Quality Measure Implementation Guide (STU5)
5.0.0-ballot - ballot
Quality Measure Implementation Guide (STU5)
5.0.0-ballot - ballot
This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v5.0.0-ballot: STU5 (v5.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions
| Draft as of 2022-02-22 |
<Measure xmlns="http://hl7.org/fhir">
<id value="TSCComponent"/>
<meta>
<profile
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<profile
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<language value="en"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
<table class="grid dict">
<tr>
<th scope="row"><b>Id: </b></th>
<td style="padding-left: 4px;">TSCComponent</td>
</tr>
<tr>
<th scope="row"><b>Download cql: </b></th>
<td style="padding-left: 4px;"><a href="Library-TSCComponent.cql">TSCComponent.cql</a></td>
</tr>
<tr>
<th scope="row"><b>Url: </b></th>
<td style="padding-left: 4px;"><a href="Measure-TSCComponent.html">Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention</a></td>
</tr>
<tr>
<th scope="row"><b>Version: </b></th>
<td style="padding-left: 4px;">5.0.0-ballot</td>
</tr>
<tr>
<th scope="row"><b>Name: </b></th>
<td style="padding-left: 4px;">TSCComponent</td>
</tr>
<tr>
<th scope="row"><b>Title: </b></th>
<td style="padding-left: 4px;">Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention</td>
</tr>
<tr>
<th scope="row"><b>Status: </b></th>
<td style="padding-left: 4px;">draft</td>
</tr>
<tr>
<th scope="row"><b>Experimental: </b></th>
<td style="padding-left: 4px;">true</td>
</tr>
<tr>
<th scope="row"><b>Scoring: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>Proportion </span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Improvement Notation: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>increase </span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Type: </b></th>
<td style="padding-left: 4px;">
<p style="margin-bottom: 5px;">
<span>process </span>
</p>
</td>
</tr>
<tr>
<th scope="row"><b>Date: </b></th>
<td style="padding-left: 4px;">2022-02-22 11:37:04-0600</td>
</tr>
<tr>
<th scope="row"><b>Publisher: </b></th>
<td style="padding-left: 4px;">HL7 International / Clinical Quality Information</td>
</tr>
<tr>
<th scope="row"><b>Description: </b></th>
<td style="padding-left: 4px;"><div><p>This is an example only.</p>
</div></td>
</tr>
<tr>
<th scope="row"><b>Jurisdiction: </b></th>
<td style="padding-left: 25px;">US</td>
</tr>
<tr>
<th scope="row"><b>Effective Period: </b></th>
<td style="padding-left: 4px;">2022-01-01..2022-12-31</td>
</tr>
<tr>
<th scope="row"><b> Supplemental Data Elements: </b></th>
<td style="padding-left: 4px;">
SDE Ethnicity
SDE Payer
SDE Race
SDE Sex
</td>
</tr>
<tr>
<th scope="row"><b>Libraries: </b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><td><a href="Library-TSCComponent.html">TSC Component Library</a></td></tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Related Artifact Dependencies: </b></th>
<td style="padding-left: 4px;">
<li><a href="Library-MATGlobalCommonFunctions.html">MAT Global Common Functions FHIR Library</a></li>
<li><a href="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1">http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1</a></li>
<li><a href="http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000">http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000</a></li>
<li><a href="http://terminology.hl7.org/5.4.0/CodeSystem-condition-clinical.html">Condition Clinical Status Codes</a></li>
<li><a href="http://terminology.hl7.org/5.4.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT®)</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1278/expansion">Tobacco Use Screening</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1189/expansion">Tobacco Non User</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1170/expansion">Tobacco User</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.509/expansion">Tobacco Use Cessation Counseling</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1190/expansion">Tobacco Use Cessation Pharmacotherapy</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1016/expansion">Home Healthcare Services</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1011/expansion">Occupational Therapy Evaluation</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1001/expansion">Office Visit</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1285/expansion">Ophthalmological Services</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1022/expansion">Physical Therapy Evaluation</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1492/expansion">Psych Visit Diagnostic Evaluation</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1496/expansion">Psych Visit Psychotherapy</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1141/expansion">Psychoanalysis</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1530/expansion">Speech and Hearing Evaluation</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1240/expansion">Annual Wellness Visit</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1025/expansion">Preventive Care Services Established Office Visit, 18 and Up</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1027/expansion">Preventive Care Services Group Counseling</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1030/expansion">Preventive Care Services Other</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1026/expansion">Preventive Care Services Individual Counseling</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1023/expansion">Preventive Care Services Initial Office Visit, 18 and Up</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion">Payer</a></li>
<li><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1007/expansion">Medical Reason</a></li>
</td>
</tr>
<tr>
<th scope="row"><b>Parameters:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>name</b></th><th><b>use</b></th><th><b>min</b></th><th><b>max</b></th><th><b>type</b></th></tr>
<tr>
<td>Measurement Period</td>
<td>in</td>
<td>0</td>
<td>1</td>
<td>Period</td>
</tr>
<tr>
<td>Numerator 3</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>boolean</td>
</tr>
<tr>
<td>Denominator Exceptions 1</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>boolean</td>
</tr>
<tr>
<td>Numerator 1</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>boolean</td>
</tr>
<tr>
<td>Numerator 2</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>boolean</td>
</tr>
<tr>
<td>SDE Race</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Coding</td>
</tr>
<tr>
<td>SDE Sex</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>Coding</td>
</tr>
<tr>
<td>Denominator 3</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>boolean</td>
</tr>
<tr>
<td>Denominator 2</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>boolean</td>
</tr>
<tr>
<td>SDE Payer</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Resource</td>
</tr>
<tr>
<td>Initial Population</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>boolean</td>
</tr>
<tr>
<td>SDE Ethnicity</td>
<td>out</td>
<td>0</td>
<td>*</td>
<td>Coding</td>
</tr>
<tr>
<td>Denominator Exceptions 2</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>boolean</td>
</tr>
<tr>
<td>Denominator Exceptions 3</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>boolean</td>
</tr>
<tr>
<td>Denominator 1</td>
<td>out</td>
<td>0</td>
<td>1</td>
<td>boolean</td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>DataRequirements:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>Type</b></th><th><b>Must Support</b></th><th><b>Valueset Name</b></th><th><b>Valueset</b></th></tr>
<tr>
<td>Patient</td>
<td>
extension
value
birthDate
url
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Home Healthcare Services
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1016/expansion">Home Healthcare Services</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Occupational Therapy Evaluation
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1011/expansion">Occupational Therapy Evaluation</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Office Visit
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1001/expansion">Office Visit</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Ophthalmological Services
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1285/expansion">Ophthalmological Services</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Physical Therapy Evaluation
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1022/expansion">Physical Therapy Evaluation</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Psych Visit - Diagnostic Evaluation
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1492/expansion">Psych Visit Diagnostic Evaluation</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Psych Visit - Psychotherapy
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1496/expansion">Psych Visit Psychotherapy</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Psychoanalysis
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1141/expansion">Psychoanalysis</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Speech and Hearing Evaluation
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1530/expansion">Speech and Hearing Evaluation</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Annual Wellness Visit
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1240/expansion">Annual Wellness Visit</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Preventive Care Services - Established Office Visit, 18 and Up
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1025/expansion">Preventive Care Services Established Office Visit, 18 and Up</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Preventive Care Services - Group Counseling
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1027/expansion">Preventive Care Services Group Counseling</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Preventive Care Services - Other
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1030/expansion">Preventive Care Services Other</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Preventive Care Services-Individual Counseling
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1026/expansion">Preventive Care Services Individual Counseling</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
type
</td>
<td>
Preventive Care Services-Initial Office Visit, 18 and Up
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1023/expansion">Preventive Care Services Initial Office Visit, 18 and Up</a></td>
</tr>
<tr>
<td>Encounter</td>
<td>
period
type
status
</td>
<td>
Tobacco Use Cessation Counseling
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.509/expansion">Tobacco Use Cessation Counseling</a></td>
</tr>
<tr>
<td>Coverage</td>
<td>
period
type
</td>
<td>
Payer
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion">Payer</a></td>
</tr>
<tr>
<td>Observation</td>
<td>
effective
code
issued
value
status
</td>
<td>
Tobacco Use Screening
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1278/expansion">Tobacco Use Screening</a></td>
</tr>
<tr>
<td>MedicationRequest</td>
<td>
authoredOn
statusReason
medication
doNotPerform
status
</td>
<td>
Tobacco Use Cessation Pharmacotherapy
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1190/expansion">Tobacco Use Cessation Pharmacotherapy</a></td>
</tr>
<tr>
<td>Condition</td>
<td>
clinicalStatus
</td>
<td>
</td>
<td></td>
</tr>
<tr>
<td>Procedure</td>
<td>
code
statusReason
performed
status
</td>
<td>
Tobacco Use Cessation Counseling
</td>
<td><a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.509/expansion">Tobacco Use Cessation Counseling</a></td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Direct Reference Codes:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr><th><b>display</b></th><th><b>code</b></th><th><b>system</b></th></tr>
<tr>
<td></td>
<td>active</td>
<td><a href="http://terminology.hl7.org/5.4.0/CodeSystem-condition-clinical.html">Condition Clinical Status Codes</a></td>
</tr>
<tr>
<td>Health behavior intervention, individual, face-to-face; initial 30 minutes</td>
<td>96158</td>
<td><a href="http://terminology.hl7.org/5.4.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT®)</a></td>
</tr>
<tr>
<td>Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)</td>
<td>96156</td>
<td><a href="http://terminology.hl7.org/5.4.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT®)</a></td>
</tr>
</table>
</td>
</tr>
<tr>
<th scope="row"><b>Logic Definitions:</b></th>
<td style="padding-left: 4px;">
<table class="grid-dict">
<tr>
<th><b>Group</b></th><th><b>Scoring</b></th><th><b>Population Criteria</b></th><th><b>Expression</b></th>
</tr>
<tr>
<td> group-1 </td>
<td>
<b>Measure scoring:</b>
<p style="margin-bottom: 5px;">
<span>Proportion</span>
</p>
</td>
<tr>
<td/>
<td/>
<td>Initial Population</td>
<td>
<pre><code class="language-cql">define "Initial Population": exists ( ["Patient"] BirthDate where Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18 ) and ( Count("Office Based Visit During Measurement Period")>= 2 or exists "Preventive Visit During Measurement Period" )</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Denominator</td>
<td>
<pre><code class="language-cql">define "Denominator 1": "Initial Population"</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Denominator Exception</td>
<td>
<pre><code class="language-cql">define "Denominator Exceptions 1": exists "Medical Reason for Not Screening for Tobacco Use" or "Has Limited Life Expectancy"</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Numerator</td>
<td>
<pre><code class="language-cql">define "Numerator 1": "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null or "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null</code></pre>
</td>
</tr>
<td> group-2 </td>
<td>
<b>Measure scoring:</b>
<p style="margin-bottom: 5px;">
<span>Proportion</span>
</p>
</td>
<tr>
<td/>
<td/>
<td>Initial Population</td>
<td>
<pre><code class="language-cql">define "Initial Population": exists ( ["Patient"] BirthDate where Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18 ) and ( Count("Office Based Visit During Measurement Period")>= 2 or exists "Preventive Visit During Measurement Period" )</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Denominator</td>
<td>
<pre><code class="language-cql">define "Denominator 2": "Initial Population" and "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Denominator Exception</td>
<td>
<pre><code class="language-cql">define "Denominator Exceptions 2": exists "Medical Reason for Not Counseling Tobacco User" or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy" or "Has Limited Life Expectancy"</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Numerator</td>
<td>
<pre><code class="language-cql">define "Numerator 2": exists "Tobacco Cessation Counseling Given" or exists "Tobacco Cessation Pharmacotherapy Ordered"</code></pre>
</td>
</tr>
<td> group-3 </td>
<td>
<b>Measure scoring:</b>
<p style="margin-bottom: 5px;">
<span>Proportion</span>
</p>
</td>
<tr>
<td/>
<td/>
<td>Initial Population</td>
<td>
<pre><code class="language-cql">define "Initial Population": exists ( ["Patient"] BirthDate where Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18 ) and ( Count("Office Based Visit During Measurement Period")>= 2 or exists "Preventive Visit During Measurement Period" )</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Denominator</td>
<td>
<pre><code class="language-cql">define "Denominator 3": "Initial Population"</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Denominator Exception</td>
<td>
<pre><code class="language-cql">define "Denominator Exceptions 3": exists "Medical Reason for Not Screening for Tobacco Use" or exists "Medical Reason for Not Counseling Tobacco User" or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy" or "Has Limited Life Expectancy"</code></pre>
</td>
</tr>
<tr>
<td/>
<td/>
<td>Numerator</td>
<td>
<pre><code class="language-cql">define "Numerator 3": "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null or ( "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null and ( exists "Tobacco Cessation Counseling Given" or exists "Tobacco Cessation Pharmacotherapy Ordered" //or exists "Active Pharmacotherapy for Tobacco Cessation" ) )</code></pre>
</td>
</tr>
</tr>
</table>
<table class="grid-dict">
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Most Recent Tobacco Use Screening Indicates Tobacco Non User</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Most Recent Tobacco Use Screening Indicates Tobacco Non User": ( Last(["Observation": "Tobacco Use Screening"] TobaccoUseScreening where Global."Normalize Interval"(TobaccoUseScreening.effective)overlaps "Measurement Period" sort by start of Global."Normalize Interval"(effective) )) MostRecentTobaccoUseScreening where MostRecentTobaccoUseScreening.value in "Tobacco Non-User"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Most Recent Tobacco Use Screening Indicates Tobacco User</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Most Recent Tobacco Use Screening Indicates Tobacco User": ( Last(["Observation": "Tobacco Use Screening"] TobaccoUseScreening where Global."Normalize Interval"(TobaccoUseScreening.effective)overlaps "Measurement Period" sort by start of Global."Normalize Interval"(effective) )) MostRecentTobaccoUseScreening where MostRecentTobaccoUseScreening.value in "Tobacco User"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Tobacco Cessation Counseling Given</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">// MedicationStatement is not available in R5, known publication issue //define "Active Pharmacotherapy for Tobacco Cessation": // ["MedicationStatement": "Tobacco Use Cessation Pharmacotherapy"] TakingCessationPharmacotherapy // where Global."Normalize Interval" ( TakingCessationPharmacotherapy.effective ) overlaps after "Measurement Period" // and TakingCessationPharmacotherapy.status in { 'active', 'completed' } define "Tobacco Cessation Counseling Given": ["Encounter": "Tobacco Use Cessation Counseling"] TobaccoCessationCounseling where TobaccoCessationCounseling.period during "Measurement Period" and TobaccoCessationCounseling.status = 'finished'</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Tobacco Cessation Pharmacotherapy Ordered</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Tobacco Cessation Pharmacotherapy Ordered": ["MedicationRequest": "Tobacco Use Cessation Pharmacotherapy"] CessationPharmacotherapyOrdered where CessationPharmacotherapyOrdered.authoredOn during "Measurement Period" and CessationPharmacotherapyOrdered.status = 'active'</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Numerator 3</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Numerator 3": "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null or ( "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null and ( exists "Tobacco Cessation Counseling Given" or exists "Tobacco Cessation Pharmacotherapy Ordered" //or exists "Active Pharmacotherapy for Tobacco Cessation" ) )</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Medical Reason for Not Screening for Tobacco Use</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Medical Reason for Not Screening for Tobacco Use": ["Observation": "Tobacco Use Screening"] NoTobaccoUseScreening where NoTobaccoUseScreening.issued during "Measurement Period" and "Not Done"(NoTobaccoUseScreening) and "Not Done Reason in Medical Reason"(NoTobaccoUseScreening) and NoTobaccoUseScreening.status = 'final'</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Has Limited Life Expectancy</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">//or exists "Active Pharmacotherapy for Tobacco Cessation" define "Has Limited Life Expectancy": exists ( ["Condition"] LimitedLifeExpectancy where Global."Prevalence Period" ( LimitedLifeExpectancy ) overlaps after "Measurement Period" and LimitedLifeExpectancy.clinicalStatus ~ ToConcept(Global."active") )</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Denominator Exceptions 1</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Denominator Exceptions 1": exists "Medical Reason for Not Screening for Tobacco Use" or "Has Limited Life Expectancy"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Numerator 1</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Numerator 1": "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null or "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Numerator 2</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Numerator 2": exists "Tobacco Cessation Counseling Given" or exists "Tobacco Cessation Pharmacotherapy Ordered"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>SupplementalDataElements</td>
<td>SDE Race</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Race": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>SDE Race</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Race": SDE."SDE Race"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>SupplementalDataElements</td>
<td>SDE Sex</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Sex": case when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' } when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' } else null end</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>SDE Sex</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Sex": SDE."SDE Sex"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Office Based Visit During Measurement Period</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Office Based Visit During Measurement Period": ( ["Encounter": "Health behavior intervention, individual, face-to-face; initial 30 minutes"] union ["Encounter": "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"] union ["Encounter": "Home Healthcare Services"] union ["Encounter": "Occupational Therapy Evaluation"] union ["Encounter": "Office Visit"] union ["Encounter": "Ophthalmological Services"] union ["Encounter": "Physical Therapy Evaluation"] union ["Encounter": "Psych Visit - Diagnostic Evaluation"] union ["Encounter": "Psych Visit - Psychotherapy"] union ["Encounter": "Psychoanalysis"] union ["Encounter": "Speech and Hearing Evaluation"] ) OfficeBasedEncounter where OfficeBasedEncounter.period during "Measurement Period" and OfficeBasedEncounter.status = 'finished'</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Preventive Visit During Measurement Period</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Preventive Visit During Measurement Period": ( ["Encounter": "Annual Wellness Visit"] union ["Encounter": "Preventive Care Services - Established Office Visit, 18 and Up"] union ["Encounter": "Preventive Care Services - Group Counseling"] union ["Encounter": "Preventive Care Services - Other"] union ["Encounter": "Preventive Care Services-Individual Counseling"] union ["Encounter": "Preventive Care Services-Initial Office Visit, 18 and Up"] ) PreventiveEncounter where PreventiveEncounter.period during "Measurement Period" and PreventiveEncounter.status = 'finished'</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Initial Population</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Initial Population": exists ( ["Patient"] BirthDate where Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18 ) and ( Count("Office Based Visit During Measurement Period")>= 2 or exists "Preventive Visit During Measurement Period" )</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Denominator 3</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Denominator 3": "Initial Population"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Denominator 2</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Denominator 2": "Initial Population" and "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>SupplementalDataElements</td>
<td>SDE Payer</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Payer": [Coverage: type in "Payer"] Payer return { code: Payer.type, period: Payer.period }</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>SDE Payer</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Payer": SDE."SDE Payer"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>SupplementalDataElements</td>
<td>SDE Ethnicity</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Ethnicity": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>SDE Ethnicity</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "SDE Ethnicity": SDE."SDE Ethnicity"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Medical Reason for Not Counseling Tobacco User</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Medical Reason for Not Counseling Tobacco User": ["Procedure": "Tobacco Use Cessation Counseling"] NoTobaccoCessationCounseling where Global."Normalize Interval" ( NoTobaccoCessationCounseling.performed ) starts during "Measurement Period" and ( ( NoTobaccoCessationCounseling.status = 'not-done' and NoTobaccoCessationCounseling.statusReason in "Medical Reason" ) or ( "Not Done"(NoTobaccoCessationCounseling) and "Not Done Reason in Medical Reason"(NoTobaccoCessationCounseling) ) )</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy": ["MedicationRequest": "Tobacco Use Cessation Pharmacotherapy"] NoCessationPharmacotherapyOrdered where NoCessationPharmacotherapyOrdered.authoredOn during "Measurement Period" and NoCessationPharmacotherapyOrdered.status = 'completed' and ( ( "Not Done"(NoCessationPharmacotherapyOrdered) and "Not Done Reason in Medical Reason"(NoCessationPharmacotherapyOrdered) ) or ( NoCessationPharmacotherapyOrdered.doNotPerform = true and NoCessationPharmacotherapyOrdered.statusReason in "Medical Reason" ) )</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Denominator Exceptions 2</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Denominator Exceptions 2": exists "Medical Reason for Not Counseling Tobacco User" or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy" or "Has Limited Life Expectancy"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Denominator Exceptions 3</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Denominator Exceptions 3": exists "Medical Reason for Not Screening for Tobacco Use" or exists "Medical Reason for Not Counseling Tobacco User" or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy" or "Has Limited Life Expectancy"</code></pre></td>
</tr>
<tr><th><b>Library Name</b></th><th><b>Name</b></th></tr>
<tr>
<td>TSCComponent</td>
<td>Denominator 1</td>
</tr>
<tr>
<td></td>
<td><pre class="highlight language-cql"><code class="language-cql">define "Denominator 1": "Initial Population"</code></pre></td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</text>
<contained>
<Library>
<id value="effective-data-requirements"/>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
<valueCoding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="96158"/>
<display
value="Health behavior intervention, individual, face-to-face; initial 30 minutes"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
<valueCoding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="96156"/>
<display
value="Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString
value="Most Recent Tobacco Use Screening Indicates Tobacco Non User"/>
</extension>
<extension url="statement">
<valueString
value="define "Most Recent Tobacco Use Screening Indicates Tobacco Non User": ( Last(["Observation": "Tobacco Use Screening"] TobaccoUseScreening where Global."Normalize Interval"(TobaccoUseScreening.effective)overlaps "Measurement Period" sort by start of Global."Normalize Interval"(effective) )) MostRecentTobaccoUseScreening where MostRecentTobaccoUseScreening.value in "Tobacco Non-User""/>
</extension>
<extension url="displaySequence">
<valueInteger value="0"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString
value="Most Recent Tobacco Use Screening Indicates Tobacco User"/>
</extension>
<extension url="statement">
<valueString
value="define "Most Recent Tobacco Use Screening Indicates Tobacco User": ( Last(["Observation": "Tobacco Use Screening"] TobaccoUseScreening where Global."Normalize Interval"(TobaccoUseScreening.effective)overlaps "Measurement Period" sort by start of Global."Normalize Interval"(effective) )) MostRecentTobaccoUseScreening where MostRecentTobaccoUseScreening.value in "Tobacco User""/>
</extension>
<extension url="displaySequence">
<valueInteger value="1"/>
</extension>
</extension>
<extension
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<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Tobacco Cessation Counseling Given"/>
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<extension url="statement">
<valueString
value="// MedicationStatement is not available in R5, known publication issue //define "Active Pharmacotherapy for Tobacco Cessation": // ["MedicationStatement": "Tobacco Use Cessation Pharmacotherapy"] TakingCessationPharmacotherapy // where Global."Normalize Interval" ( TakingCessationPharmacotherapy.effective ) overlaps after "Measurement Period" // and TakingCessationPharmacotherapy.status in { 'active', 'completed' } define "Tobacco Cessation Counseling Given": ["Encounter": "Tobacco Use Cessation Counseling"] TobaccoCessationCounseling where TobaccoCessationCounseling.period during "Measurement Period" and TobaccoCessationCounseling.status = 'finished'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Tobacco Cessation Pharmacotherapy Ordered"/>
</extension>
<extension url="statement">
<valueString
value="define "Tobacco Cessation Pharmacotherapy Ordered": ["MedicationRequest": "Tobacco Use Cessation Pharmacotherapy"] CessationPharmacotherapyOrdered where CessationPharmacotherapyOrdered.authoredOn during "Measurement Period" and CessationPharmacotherapyOrdered.status = 'active'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="3"/>
</extension>
</extension>
<extension
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<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Numerator 3"/>
</extension>
<extension url="statement">
<valueString
value="define "Numerator 3": "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null or ( "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null and ( exists "Tobacco Cessation Counseling Given" or exists "Tobacco Cessation Pharmacotherapy Ordered" //or exists "Active Pharmacotherapy for Tobacco Cessation" ) )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="4"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString
value="Medical Reason for Not Screening for Tobacco Use"/>
</extension>
<extension url="statement">
<valueString
value="define "Medical Reason for Not Screening for Tobacco Use": ["Observation": "Tobacco Use Screening"] NoTobaccoUseScreening where NoTobaccoUseScreening.issued during "Measurement Period" and "Not Done"(NoTobaccoUseScreening) and "Not Done Reason in Medical Reason"(NoTobaccoUseScreening) and NoTobaccoUseScreening.status = 'final'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="5"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Has Limited Life Expectancy"/>
</extension>
<extension url="statement">
<valueString
value="//or exists "Active Pharmacotherapy for Tobacco Cessation" define "Has Limited Life Expectancy": exists ( ["Condition"] LimitedLifeExpectancy where Global."Prevalence Period" ( LimitedLifeExpectancy ) overlaps after "Measurement Period" and LimitedLifeExpectancy.clinicalStatus ~ ToConcept(Global."active") )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="6"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Denominator Exceptions 1"/>
</extension>
<extension url="statement">
<valueString
value="define "Denominator Exceptions 1": exists "Medical Reason for Not Screening for Tobacco Use" or "Has Limited Life Expectancy""/>
</extension>
<extension url="displaySequence">
<valueInteger value="7"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Numerator 1"/>
</extension>
<extension url="statement">
<valueString
value="define "Numerator 1": "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null or "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="8"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Numerator 2"/>
</extension>
<extension url="statement">
<valueString
value="define "Numerator 2": exists "Tobacco Cessation Counseling Given" or exists "Tobacco Cessation Pharmacotherapy Ordered""/>
</extension>
<extension url="displaySequence">
<valueInteger value="9"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="SupplementalDataElements"/>
</extension>
<extension url="name">
<valueString value="SDE Race"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Race": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding"/>
</extension>
<extension url="displaySequence">
<valueInteger value="10"/>
</extension>
</extension>
<extension
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<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="SDE Race"/>
</extension>
<extension url="statement">
<valueString
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</extension>
<extension url="displaySequence">
<valueInteger value="11"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="SupplementalDataElements"/>
</extension>
<extension url="name">
<valueString value="SDE Sex"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Sex": case when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' } when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' } else null end"/>
</extension>
<extension url="displaySequence">
<valueInteger value="12"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="SDE Sex"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Sex": SDE."SDE Sex""/>
</extension>
<extension url="displaySequence">
<valueInteger value="13"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Office Based Visit During Measurement Period"/>
</extension>
<extension url="statement">
<valueString
value="define "Office Based Visit During Measurement Period": ( ["Encounter": "Health behavior intervention, individual, face-to-face; initial 30 minutes"] union ["Encounter": "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"] union ["Encounter": "Home Healthcare Services"] union ["Encounter": "Occupational Therapy Evaluation"] union ["Encounter": "Office Visit"] union ["Encounter": "Ophthalmological Services"] union ["Encounter": "Physical Therapy Evaluation"] union ["Encounter": "Psych Visit - Diagnostic Evaluation"] union ["Encounter": "Psych Visit - Psychotherapy"] union ["Encounter": "Psychoanalysis"] union ["Encounter": "Speech and Hearing Evaluation"] ) OfficeBasedEncounter where OfficeBasedEncounter.period during "Measurement Period" and OfficeBasedEncounter.status = 'finished'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="14"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Preventive Visit During Measurement Period"/>
</extension>
<extension url="statement">
<valueString
value="define "Preventive Visit During Measurement Period": ( ["Encounter": "Annual Wellness Visit"] union ["Encounter": "Preventive Care Services - Established Office Visit, 18 and Up"] union ["Encounter": "Preventive Care Services - Group Counseling"] union ["Encounter": "Preventive Care Services - Other"] union ["Encounter": "Preventive Care Services-Individual Counseling"] union ["Encounter": "Preventive Care Services-Initial Office Visit, 18 and Up"] ) PreventiveEncounter where PreventiveEncounter.period during "Measurement Period" and PreventiveEncounter.status = 'finished'"/>
</extension>
<extension url="displaySequence">
<valueInteger value="15"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Initial Population"/>
</extension>
<extension url="statement">
<valueString
value="define "Initial Population": exists ( ["Patient"] BirthDate where Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18 ) and ( Count("Office Based Visit During Measurement Period")>= 2 or exists "Preventive Visit During Measurement Period" )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="16"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Denominator 3"/>
</extension>
<extension url="statement">
<valueString
value="define "Denominator 3": "Initial Population""/>
</extension>
<extension url="displaySequence">
<valueInteger value="17"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Denominator 2"/>
</extension>
<extension url="statement">
<valueString
value="define "Denominator 2": "Initial Population" and "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null"/>
</extension>
<extension url="displaySequence">
<valueInteger value="18"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="SupplementalDataElements"/>
</extension>
<extension url="name">
<valueString value="SDE Payer"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Payer": [Coverage: type in "Payer"] Payer return { code: Payer.type, period: Payer.period }"/>
</extension>
<extension url="displaySequence">
<valueInteger value="19"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="SDE Payer"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Payer": SDE."SDE Payer""/>
</extension>
<extension url="displaySequence">
<valueInteger value="20"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="SupplementalDataElements"/>
</extension>
<extension url="name">
<valueString value="SDE Ethnicity"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Ethnicity": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding"/>
</extension>
<extension url="displaySequence">
<valueInteger value="21"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="SDE Ethnicity"/>
</extension>
<extension url="statement">
<valueString
value="define "SDE Ethnicity": SDE."SDE Ethnicity""/>
</extension>
<extension url="displaySequence">
<valueInteger value="22"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString
value="Medical Reason for Not Counseling Tobacco User"/>
</extension>
<extension url="statement">
<valueString
value="define "Medical Reason for Not Counseling Tobacco User": ["Procedure": "Tobacco Use Cessation Counseling"] NoTobaccoCessationCounseling where Global."Normalize Interval" ( NoTobaccoCessationCounseling.performed ) starts during "Measurement Period" and ( ( NoTobaccoCessationCounseling.status = 'not-done' and NoTobaccoCessationCounseling.statusReason in "Medical Reason" ) or ( "Not Done"(NoTobaccoCessationCounseling) and "Not Done Reason in Medical Reason"(NoTobaccoCessationCounseling) ) )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="23"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString
value="Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy"/>
</extension>
<extension url="statement">
<valueString
value="define "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy": ["MedicationRequest": "Tobacco Use Cessation Pharmacotherapy"] NoCessationPharmacotherapyOrdered where NoCessationPharmacotherapyOrdered.authoredOn during "Measurement Period" and NoCessationPharmacotherapyOrdered.status = 'completed' and ( ( "Not Done"(NoCessationPharmacotherapyOrdered) and "Not Done Reason in Medical Reason"(NoCessationPharmacotherapyOrdered) ) or ( NoCessationPharmacotherapyOrdered.doNotPerform = true and NoCessationPharmacotherapyOrdered.statusReason in "Medical Reason" ) )"/>
</extension>
<extension url="displaySequence">
<valueInteger value="24"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Denominator Exceptions 2"/>
</extension>
<extension url="statement">
<valueString
value="define "Denominator Exceptions 2": exists "Medical Reason for Not Counseling Tobacco User" or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy" or "Has Limited Life Expectancy""/>
</extension>
<extension url="displaySequence">
<valueInteger value="25"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Denominator Exceptions 3"/>
</extension>
<extension url="statement">
<valueString
value="define "Denominator Exceptions 3": exists "Medical Reason for Not Screening for Tobacco Use" or exists "Medical Reason for Not Counseling Tobacco User" or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy" or "Has Limited Life Expectancy""/>
</extension>
<extension url="displaySequence">
<valueInteger value="26"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
<extension url="libraryName">
<valueString value="TSCComponent"/>
</extension>
<extension url="name">
<valueString value="Denominator 1"/>
</extension>
<extension url="statement">
<valueString
value="define "Denominator 1": "Initial Population""/>
</extension>
<extension url="displaySequence">
<valueInteger value="27"/>
</extension>
</extension>
<name value="EffectiveDataRequirements"/>
<status value="active"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/library-type"/>
<code value="module-definition"/>
</coding>
</type>
<date value="2022-02-22T10:37:04-07:00"/>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library Global"/>
<resource
value="http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library FHIRHelpers"/>
<resource
value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Library SDE"/>
<resource
value="http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system ConditionClinicalStatusCodes"/>
<resource
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Code system CPT"/>
<resource value="http://www.ama-assn.org/go/cpt"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Tobacco Use Screening"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Tobacco Non-User"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1189"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Tobacco User"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1170"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Tobacco Use Cessation Counseling"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Tobacco Use Cessation Pharmacotherapy"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Home Healthcare Services"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Occupational Therapy Evaluation"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Office Visit"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Ophthalmological Services"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Physical Therapy Evaluation"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Psych Visit - Diagnostic Evaluation"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Psych Visit - Psychotherapy"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Psychoanalysis"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Speech and Hearing Evaluation"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Annual Wellness Visit"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display
value="Value set Preventive Care Services - Established Office Visit, 18 and Up"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display
value="Value set Preventive Care Services - Group Counseling"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Preventive Care Services - Other"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display
value="Value set Preventive Care Services-Individual Counseling"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display
value="Value set Preventive Care Services-Initial Office Visit, 18 and Up"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Payer"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
</relatedArtifact>
<relatedArtifact>
<type value="depends-on"/>
<display value="Value set Medical Reason"/>
<resource
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007"/>
</relatedArtifact>
<parameter>
<name value="Measurement Period"/>
<use value="in"/>
<min value="0"/>
<max value="1"/>
<type value="Period"/>
</parameter>
<parameter>
<name value="Numerator 3"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Denominator Exceptions 1"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Numerator 1"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Numerator 2"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="SDE Race"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Coding"/>
</parameter>
<parameter>
<name value="SDE Sex"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="Coding"/>
</parameter>
<parameter>
<name value="Denominator 3"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Denominator 2"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="SDE Payer"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Resource"/>
</parameter>
<parameter>
<name value="Initial Population"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="SDE Ethnicity"/>
<use value="out"/>
<min value="0"/>
<max value="*"/>
<type value="Coding"/>
</parameter>
<parameter>
<name value="Denominator Exceptions 2"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Denominator Exceptions 3"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<parameter>
<name value="Denominator 1"/>
<use value="out"/>
<min value="0"/>
<max value="1"/>
<type value="boolean"/>
</parameter>
<dataRequirement>
<type value="Patient"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
<mustSupport value="extension"/>
<mustSupport value="value"/>
<mustSupport value="birthDate"/>
<mustSupport value="url"/>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<code>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="96158"/>
<display
value="Health behavior intervention, individual, face-to-face; initial 30 minutes"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<code>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="96156"/>
<display
value="Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"/>
</code>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Encounter"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
<mustSupport value="period"/>
<mustSupport value="type"/>
<mustSupport value="status"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Coverage"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
<mustSupport value="period"/>
<mustSupport value="type"/>
<codeFilter>
<path value="type"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Observation"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
<mustSupport value="effective"/>
<mustSupport value="code"/>
<mustSupport value="issued"/>
<mustSupport value="value"/>
<mustSupport value="status"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="MedicationRequest"/>
<profile
value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
<mustSupport value="authoredOn"/>
<mustSupport value="statusReason"/>
<mustSupport value="medication"/>
<mustSupport value="doNotPerform"/>
<mustSupport value="status"/>
<codeFilter>
<path value="medication"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190"/>
</codeFilter>
</dataRequirement>
<dataRequirement>
<type value="Condition"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
<mustSupport value="clinicalStatus"/>
</dataRequirement>
<dataRequirement>
<type value="Procedure"/>
<profile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
<mustSupport value="code"/>
<mustSupport value="statusReason"/>
<mustSupport value="performed"/>
<mustSupport value="status"/>
<codeFilter>
<path value="code"/>
<valueSet
value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509"/>
</codeFilter>
</dataRequirement>
</Library>
</contained>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
<valueCode value="boolean"/>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem">
<valueReference>🔗
<reference value="Device/software-system-example"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements" id="effective-data-requirements">
<valueReference>
<reference value="#effective-data-requirements"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="cqi"/>
</extension>
<url value="http://hl7.org/fhir/us/cqfmeasures/Measure/TSCComponent"/>
<version value="5.0.0-ballot"/>
<name value="TSCComponent"/>
<title
value="Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2022-02-22T11:37:04-06:00"/>
<publisher value="HL7 International / Clinical Quality Information"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cqi"/>
</telecom>
</contact>
<description value="This is an example only."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<effectivePeriod>
<start value="2022-01-01"/>
<end value="2022-12-31"/>
</effectivePeriod>
<library value="http://ecqi.healthit.gov/ecqms/Library/TSCComponent"/>
<scoring>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
<display value="Proportion"/>
</coding>
</scoring>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
<code value="process"/>
</coding>
</type>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
</coding>
</improvementNotation>
<group id="group-1">
<code>
<text value="Group 1"/>
</code>
<population id="1DE7294A-72AE-42D1-A2A6-BCAE23DBA8A6">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Initial Population"/>
</criteria>
</population>
<population id="0F57D23C-C2AA-4CE1-9E20-33DAE1F2B145">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Denominator 1"/>
</criteria>
</population>
<population id="570F7624-72EC-4CFC-9137-F48E476D77DC">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exception"/>
<display value="Denominator Exception"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Denominator Exceptions 1"/>
</criteria>
</population>
<population id="20577EB7-3FE9-43D2-B918-A8C7AE5E0E91">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Numerator 1"/>
</criteria>
</population>
</group>
<group id="group-2">
<code>
<text value="Group 2"/>
</code>
<population id="DD346C87-5D2B-4319-B41D-7BF64ADF95D0">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Initial Population"/>
</criteria>
</population>
<population id="A1FAA872-5C94-4F2B-A355-8E3A3390369C">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Denominator 2"/>
</criteria>
</population>
<population id="3AE470CD-37DF-492D-A3A4-365BAF744C5A">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exception"/>
<display value="Denominator Exception"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Denominator Exceptions 2"/>
</criteria>
</population>
<population id="B1F8B729-7BBD-4616-B39C-E90444B7884C">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Numerator 2"/>
</criteria>
</population>
</group>
<group id="group-3">
<code>
<text value="Group 3"/>
</code>
<population id="EA2696EE-326B-490A-82B5-E4D8FC581E77">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
<display value="Initial Population"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Initial Population"/>
</criteria>
</population>
<population id="D346BB79-EFD1-4DB1-902A-36F027BE75E9">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
<display value="Denominator"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Denominator 3"/>
</criteria>
</population>
<population id="6BBFE753-2072-4848-B189-0E5B44BE1F52">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exception"/>
<display value="Denominator Exception"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Denominator Exceptions 3"/>
</criteria>
</population>
<population id="F8E22F0F-7307-4BED-9295-648803772928">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
<display value="Numerator"/>
</coding>
</code>
<criteria>
<language value="text/cql-identifier"/>
<expression value="Numerator 3"/>
</criteria>
</population>
</group>
<supplementalData id="fe7bab72-cc69-44bb-a678-473b24811e67">
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Ethnicity"/>
</criteria>
</supplementalData>
<supplementalData id="2486f84d-df90-489b-8f5c-e55cdcfb361e">
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Payer"/>
</criteria>
</supplementalData>
<supplementalData id="bb0949c4-1f7b-4ce2-a988-c2e60f1a0079">
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Race"/>
</criteria>
</supplementalData>
<supplementalData id="742028bc-5aa5-4a5b-927d-be1908e10aaf">
<usage>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
<code value="supplemental-data"/>
</coding>
</usage>
<criteria>
<language value="text/cql-identifier"/>
<expression value="SDE Sex"/>
</criteria>
</supplementalData>
</Measure>
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.cqfmeasures#5.0.0-ballot based on FHIR 4.0.1. Generated 2023-12-15
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