Quality Measure Implementation Guide (STU3 Ballot)
2.1.0 - ballot
Quality Measure Implementation Guide (STU3 Ballot)
2.1.0 - ballot
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v2.1.0: STU3 Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions 
<Measure xmlns="http://hl7.org/fhir">
<id value="HBPComponent"/>
<meta>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"/>
<profile
value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
</meta>
<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">HBPComponent</td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;">http://hl7.org/fhir/us/cqfmeasures/Measure/HBPComponent</td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">0.0.001</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">HBPComponent</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented</td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 4px;">draft</td>
</tr>
<tr>
<th scope="row"><b>Experimental: </b></th>
<td style="padding-left: 4px;">true</td>
</tr>
<tr>
<th scope="row"><b>Scoring: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-scoring</span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>proportion</span>
</p>
<p style="margin-bottom: 5px;">
<b>display: </b> <span>Proportion</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Improvement Notation: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-improvement-notation</span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>increase</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-type</span>
</p>
<p style="margin-bottom: 5px;">
<b>code: </b> <span>process</span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2021-04-03T13:00:06-06:00</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">Clinical Quality Information WG</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;">This is an example only.</td>
</tr>
<tr>
<th scope="row"><b>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>Encounter with Normal Blood Pressure Reading</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Qualifying Encounter During Measurement Period</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Encounter with Prehypertensive Blood Pressure Reading</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Encounter with Order for Intervention for Hypertension</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Encounter with Order for Follow Up Within One Year</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Encounter with Referral to Alternate Provider for High Blood Pressure Reading</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Encounter with First Hypertensive Reading</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Encounter with High Blood Pressure Reading</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Encounter with High Blood Pressure Reading Within Year Prior</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Encounter with Order for Follow Up Within 4 Weeks</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Encounter with Second Hypertensive Reading</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Encounter with Order for Laboratory Test for Hypertension</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Encounter with Order for Electrocardiogram for Hypertension</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Encounter with Order for Hypertension Medication</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>Initial Population</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>Any</td>
</tr>
<tr>
<td>SDE Ethnicity</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Coding</td>
</tr>
<tr>
<td>Patient</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>Patient</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>
<tr>
<td>Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
<tr>
<td>Encounter with Order for Hypertension Follow Up Declined by Patient</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Encounter</td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Data Requirements: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>type</b></th><th><b>path</b></th><th><b>valueSet or system</b></th><th><b>code</b></th></tr>
<tr>
<td>Encounter</td>
<td>type</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>code</td>
<td></td>
<td>8480-6</td>
</tr>
<tr>
<td>Observation</td>
<td>code</td>
<td></td>
<td>8462-4</td>
</tr>
<tr>
<td>Observation</td>
<td>code</td>
<td></td>
<td>8480-6</td>
</tr>
<tr>
<td>Observation</td>
<td>code</td>
<td></td>
<td>8462-4</td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>code</td>
<td></td>
<td>8480-6</td>
</tr>
<tr>
<td>Observation</td>
<td>code</td>
<td></td>
<td>8462-4</td>
</tr>
<tr>
<td>Observation</td>
<td>code</td>
<td></td>
<td>8480-6</td>
</tr>
<tr>
<td>Observation</td>
<td>code</td>
<td></td>
<td>8462-4</td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td></td>
<td>34534-8</td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td></td>
<td>11524-6</td>
</tr>
<tr>
<td>MedicationRequest</td>
<td>medication</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577</td>
<td></td>
</tr>
<tr>
<td>Patient</td>
<td></td>
</tr>
<tr>
<td>Coverage</td>
<td>type</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</td>
<td></td>
</tr>
<tr>
<td>Patient</td>
<td></td>
</tr>
<tr>
<td>Patient</td>
<td></td>
</tr>
<tr>
<td>Condition</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263</td>
<td></td>
</tr>
<tr>
<td>Observation</td>
<td>code</td>
<td></td>
<td>8480-6</td>
</tr>
<tr>
<td>Observation</td>
<td>code</td>
<td></td>
<td>8462-4</td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td></td>
<td>34534-8</td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td></td>
<td>11524-6</td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td></td>
<td>34534-8</td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td></td>
<td>11524-6</td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482</td>
<td></td>
</tr>
<tr>
<td>MedicationRequest</td>
<td>medication</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577</td>
<td></td>
</tr>
<tr>
<td>MedicationRequest</td>
<td>medication</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482</td>
<td></td>
</tr>
<tr>
<td>ServiceRequest</td>
<td>code</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482</td>
<td></td>
</tr>
<tr>
<td>MedicationRequest</td>
<td>medication</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577</td>
<td></td>
</tr>
<tr>
<td>MedicationRequest</td>
<td>medication</td>
<td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577</td>
<td></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></td>
</tr>
<tr>
<td>Diastolic blood pressure</td>
<td>8462-4</td>
<td></td>
</tr>
<tr>
<td>EKG 12 channel panel</td>
<td>34534-8</td>
<td></td>
</tr>
<tr>
<td>EKG study</td>
<td>11524-6</td>
<td></td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Supplemental Data: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>expression</b></th><th><b>system</b></th></tr>
<tr>
<td>SDE Ethnicity</td>
<td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>
</tr>
<tr>
<td>SDE Payer</td>
<td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>
</tr>
<tr>
<td>SDE Race</td>
<td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>
</tr>
<tr>
<td>SDE Sex</td>
<td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Jurisdiction: </b></th>
<td style="padding-left: 25px;">US</td>
</tr>
<tr>
<th scope="row"><b>Effective Period: </b></th>
<td style="padding-left: 4px;">2022-01-01..2022-12-31</td>
</tr>
<tr>
<th scope="row"><b>Related Artifacts: </b></th>
<td style="padding-left: 4px;">
<p><b>Dependencies</b></p>
<ul>
<li>http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000</li>
<li>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</li>
<li>http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000</li>
<li>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</li>
<li>http://loinc.org</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.514</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007</li>
<li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1582</li>
</ul>
</td>
</tr>
<tr>
<th scope="row"><b>Logic Definitions: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>SDE Sex</td>
</tr>
</table>
<pre><code class="language-cql">define "SDE Sex":
SDE."SDE Sex"</code></pre>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>SupplementalDataElements</td>
<td>SDE Sex</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Numerator</td>
</tr>
</table>
<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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Normal Blood Pressure Reading</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Qualifying Encounter During Measurement Period</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Prehypertensive Blood Pressure Reading</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Intervention for Hypertension</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Follow Up Within One Year</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Referral to Alternate Provider for High Blood Pressure Reading</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with First Hypertensive Reading</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with High Blood Pressure Reading</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with High Blood Pressure Reading Within Year Prior</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Follow Up Within 4 Weeks</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Second Hypertensive Reading</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Laboratory Test for Hypertension</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Electrocardiogram for Hypertension</td>
</tr>
</table>
<pre><code class="language-cql">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</code></pre>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Hypertension Medication</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Denominator</td>
</tr>
</table>
<pre><code class="language-cql">define "Denominator":
"Initial Population"</code></pre>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Initial Population</td>
</tr>
</table>
<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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>SDE Payer</td>
</tr>
</table>
<pre><code class="language-cql">define "SDE Payer":
SDE."SDE Payer"</code></pre>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>SupplementalDataElements</td>
<td>SDE Payer</td>
</tr>
</table>
<pre><code class="language-cql">define "SDE Payer":
[Coverage: type in "Payer"] Payer
return {
code: Payer.type,
period: Payer.period
}</code></pre>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Initial Population</td>
</tr>
</table>
<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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>SDE Ethnicity</td>
</tr>
</table>
<pre><code class="language-cql">define "SDE Ethnicity":
SDE."SDE Ethnicity"</code></pre>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>SupplementalDataElements</td>
<td>SDE Ethnicity</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Denominator Exclusions</td>
</tr>
</table>
<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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>SDE Race</td>
</tr>
</table>
<pre><code class="language-cql">define "SDE Race":
SDE."SDE Race"</code></pre>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>SupplementalDataElements</td>
<td>SDE Race</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Denominator Exceptions</td>
</tr>
</table>
<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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement</td>
</tr>
</table>
<pre><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>
<br/><br/>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>
<tr>
<td>HBPComponent</td>
<td>Encounter with Order for Hypertension Follow Up Declined by Patient</td>
</tr>
</table>
<pre><code class="language-cql">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</code></pre>
<br/><br/>
</td>
</tr>
</table>
</div>
</text>
<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-parameter">
<valueParameterDefinition>
<name value="Measurement Period"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="Period"/>
</valueParameterDefinition>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter">
<valueParameterDefinition>
<name value="SDE Sex"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Coding"/>
</valueParameterDefinition>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter">
<valueParameterDefinition>
<name value="Numerator"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</valueParameterDefinition>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter">
<valueParameterDefinition>
<name value="Encounter with Normal Blood Pressure Reading"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</valueParameterDefinition>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter">
<valueParameterDefinition>
<name value="Qualifying Encounter During Measurement Period"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</valueParameterDefinition>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter">
<valueParameterDefinition>
<name value="Encounter with Prehypertensive Blood Pressure Reading"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</valueParameterDefinition>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter">
<valueParameterDefinition>
<name value="Encounter with Order for Intervention for Hypertension"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</valueParameterDefinition>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter">
<valueParameterDefinition>
<name value="Encounter with Order for Follow Up Within One Year"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</valueParameterDefinition>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter">
<valueParameterDefinition>
<name
value="Encounter with Referral to Alternate Provider for High Blood Pressure Reading"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</valueParameterDefinition>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter">
<valueParameterDefinition>
<name value="Encounter with First Hypertensive Reading"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</valueParameterDefinition>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter">
<valueParameterDefinition>
<name value="Encounter with High Blood Pressure Reading"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</valueParameterDefinition>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter">
<valueParameterDefinition>
<name value="Encounter with High Blood Pressure Reading Within Year Prior"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Encounter"/>
</valueParameterDefinition>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter">
<valueParameterDefinition>
<name value="Encounter with Order for Follow Up Within 4 Weeks"/>
<use value="out"/>
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<extension
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<valueParameterDefinition>
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<extension
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<extension
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<valueParameterDefinition>
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<extension
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<valueParameterDefinition>
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<extension
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<extension
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<extension
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<valueParameterDefinition>
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<extension
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<min value="0"/>
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<type value="Coding"/>
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</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement">
<valueDataRequirement>
<type value="ServiceRequest"/>
<profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515"/>
</codeFilter>
</valueDataRequirement>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement">
<valueDataRequirement>
<type value="ServiceRequest"/>
<profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518"/>
</codeFilter>
</valueDataRequirement>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement">
<valueDataRequirement>
<type value="ServiceRequest"/>
<profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583"/>
</codeFilter>
</valueDataRequirement>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement">
<valueDataRequirement>
<type value="ServiceRequest"/>
<profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482"/>
</codeFilter>
</valueDataRequirement>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement">
<valueDataRequirement>
<type value="ServiceRequest"/>
<profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482"/>
</codeFilter>
</valueDataRequirement>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement">
<valueDataRequirement>
<type value="MedicationRequest"/>
<profile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577"/>
</codeFilter>
</valueDataRequirement>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement">
<valueDataRequirement>
<type value="MedicationRequest"/>
<profile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577"/>
</codeFilter>
</valueDataRequirement>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement">
<valueDataRequirement>
<type value="ServiceRequest"/>
<profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482"/>
</codeFilter>
</valueDataRequirement>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement">
<valueDataRequirement>
<type value="ServiceRequest"/>
<profile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482"/>
</codeFilter>
</valueDataRequirement>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement">
<valueDataRequirement>
<type value="MedicationRequest"/>
<profile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577"/>
</codeFilter>
</valueDataRequirement>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement">
<valueDataRequirement>
<type value="MedicationRequest"/>
<profile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577"/>
</codeFilter>
</valueDataRequirement>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
<valueCoding>
<system value="http://loinc.org"/>
<code value="8480-6"/>
<display value="Systolic blood pressure"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
<valueCoding>
<system value="http://loinc.org"/>
<code value="8462-4"/>
<display value="Diastolic blood pressure"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
<valueCoding>
<system value="http://loinc.org"/>
<code value="34534-8"/>
<display value="EKG 12 channel panel"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
<valueCoding>
<system value="http://loinc.org"/>
<code value="11524-6"/>
<display value="EKG study"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="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="0"/>
</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 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="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="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="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="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="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 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="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 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="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 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="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 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="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 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="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 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="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 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="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 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="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 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="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 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="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 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: "EKG 12 channel panel"]
union [ServiceRequest: "EKG study"] ) ECG
such that ECG.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="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="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="Denominator"/>
</extension>
<extension url="statement">
<valueString
value="define "Denominator":
"Initial Population""/>
</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="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="18"/>
</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="19"/>
</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="20"/>
</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="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="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="23"/>
</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="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="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="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="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="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="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="28"/>
</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: "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"/>
</extension>
<extension url="displaySequence">
<valueInteger value="29"/>
</extension>
</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="2021-04-03T13:00:06-06:00"/>
<publisher value="Clinical Quality Information WG"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cqi/index.cfm"/>
</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>
<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="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</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>
<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#2.1.0 based on FHIR 4.0.1. Generated 2021-04-13
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