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

: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention - TTL Representation

Raw ttl | Download


@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Measure;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "TSCComponent"];
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm>     ], [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm";
       fhir:index 1;
       fhir:link <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm>     ]
  ];
  fhir:Resource.language [ fhir:value "en"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\">\n    <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">TSCComponent</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\">http://hl7.org/fhir/us/cqfmeasures/Measure/TSCComponent</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">0.0.001</td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Name: </b></th>\n            <td style=\"padding-left: 4px;\">TSCComponent</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention</td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td style=\"padding-left: 4px;\">draft</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Experimental: </b></th>\n            <td style=\"padding-left: 4px;\">true</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Scoring: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-scoring</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>proportion</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>display: </b> <span>Proportion</span>\n                        </p>\n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Improvement Notation: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-improvement-notation</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>increase</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span>http://terminology.hl7.org/CodeSystem/measure-type</span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>process</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2021-04-03T13:00:06-06:00</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">Clinical Quality Information WG</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\">This is an example only.</td>\n        </tr>\n        \n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Parameters: </b></th>\n            <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    <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>\n                    \n                    <tr>\n                        <td>Measurement Period</td>\n                        <td>in</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>Period</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Numerator 3</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>boolean</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Most Recent Tobacco Use Screening Indicates Tobacco Non User</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>Observation</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Most Recent Tobacco Use Screening Indicates Tobacco User</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>Observation</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Tobacco Cessation Counseling Given</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>*</td>\n                        <td>Encounter</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Tobacco Cessation Pharmacotherapy Ordered</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>*</td>\n                        <td>MedicationRequest</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Denominator Exceptions 1</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>boolean</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Medical Reason for Not Screening for Tobacco Use</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>*</td>\n                        <td>Observation</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Has Limited Life Expectancy</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>boolean</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Numerator 1</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>boolean</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Numerator 2</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>boolean</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>SDE Race</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>*</td>\n                        <td>Coding</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Patient</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>Patient</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>SDE Sex</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>Coding</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Denominator 3</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>boolean</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Initial Population</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>boolean</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Office Based Visit During Measurement Period</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>*</td>\n                        <td>Encounter</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Preventive Visit During Measurement Period</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>*</td>\n                        <td>Encounter</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Denominator 2</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>boolean</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>SDE Payer</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>*</td>\n                        <td>Any</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>SDE Ethnicity</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>*</td>\n                        <td>Coding</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Denominator Exceptions 2</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>boolean</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Medical Reason for Not Counseling Tobacco User</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>*</td>\n                        <td>Procedure</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>*</td>\n                        <td>MedicationRequest</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Denominator Exceptions 3</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>boolean</td>\n                    </tr>\n                    \n                    <tr>\n                        <td>Denominator 1</td>\n                        <td>out</td>\n                        <td>0</td>\n                        <td>1</td>\n                        <td>boolean</td>\n                    </tr>\n                    \n                </table>\n            </td>\n        </tr>\n        \n        \n        <tr>\n          <th scope=\"row\"><b>Data Requirements: </b></th>\n          <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    <tr><th><b>type</b></th><th><b>path</b></th><th><b>valueSet or system</b></th><th><b>code</b></th></tr>\n                    \n                        <tr>\n                            <td>Observation</td>\n                            <td>code</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Observation</td>\n                            <td>code</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>MedicationRequest</td>\n                            <td>medication</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Observation</td>\n                            <td>code</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Condition</td>\n                            <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Patient</td>\n                            <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Patient</td>\n                            <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                            \n                                <td></td>\n                                <td>96158</td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                            \n                                <td></td>\n                                <td>96156</td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Encounter</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Coverage</td>\n                            <td>type</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Patient</td>\n                            <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>Procedure</td>\n                            <td>code</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                        <tr>\n                            <td>MedicationRequest</td>\n                            <td>medication</td>\n                            \n                                <td>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190</td>\n                                <td></td>\n                            \n                            \n                        </tr>\n                    \n                </table>\n          </td>\n        </tr>\n        \n        \n        <tr>\n          <th scope=\"row\"><b>Direct Reference Codes: </b></th>\n          <td style=\"padding-left: 4px;\">\n                <table class=\"grid-dict\">\n                    <tr><th><b>display</b></th><th><b>code</b></th><th><b>system</b></th></tr>\n                    \n                        <tr>\n                            <td></td>\n                            <td>active</td>\n                            <td></td>\n                        </tr>\n                    \n                        <tr>\n                            <td>Health behavior intervention, individual, face-to-face; initial 30 minutes</td>\n                            <td>96158</td>\n                            <td></td>\n                        </tr>\n                    \n                        <tr>\n                            <td>Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)</td>\n                            <td>96156</td>\n                            <td></td>\n                        </tr>\n                    \n                </table>\n          </td>\n        </tr>\n        \n        \n            <tr>\n                <th scope=\"row\"><b>Supplemental Data: </b></th>\n                <td style=\"padding-left: 4px;\">\n                    <table class=\"grid-dict\">\n                        <tr><th><b>expression</b></th><th><b>system</b></th></tr>\n                        \n                        <tr>\n                            <td>SDE Ethnicity</td>\n                            <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n                        </tr>\n                        \n                        <tr>\n                            <td>SDE Payer</td>\n                            <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n                        </tr>\n                        \n                        <tr>\n                            <td>SDE Race</td>\n                            <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n                        </tr>\n                        \n                        <tr>\n                            <td>SDE Sex</td>\n                            <td>http://terminology.hl7.org/CodeSystem/measure-data-usage</td>\n                        </tr>\n                        \n                    </table>\n                </td>\n            </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Jurisdiction: </b></th>\n            <td style=\"padding-left: 25px;\">US</td>\n        </tr>\n        \n        \n        \n        \n        \n        \n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Effective Period: </b></th>\n            <td style=\"padding-left: 4px;\">2022-01-01..2022-12-31</td>\n        </tr>\n        \n        \n        <tr>\n          <th scope=\"row\"><b>Related Artifacts: </b></th>\n          <td style=\"padding-left: 4px;\">\n            \n            \n            \n            <p><b>Dependencies</b></p>\n            <ul>\n              \n                <li>http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000</li>\n              \n                <li>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</li>\n              \n                <li>http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000</li>\n              \n                <li>http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</li>\n              \n                <li>http://terminology.hl7.org/CodeSystem/condition-clinical</li>\n              \n                <li>http://www.ama-assn.org/go/cpt</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1189</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1170</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</li>\n              \n                <li>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007</li>\n              \n            </ul>\n            \n            \n            \n            \n            \n          </td>\n        </tr>\n        \n        \n        \n        \n        \n        <tr>\n          <th scope=\"row\"><b>Logic Definitions: </b></th>\n          <td style=\"padding-left: 4px;\">\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Numerator 3</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Numerator 3\":\n  \"Most Recent Tobacco Use Screening Indicates Tobacco Non User\" is not null\n      or ( \"Most Recent Tobacco Use Screening Indicates Tobacco User\" is not null\n          and ( exists \"Tobacco Cessation Counseling Given\"\n              or exists \"Tobacco Cessation Pharmacotherapy Ordered\"\n              //or exists \"Active Pharmacotherapy for Tobacco Cessation\"\n          )\n      )</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Most Recent Tobacco Use Screening Indicates Tobacco Non User</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Most Recent Tobacco Use Screening Indicates Tobacco Non User\":\n  ( Last([\"Observation\": \"Tobacco Use Screening\"] TobaccoUseScreening\n        where Global.\"Normalize Interval\"(TobaccoUseScreening.effective)overlaps \"Measurement Period\"\n        sort by start of Global.\"Normalize Interval\"(effective)\n    )) MostRecentTobaccoUseScreening\n      where MostRecentTobaccoUseScreening.value in \"Tobacco Non-User\"</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Most Recent Tobacco Use Screening Indicates Tobacco User</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Most Recent Tobacco Use Screening Indicates Tobacco User\":\n  ( Last([\"Observation\": \"Tobacco Use Screening\"] TobaccoUseScreening\n        where Global.\"Normalize Interval\"(TobaccoUseScreening.effective)overlaps \"Measurement Period\"\n        sort by start of Global.\"Normalize Interval\"(effective)\n    )) MostRecentTobaccoUseScreening\n      where MostRecentTobaccoUseScreening.value in \"Tobacco User\"</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Tobacco Cessation Counseling Given</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">// MedicationStatement is not available in R5, known publication issue\n//define \"Active Pharmacotherapy for Tobacco Cessation\":\n//  [\"MedicationStatement\": \"Tobacco Use Cessation Pharmacotherapy\"] TakingCessationPharmacotherapy\n//      where Global.\"Normalize Interval\" ( TakingCessationPharmacotherapy.effective ) overlaps after \"Measurement Period\"\n//        and TakingCessationPharmacotherapy.status in { 'active', 'completed' }define \"Tobacco Cessation Counseling Given\":\n  [\"Encounter\": \"Tobacco Use Cessation Counseling\"] TobaccoCessationCounseling\n      where TobaccoCessationCounseling.period during \"Measurement Period\"\n        and TobaccoCessationCounseling.status = 'finished'</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Tobacco Cessation Pharmacotherapy Ordered</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Tobacco Cessation Pharmacotherapy Ordered\":\n  [\"MedicationRequest\": \"Tobacco Use Cessation Pharmacotherapy\"] CessationPharmacotherapyOrdered\n      where CessationPharmacotherapyOrdered.authoredOn during \"Measurement Period\"\n        and CessationPharmacotherapyOrdered.status = 'active'</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Denominator Exceptions 1</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Denominator Exceptions 1\":\n  exists \"Medical Reason for Not Screening for Tobacco Use\"\n      or \"Has Limited Life Expectancy\"</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Medical Reason for Not Screening for Tobacco Use</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Medical Reason for Not Screening for Tobacco Use\":\n  [\"Observation\": \"Tobacco Use Screening\"] NoTobaccoUseScreening\n      where NoTobaccoUseScreening.issued during \"Measurement Period\"\n        and \"Not Done\"(NoTobaccoUseScreening)\n        and \"Not Done Reason in Medical Reason\"(NoTobaccoUseScreening)\n        and NoTobaccoUseScreening.status = 'final'</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Has Limited Life Expectancy</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">//or exists \"Active Pharmacotherapy for Tobacco Cessation\"define \"Has Limited Life Expectancy\":\n  exists ( [\"Condition\"] LimitedLifeExpectancy\n        where Global.\"Prevalence Period\" ( LimitedLifeExpectancy ) overlaps after \"Measurement Period\"\n          and LimitedLifeExpectancy.clinicalStatus ~ ToConcept(Global.\"active\")\n    )</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Numerator 1</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Numerator 1\":\n  \"Most Recent Tobacco Use Screening Indicates Tobacco Non User\" is not null\n      or \"Most Recent Tobacco Use Screening Indicates Tobacco User\" is not null</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Numerator 2</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Numerator 2\":\n  exists \"Tobacco Cessation Counseling Given\"\n      or exists \"Tobacco Cessation Pharmacotherapy Ordered\"</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>SDE Race</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"SDE Race\":\n  SDE.\"SDE Race\"</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>SupplementalDataElements</td>\n                        \n                        \n                            <td>SDE Race</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"SDE Race\":\n  (flatten (\n      Patient.extension Extension\n        where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n          return Extension.extension\n    )) E\n      where E.url = 'ombCategory'\n        or E.url = 'detailed'\n      return E.value as Coding</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>SDE Sex</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"SDE Sex\":\n  SDE.\"SDE Sex\"</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>SupplementalDataElements</td>\n                        \n                        \n                            <td>SDE Sex</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"SDE Sex\":\n  case\n      when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n      when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n      else null\n    end</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Denominator 3</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Denominator 3\":\n  \"Initial Population\"</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Initial Population</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Initial Population\":\n  exists ( [\"Patient\"] BirthDate\n        where Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of \"Measurement Period\" ) &gt;= 18\n    )\n      and ( Count(\"Office Based Visit During Measurement Period\")&gt;= 2\n          or exists \"Preventive Visit During Measurement Period\"\n      )</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Office Based Visit During Measurement Period</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Office Based Visit During Measurement Period\":\n  ( [\"Encounter\": \"Health behavior intervention, individual, face-to-face; initial 30 minutes\"]\n      union [\"Encounter\": \"Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)\"]\n      union [\"Encounter\": \"Home Healthcare Services\"]\n      union [\"Encounter\": \"Occupational Therapy Evaluation\"]\n      union [\"Encounter\": \"Office Visit\"]\n      union [\"Encounter\": \"Ophthalmological Services\"]\n      union [\"Encounter\": \"Physical Therapy Evaluation\"]\n      union [\"Encounter\": \"Psych Visit - Diagnostic Evaluation\"]\n      union [\"Encounter\": \"Psych Visit - Psychotherapy\"]\n      union [\"Encounter\": \"Psychoanalysis\"]\n      union [\"Encounter\": \"Speech and Hearing Evaluation\"] ) OfficeBasedEncounter\n      where OfficeBasedEncounter.period during \"Measurement Period\"\n        and OfficeBasedEncounter.status = 'finished'</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Preventive Visit During Measurement Period</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Preventive Visit During Measurement Period\":\n  ( [\"Encounter\": \"Annual Wellness Visit\"]\n      union [\"Encounter\": \"Preventive Care Services - Established Office Visit, 18 and Up\"]\n      union [\"Encounter\": \"Preventive Care Services - Group Counseling\"]\n      union [\"Encounter\": \"Preventive Care Services - Other\"]\n      union [\"Encounter\": \"Preventive Care Services-Individual Counseling\"]\n      union [\"Encounter\": \"Preventive Care Services-Initial Office Visit, 18 and Up\"] ) PreventiveEncounter\n      where PreventiveEncounter.period during \"Measurement Period\"\n        and PreventiveEncounter.status = 'finished'</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Denominator 2</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Denominator 2\":\n  \"Initial Population\"\n      and \"Most Recent Tobacco Use Screening Indicates Tobacco User\" is not null</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>SDE Payer</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"SDE Payer\":\n  SDE.\"SDE Payer\"</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>SupplementalDataElements</td>\n                        \n                        \n                            <td>SDE Payer</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"SDE Payer\":\n  [Coverage: type in \"Payer\"] Payer\n        return {\n          code: Payer.type,\n          period: Payer.period\n        }</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Initial Population</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Initial Population\":\n  exists ( [\"Patient\"] BirthDate\n        where Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of \"Measurement Period\" ) &gt;= 18\n    )\n      and ( Count(\"Office Based Visit During Measurement Period\")&gt;= 2\n          or exists \"Preventive Visit During Measurement Period\"\n      )</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>SDE Ethnicity</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"SDE Ethnicity\":\n  SDE.\"SDE Ethnicity\"</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>SupplementalDataElements</td>\n                        \n                        \n                            <td>SDE Ethnicity</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"SDE Ethnicity\":\n  (flatten (\n      Patient.extension Extension\n        where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n          return Extension.extension\n    )) E\n      where E.url = 'ombCategory'\n        or E.url = 'detailed'\n      return E.value as Coding</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Denominator Exceptions 2</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Denominator Exceptions 2\":\n  exists \"Medical Reason for Not Counseling Tobacco User\"\n      or exists \"Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy\"\n      or \"Has Limited Life Expectancy\"</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Medical Reason for Not Counseling Tobacco User</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Medical Reason for Not Counseling Tobacco User\":\n  [\"Procedure\": \"Tobacco Use Cessation Counseling\"] NoTobaccoCessationCounseling\n      where Global.\"Normalize Interval\" ( NoTobaccoCessationCounseling.performed ) starts during \"Measurement Period\"\n        and ( ( NoTobaccoCessationCounseling.status = 'not-done'\n              and NoTobaccoCessationCounseling.statusReason in \"Medical Reason\"\n          )\n            or ( \"Not Done\"(NoTobaccoCessationCounseling)\n                and \"Not Done Reason in Medical Reason\"(NoTobaccoCessationCounseling)\n            )\n        )</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy\":\n  [\"MedicationRequest\": \"Tobacco Use Cessation Pharmacotherapy\"] NoCessationPharmacotherapyOrdered\n      where NoCessationPharmacotherapyOrdered.authoredOn during \"Measurement Period\"\n        and NoCessationPharmacotherapyOrdered.status = 'completed'\n        and ( ( \"Not Done\"(NoCessationPharmacotherapyOrdered)\n              and \"Not Done Reason in Medical Reason\"(NoCessationPharmacotherapyOrdered)\n          )\n            or ( NoCessationPharmacotherapyOrdered.doNotPerform = true\n                and NoCessationPharmacotherapyOrdered.statusReason in \"Medical Reason\"\n            )\n        )</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Denominator Exceptions 3</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Denominator Exceptions 3\":\n  exists \"Medical Reason for Not Screening for Tobacco Use\"\n      or exists \"Medical Reason for Not Counseling Tobacco User\"\n      or exists \"Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy\"\n      or \"Has Limited Life Expectancy\"</code></pre>\n                \n                <br/><br/>\n            \n                <table class=\"grid-dict\">\n                    <tr><th><b>Library Name</b></th><th><b>Name</b></th><th><b>sequence</b></th></tr>\n                    <tr>\n                        \n                            <td>TSCComponent</td>\n                        \n                        \n                            <td>Denominator 1</td>\n                        \n                        \n                    </tr>\n                </table>\n                \n                    <pre><code class=\"language-cql\">define \"Denominator 1\":\n  \"Initial Population\"</code></pre>\n                \n                <br/><br/>\n            \n          </td>\n        </tr>\n        \n    </table>\n</div>"
  ];
  fhir:DomainResource.extension [
     fhir:index 0;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
     fhir:Extension.valueCode [ fhir:value "boolean" ]
  ], [
     fhir:index 1;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Measurement Period" ];
       fhir:ParameterDefinition.use [ fhir:value "in" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "Period" ]     ]
  ], [
     fhir:index 2;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Numerator 3" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ]
  ], [
     fhir:index 3;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Most Recent Tobacco Use Screening Indicates Tobacco Non User" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "Observation" ]     ]
  ], [
     fhir:index 4;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Most Recent Tobacco Use Screening Indicates Tobacco User" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "Observation" ]     ]
  ], [
     fhir:index 5;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Tobacco Cessation Counseling Given" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ]
  ], [
     fhir:index 6;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Tobacco Cessation Pharmacotherapy Ordered" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "MedicationRequest" ]     ]
  ], [
     fhir:index 7;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Denominator Exceptions 1" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ]
  ], [
     fhir:index 8;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Medical Reason for Not Screening for Tobacco Use" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Observation" ]     ]
  ], [
     fhir:index 9;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Has Limited Life Expectancy" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ]
  ], [
     fhir:index 10;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Numerator 1" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ]
  ], [
     fhir:index 11;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Numerator 2" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ]
  ], [
     fhir:index 12;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "SDE Race" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Coding" ]     ]
  ], [
     fhir:index 13;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Patient" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "Patient" ]     ]
  ], [
     fhir:index 14;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "SDE Sex" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "Coding" ]     ]
  ], [
     fhir:index 15;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Denominator 3" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ]
  ], [
     fhir:index 16;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Initial Population" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ]
  ], [
     fhir:index 17;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Office Based Visit During Measurement Period" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ]
  ], [
     fhir:index 18;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Preventive Visit During Measurement Period" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Encounter" ]     ]
  ], [
     fhir:index 19;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Denominator 2" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ]
  ], [
     fhir:index 20;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "SDE Payer" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Any" ]     ]
  ], [
     fhir:index 21;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "SDE Ethnicity" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Coding" ]     ]
  ], [
     fhir:index 22;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Denominator Exceptions 2" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ]
  ], [
     fhir:index 23;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Medical Reason for Not Counseling Tobacco User" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "Procedure" ]     ]
  ], [
     fhir:index 24;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "*" ];
       fhir:ParameterDefinition.type [ fhir:value "MedicationRequest" ]     ]
  ], [
     fhir:index 25;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Denominator Exceptions 3" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ]
  ], [
     fhir:index 26;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter" ];
     fhir:Extension.valueParameterDefinition [
       fhir:ParameterDefinition.name [ fhir:value "Denominator 1" ];
       fhir:ParameterDefinition.use [ fhir:value "out" ];
       fhir:ParameterDefinition.min [ fhir:value "0"^^xsd:integer ];
       fhir:ParameterDefinition.max [ fhir:value "1" ];
       fhir:ParameterDefinition.type [ fhir:value "boolean" ]     ]
  ], [
     fhir:index 27;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278>         ]       ]     ]
  ], [
     fhir:index 28;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278>         ]       ]     ]
  ], [
     fhir:index 29;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509>         ]       ]     ]
  ], [
     fhir:index 30;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "MedicationRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/MedicationRequest>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "medication" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190>         ]       ]     ]
  ], [
     fhir:index 31;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Observation" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Observation";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Observation>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278>         ]       ]     ]
  ], [
     fhir:index 32;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Condition" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Condition";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Condition>       ]     ]
  ], [
     fhir:index 33;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Patient" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>       ]     ]
  ], [
     fhir:index 34;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Patient" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>       ]     ]
  ], [
     fhir:index 35;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
           fhir:Coding.code [ fhir:value "96158" ];
           fhir:Coding.display [ fhir:value "Health behavior intervention, individual, face-to-face; initial 30 minutes" ]         ]       ]     ]
  ], [
     fhir:index 36;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.code [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
           fhir:Coding.code [ fhir:value "96156" ];
           fhir:Coding.display [ fhir:value "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)" ]         ]       ]     ]
  ], [
     fhir:index 37;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016>         ]       ]     ]
  ], [
     fhir:index 38;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011>         ]       ]     ]
  ], [
     fhir:index 39;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001>         ]       ]     ]
  ], [
     fhir:index 40;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285>         ]       ]     ]
  ], [
     fhir:index 41;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022>         ]       ]     ]
  ], [
     fhir:index 42;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492>         ]       ]     ]
  ], [
     fhir:index 43;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496>         ]       ]     ]
  ], [
     fhir:index 44;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141>         ]       ]     ]
  ], [
     fhir:index 45;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530>         ]       ]     ]
  ], [
     fhir:index 46;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240>         ]       ]     ]
  ], [
     fhir:index 47;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025>         ]       ]     ]
  ], [
     fhir:index 48;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027>         ]       ]     ]
  ], [
     fhir:index 49;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030>         ]       ]     ]
  ], [
     fhir:index 50;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026>         ]       ]     ]
  ], [
     fhir:index 51;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Encounter" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Encounter";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Encounter>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023>         ]       ]     ]
  ], [
     fhir:index 52;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Coverage" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Coverage";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Coverage>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "type" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591>         ]       ]     ]
  ], [
     fhir:index 53;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Patient" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Patient";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Patient>       ]     ]
  ], [
     fhir:index 54;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "Procedure" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/Procedure";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/Procedure>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "code" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509>         ]       ]     ]
  ], [
     fhir:index 55;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement" ];
     fhir:Extension.valueDataRequirement [
       fhir:DataRequirement.type [ fhir:value "MedicationRequest" ];
       fhir:DataRequirement.profile [
         fhir:value "http://hl7.org/fhir/StructureDefinition/MedicationRequest";
         fhir:index 0;
         fhir:link <http://hl7.org/fhir/StructureDefinition/MedicationRequest>       ];
       fhir:DataRequirement.codeFilter [
         fhir:index 0;
         fhir:DataRequirement.codeFilter.path [ fhir:value "medication" ];
         fhir:DataRequirement.codeFilter.valueSet [
           fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190";
           fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190>         ]       ]     ]
  ], [
     fhir:index 56;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
     fhir:Extension.valueCoding [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ];
       fhir:Coding.code [ fhir:value "active" ]     ]
  ], [
     fhir:index 57;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
     fhir:Extension.valueCoding [
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "96158" ];
       fhir:Coding.display [ fhir:value "Health behavior intervention, individual, face-to-face; initial 30 minutes" ]     ]
  ], [
     fhir:index 58;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode" ];
     fhir:Extension.valueCoding [
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ];
       fhir:Coding.code [ fhir:value "96156" ];
       fhir:Coding.display [ fhir:value "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)" ]     ]
  ], [
     fhir:index 59;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Numerator 3" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Numerator 3\":\n  \"Most Recent Tobacco Use Screening Indicates Tobacco Non User\" is not null\n      or ( \"Most Recent Tobacco Use Screening Indicates Tobacco User\" is not null\n          and ( exists \"Tobacco Cessation Counseling Given\"\n              or exists \"Tobacco Cessation Pharmacotherapy Ordered\"\n              //or exists \"Active Pharmacotherapy for Tobacco Cessation\"\n          )\n      )" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 60;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Most Recent Tobacco Use Screening Indicates Tobacco Non User" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Most Recent Tobacco Use Screening Indicates Tobacco Non User\":\n  ( Last([\"Observation\": \"Tobacco Use Screening\"] TobaccoUseScreening\n        where Global.\"Normalize Interval\"(TobaccoUseScreening.effective)overlaps \"Measurement Period\"\n        sort by start of Global.\"Normalize Interval\"(effective)\n    )) MostRecentTobaccoUseScreening\n      where MostRecentTobaccoUseScreening.value in \"Tobacco Non-User\"" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "1"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 61;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Most Recent Tobacco Use Screening Indicates Tobacco User" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Most Recent Tobacco Use Screening Indicates Tobacco User\":\n  ( Last([\"Observation\": \"Tobacco Use Screening\"] TobaccoUseScreening\n        where Global.\"Normalize Interval\"(TobaccoUseScreening.effective)overlaps \"Measurement Period\"\n        sort by start of Global.\"Normalize Interval\"(effective)\n    )) MostRecentTobaccoUseScreening\n      where MostRecentTobaccoUseScreening.value in \"Tobacco User\"" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 62;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Tobacco Cessation Counseling Given" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "// MedicationStatement is not available in R5, known publication issue\n//define \"Active Pharmacotherapy for Tobacco Cessation\":\n//  [\"MedicationStatement\": \"Tobacco Use Cessation Pharmacotherapy\"] TakingCessationPharmacotherapy\n//      where Global.\"Normalize Interval\" ( TakingCessationPharmacotherapy.effective ) overlaps after \"Measurement Period\"\n//        and TakingCessationPharmacotherapy.status in { 'active', 'completed' }define \"Tobacco Cessation Counseling Given\":\n  [\"Encounter\": \"Tobacco Use Cessation Counseling\"] TobaccoCessationCounseling\n      where TobaccoCessationCounseling.period during \"Measurement Period\"\n        and TobaccoCessationCounseling.status = 'finished'" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 63;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Tobacco Cessation Pharmacotherapy Ordered" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Tobacco Cessation Pharmacotherapy Ordered\":\n  [\"MedicationRequest\": \"Tobacco Use Cessation Pharmacotherapy\"] CessationPharmacotherapyOrdered\n      where CessationPharmacotherapyOrdered.authoredOn during \"Measurement Period\"\n        and CessationPharmacotherapyOrdered.status = 'active'" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "4"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 64;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Denominator Exceptions 1" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Denominator Exceptions 1\":\n  exists \"Medical Reason for Not Screening for Tobacco Use\"\n      or \"Has Limited Life Expectancy\"" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "5"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 65;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Medical Reason for Not Screening for Tobacco Use" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Medical Reason for Not Screening for Tobacco Use\":\n  [\"Observation\": \"Tobacco Use Screening\"] NoTobaccoUseScreening\n      where NoTobaccoUseScreening.issued during \"Measurement Period\"\n        and \"Not Done\"(NoTobaccoUseScreening)\n        and \"Not Done Reason in Medical Reason\"(NoTobaccoUseScreening)\n        and NoTobaccoUseScreening.status = 'final'" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "6"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 66;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Has Limited Life Expectancy" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "//or exists \"Active Pharmacotherapy for Tobacco Cessation\"define \"Has Limited Life Expectancy\":\n  exists ( [\"Condition\"] LimitedLifeExpectancy\n        where Global.\"Prevalence Period\" ( LimitedLifeExpectancy ) overlaps after \"Measurement Period\"\n          and LimitedLifeExpectancy.clinicalStatus ~ ToConcept(Global.\"active\")\n    )" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "7"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 67;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Numerator 1" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Numerator 1\":\n  \"Most Recent Tobacco Use Screening Indicates Tobacco Non User\" is not null\n      or \"Most Recent Tobacco Use Screening Indicates Tobacco User\" is not null" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "8"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 68;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Numerator 2" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Numerator 2\":\n  exists \"Tobacco Cessation Counseling Given\"\n      or exists \"Tobacco Cessation Pharmacotherapy Ordered\"" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "9"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 69;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "SDE Race" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"SDE Race\":\n  SDE.\"SDE Race\"" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "10"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 70;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "SDE Race" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"SDE Race\":\n  (flatten (\n      Patient.extension Extension\n        where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n          return Extension.extension\n    )) E\n      where E.url = 'ombCategory'\n        or E.url = 'detailed'\n      return E.value as Coding" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "11"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 71;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "SDE Sex" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"SDE Sex\":\n  SDE.\"SDE Sex\"" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "12"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 72;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "SDE Sex" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"SDE Sex\":\n  case\n      when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n      when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n      else null\n    end" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "13"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 73;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Denominator 3" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Denominator 3\":\n  \"Initial Population\"" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "14"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 74;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Initial Population" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Initial Population\":\n  exists ( [\"Patient\"] BirthDate\n        where Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of \"Measurement Period\" ) >= 18\n    )\n      and ( Count(\"Office Based Visit During Measurement Period\")>= 2\n          or exists \"Preventive Visit During Measurement Period\"\n      )" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "15"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 75;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Office Based Visit During Measurement Period" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Office Based Visit During Measurement Period\":\n  ( [\"Encounter\": \"Health behavior intervention, individual, face-to-face; initial 30 minutes\"]\n      union [\"Encounter\": \"Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)\"]\n      union [\"Encounter\": \"Home Healthcare Services\"]\n      union [\"Encounter\": \"Occupational Therapy Evaluation\"]\n      union [\"Encounter\": \"Office Visit\"]\n      union [\"Encounter\": \"Ophthalmological Services\"]\n      union [\"Encounter\": \"Physical Therapy Evaluation\"]\n      union [\"Encounter\": \"Psych Visit - Diagnostic Evaluation\"]\n      union [\"Encounter\": \"Psych Visit - Psychotherapy\"]\n      union [\"Encounter\": \"Psychoanalysis\"]\n      union [\"Encounter\": \"Speech and Hearing Evaluation\"] ) OfficeBasedEncounter\n      where OfficeBasedEncounter.period during \"Measurement Period\"\n        and OfficeBasedEncounter.status = 'finished'" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "16"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 76;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Preventive Visit During Measurement Period" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Preventive Visit During Measurement Period\":\n  ( [\"Encounter\": \"Annual Wellness Visit\"]\n      union [\"Encounter\": \"Preventive Care Services - Established Office Visit, 18 and Up\"]\n      union [\"Encounter\": \"Preventive Care Services - Group Counseling\"]\n      union [\"Encounter\": \"Preventive Care Services - Other\"]\n      union [\"Encounter\": \"Preventive Care Services-Individual Counseling\"]\n      union [\"Encounter\": \"Preventive Care Services-Initial Office Visit, 18 and Up\"] ) PreventiveEncounter\n      where PreventiveEncounter.period during \"Measurement Period\"\n        and PreventiveEncounter.status = 'finished'" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "17"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 77;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Denominator 2" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Denominator 2\":\n  \"Initial Population\"\n      and \"Most Recent Tobacco Use Screening Indicates Tobacco User\" is not null" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "18"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 78;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "SDE Payer" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"SDE Payer\":\n  SDE.\"SDE Payer\"" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "19"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 79;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "SDE Payer" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"SDE Payer\":\n  [Coverage: type in \"Payer\"] Payer\n        return {\n          code: Payer.type,\n          period: Payer.period\n        }" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "20"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 80;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Initial Population" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Initial Population\":\n  exists ( [\"Patient\"] BirthDate\n        where Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of \"Measurement Period\" ) >= 18\n    )\n      and ( Count(\"Office Based Visit During Measurement Period\")>= 2\n          or exists \"Preventive Visit During Measurement Period\"\n      )" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "21"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 81;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "SDE Ethnicity" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"SDE Ethnicity\":\n  SDE.\"SDE Ethnicity\"" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "22"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 82;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "SupplementalDataElements" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "SDE Ethnicity" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"SDE Ethnicity\":\n  (flatten (\n      Patient.extension Extension\n        where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n          return Extension.extension\n    )) E\n      where E.url = 'ombCategory'\n        or E.url = 'detailed'\n      return E.value as Coding" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "23"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 83;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Denominator Exceptions 2" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Denominator Exceptions 2\":\n  exists \"Medical Reason for Not Counseling Tobacco User\"\n      or exists \"Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy\"\n      or \"Has Limited Life Expectancy\"" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "24"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 84;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Medical Reason for Not Counseling Tobacco User" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Medical Reason for Not Counseling Tobacco User\":\n  [\"Procedure\": \"Tobacco Use Cessation Counseling\"] NoTobaccoCessationCounseling\n      where Global.\"Normalize Interval\" ( NoTobaccoCessationCounseling.performed ) starts during \"Measurement Period\"\n        and ( ( NoTobaccoCessationCounseling.status = 'not-done'\n              and NoTobaccoCessationCounseling.statusReason in \"Medical Reason\"\n          )\n            or ( \"Not Done\"(NoTobaccoCessationCounseling)\n                and \"Not Done Reason in Medical Reason\"(NoTobaccoCessationCounseling)\n            )\n        )" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "25"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 85;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy\":\n  [\"MedicationRequest\": \"Tobacco Use Cessation Pharmacotherapy\"] NoCessationPharmacotherapyOrdered\n      where NoCessationPharmacotherapyOrdered.authoredOn during \"Measurement Period\"\n        and NoCessationPharmacotherapyOrdered.status = 'completed'\n        and ( ( \"Not Done\"(NoCessationPharmacotherapyOrdered)\n              and \"Not Done Reason in Medical Reason\"(NoCessationPharmacotherapyOrdered)\n          )\n            or ( NoCessationPharmacotherapyOrdered.doNotPerform = true\n                and NoCessationPharmacotherapyOrdered.statusReason in \"Medical Reason\"\n            )\n        )" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "26"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 86;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Denominator Exceptions 3" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Denominator Exceptions 3\":\n  exists \"Medical Reason for Not Screening for Tobacco Use\"\n      or exists \"Medical Reason for Not Counseling Tobacco User\"\n      or exists \"Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy\"\n      or \"Has Limited Life Expectancy\"" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "27"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ], [
     fhir:index 87;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "libraryName" ];
       fhir:Extension.valueString [ fhir:value "TSCComponent" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "name" ];
       fhir:Extension.valueString [ fhir:value "Denominator 1" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "statement" ];
       fhir:Extension.valueString [ fhir:value "define \"Denominator 1\":\n  \"Initial Population\"" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "displaySequence" ];
       fhir:Extension.valueInteger [ fhir:value "28"^^xsd:integer ]     ];
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition" ]
  ];
  fhir:Measure.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/TSCComponent"];
  fhir:Measure.version [ fhir:value "0.0.001"];
  fhir:Measure.name [ fhir:value "TSCComponent"];
  fhir:Measure.title [ fhir:value "Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention"];
  fhir:Measure.status [ fhir:value "draft"];
  fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:Measure.date [ fhir:value "2021-04-03T13:00:06-06:00"^^xsd:dateTime];
  fhir:Measure.publisher [ fhir:value "Clinical Quality Information WG"];
  fhir:Measure.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cqi/index.cfm" ]     ]
  ];
  fhir:Measure.description [ fhir:value "This is an example only."];
  fhir:Measure.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ];
  fhir:Measure.effectivePeriod [
     fhir:Period.start [ fhir:value "2022-01-01"^^xsd:date ];
     fhir:Period.end [ fhir:value "2022-12-31"^^xsd:date ]
  ];
  fhir:Measure.relatedArtifact [
     fhir:index 0;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Library Global" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000";
       fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000>     ]
  ], [
     fhir:index 1;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1";
       fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1>     ]
  ], [
     fhir:index 2;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Library SDE" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000";
       fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000>     ]
  ], [
     fhir:index 3;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Library FHIRHelpers" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1";
       fhir:link <http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1>     ]
  ], [
     fhir:index 4;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Code system ConditionClinicalStatusCodes" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical";
       fhir:link <http://terminology.hl7.org/CodeSystem/condition-clinical>     ]
  ], [
     fhir:index 5;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Code system CPT" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://www.ama-assn.org/go/cpt";
       fhir:link <http://www.ama-assn.org/go/cpt>     ]
  ], [
     fhir:index 6;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Tobacco Use Screening" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278>     ]
  ], [
     fhir:index 7;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Tobacco Non-User" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1189";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1189>     ]
  ], [
     fhir:index 8;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Tobacco User" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1170";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1170>     ]
  ], [
     fhir:index 9;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Tobacco Use Cessation Counseling" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509>     ]
  ], [
     fhir:index 10;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Tobacco Use Cessation Pharmacotherapy" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190>     ]
  ], [
     fhir:index 11;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Home Healthcare Services" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016>     ]
  ], [
     fhir:index 12;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Occupational Therapy Evaluation" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011>     ]
  ], [
     fhir:index 13;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Office Visit" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001>     ]
  ], [
     fhir:index 14;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Ophthalmological Services" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285>     ]
  ], [
     fhir:index 15;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Physical Therapy Evaluation" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022>     ]
  ], [
     fhir:index 16;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Psych Visit - Diagnostic Evaluation" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492>     ]
  ], [
     fhir:index 17;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Psych Visit - Psychotherapy" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496>     ]
  ], [
     fhir:index 18;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Psychoanalysis" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141>     ]
  ], [
     fhir:index 19;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Speech and Hearing Evaluation" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530>     ]
  ], [
     fhir:index 20;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Annual Wellness Visit" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240>     ]
  ], [
     fhir:index 21;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Preventive Care Services - Established Office Visit, 18 and Up" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025>     ]
  ], [
     fhir:index 22;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Preventive Care Services - Group Counseling" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027>     ]
  ], [
     fhir:index 23;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Preventive Care Services - Other" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030>     ]
  ], [
     fhir:index 24;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Preventive Care Services-Individual Counseling" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026>     ]
  ], [
     fhir:index 25;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Preventive Care Services-Initial Office Visit, 18 and Up" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023>     ]
  ], [
     fhir:index 26;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Payer" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591>     ]
  ], [
     fhir:index 27;
     fhir:RelatedArtifact.type [ fhir:value "depends-on" ];
     fhir:RelatedArtifact.display [ fhir:value "Value set Medical Reason" ];
     fhir:RelatedArtifact.resource [
       fhir:value "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007";
       fhir:link <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007>     ]
  ];
  fhir:Measure.library [
     fhir:value "http://ecqi.healthit.gov/ecqms/Library/TSCComponentLibrary";
     fhir:index 0;
     fhir:link <http://ecqi.healthit.gov/ecqms/Library/TSCComponentLibrary>
  ];
  fhir:Measure.scoring [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
       fhir:Coding.code [ fhir:value "proportion" ];
       fhir:Coding.display [ fhir:value "Proportion" ]     ]
  ];
  fhir:Measure.type [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
       fhir:Coding.code [ fhir:value "process" ]     ]
  ];
  fhir:Measure.improvementNotation [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
       fhir:Coding.code [ fhir:value "increase" ]     ]
  ];
  fhir:Measure.group [
     fhir:index 0;
     fhir:Element.id [ fhir:value "group-1" ];
     fhir:Measure.group.code [
       fhir:CodeableConcept.text [ fhir:value "Group 1" ]     ];
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Element.id [ fhir:value "1DE7294A-72AE-42D1-A2A6-BCAE23DBA8A6" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Initial Population" ]       ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "0F57D23C-C2AA-4CE1-9E20-33DAE1F2B145" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ];
           fhir:Coding.display [ fhir:value "Denominator" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Denominator 1" ]       ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "570F7624-72EC-4CFC-9137-F48E476D77DC" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator-exception" ];
           fhir:Coding.display [ fhir:value "Denominator Exception" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Denominator Exceptions 1" ]       ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "20577EB7-3FE9-43D2-B918-A8C7AE5E0E91" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ];
           fhir:Coding.display [ fhir:value "Numerator" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Numerator 1" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Element.id [ fhir:value "group-2" ];
     fhir:Measure.group.code [
       fhir:CodeableConcept.text [ fhir:value "Group 2" ]     ];
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Element.id [ fhir:value "DD346C87-5D2B-4319-B41D-7BF64ADF95D0" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Initial Population" ]       ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "A1FAA872-5C94-4F2B-A355-8E3A3390369C" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ];
           fhir:Coding.display [ fhir:value "Denominator" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Denominator 2" ]       ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "3AE470CD-37DF-492D-A3A4-365BAF744C5A" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator-exception" ];
           fhir:Coding.display [ fhir:value "Denominator Exception" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Denominator Exceptions 2" ]       ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "B1F8B729-7BBD-4616-B39C-E90444B7884C" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ];
           fhir:Coding.display [ fhir:value "Numerator" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Numerator 2" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:Element.id [ fhir:value "group-3" ];
     fhir:Measure.group.code [
       fhir:CodeableConcept.text [ fhir:value "Group 3" ]     ];
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Element.id [ fhir:value "EA2696EE-326B-490A-82B5-E4D8FC581E77" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ];
           fhir:Coding.display [ fhir:value "Initial Population" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Initial Population" ]       ]     ], [
       fhir:index 1;
       fhir:Element.id [ fhir:value "D346BB79-EFD1-4DB1-902A-36F027BE75E9" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ];
           fhir:Coding.display [ fhir:value "Denominator" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Denominator 3" ]       ]     ], [
       fhir:index 2;
       fhir:Element.id [ fhir:value "6BBFE753-2072-4848-B189-0E5B44BE1F52" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator-exception" ];
           fhir:Coding.display [ fhir:value "Denominator Exception" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Denominator Exceptions 3" ]       ]     ], [
       fhir:index 3;
       fhir:Element.id [ fhir:value "F8E22F0F-7307-4BED-9295-648803772928" ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ];
           fhir:Coding.display [ fhir:value "Numerator" ]         ]       ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql.identifier" ];
         fhir:Expression.expression [ fhir:value "Numerator 3" ]       ]     ]
  ];
  fhir:Measure.supplementalData [
     fhir:index 0;
     fhir:Element.id [ fhir:value "fe7bab72-cc69-44bb-a678-473b24811e67" ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql.identifier" ];
       fhir:Expression.expression [ fhir:value "SDE Ethnicity" ]     ]
  ], [
     fhir:index 1;
     fhir:Element.id [ fhir:value "2486f84d-df90-489b-8f5c-e55cdcfb361e" ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql.identifier" ];
       fhir:Expression.expression [ fhir:value "SDE Payer" ]     ]
  ], [
     fhir:index 2;
     fhir:Element.id [ fhir:value "bb0949c4-1f7b-4ce2-a988-c2e60f1a0079" ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql.identifier" ];
       fhir:Expression.expression [ fhir:value "SDE Race" ]     ]
  ], [
     fhir:index 3;
     fhir:Element.id [ fhir:value "742028bc-5aa5-4a5b-927d-be1908e10aaf" ];
     fhir:Measure.supplementalData.usage [
       fhir:index 0;
       fhir:CodeableConcept.coding [
         fhir:index 0;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-data-usage" ];
         fhir:Coding.code [ fhir:value "supplemental-data" ]       ]     ];
     fhir:Measure.supplementalData.criteria [
       fhir:Expression.language [ fhir:value "text/cql.identifier" ];
       fhir:Expression.expression [ fhir:value "SDE Sex" ]     ]
  ].

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

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