | sequence |
|---|
| SupplementalDataElements |
SDE Ethnicity |
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
| Library Name | Name | sequence |
|---|
| HBPComponent |
Denominator Exclusions |
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
| Library Name | Name | sequence |
|---|
| HBPComponent |
SDE Race |
define "SDE Race":
SDE."SDE Race"
| Library Name | Name | sequence |
|---|
| SupplementalDataElements |
SDE Race |
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
| Library Name | Name | sequence |
|---|
| HBPComponent |
Denominator Exceptions |
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"
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement |
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'
| Library Name | Name | sequence |
|---|
| HBPComponent |
Encounter with Order for Hypertension Follow Up Declined by Patient |
define "Encounter with Order for Hypertension Follow Up Declined by Patient":
"Qualifying Encounter During Measurement Period" QualifyingEncounter
with ( [ServiceRequest: "EKG 12 channel panel"]
union [ServiceRequest: "EKG study"]
union [ServiceRequest: "Follow Up Within One Year"]
union [ServiceRequest: "Follow Up Within 4 Weeks"]
union [ServiceRequest: "Referral to Primary Care or Alternate Provider"]
union [ServiceRequest: "Lifestyle Recommendation"]
union [ServiceRequest: "Weight Reduction Recommended"]
union [ServiceRequest: "Dietary Recommendations"]
union [ServiceRequest: "Recommendation to Increase Physical Activity"]
union [ServiceRequest: "Referral or Counseling for Alcohol Consumption"]
union [ServiceRequest: "Laboratory Tests for Hypertension"]
union [MedicationRequest: "Pharmacologic Therapy for Hypertension"] ) NoFollowUpOrdered
such that NoFollowUpOrdered.doNotPerform is true
and NoFollowUpOrdered.code in "Patient Declined"
and NoFollowUpOrdered.authoredOn same day as start of QualifyingEncounter.period
|
|
Propose a change