Metadata Title HBP Component Library Version 0.0.001 Identifier urn:oid:2.16.840.1.113883.4.642.40.61.28.23 Experimental true Jurisdiction 001 from http://unstats.un.org/unsd/methods/m49/m49.htm Steward (Publisher) HL7 International / Clinical Quality Information Description Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented Type logic-library from http://terminology.hl7.org/CodeSystem/library-type Dependency Description: Library FHIRHelpers Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1 Canonical URL: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1 Dependency Description: Library SDE Resource: Supplemental Data Elementsversion: null2.0.000) Canonical URL: http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.000 Dependency Description: Library Global Resource: MAT Global Common Functions FHIR Libraryversion: null5.0.000) Canonical URL: http://hl7.org/fhir/uv/cqm/Library/MATGlobalCommonFunctions|5.0.000 Dependency Description: Code System LOINC Resource: Logical Observation Identifiers, Names and Codes (LOINC) Canonical URL: http://loinc.org Dependency Description: Value Set Diagnosis of Hypertension Resource: Diagnosis of Hypertension Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263 Dependency Description: Value Set Dietary Recommendations Resource: Dietary Recommendations Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515 Dependency Description: Value Set Encounter to Screen for Blood Pressure Resource: Encounter to Screen for Blood Pressure Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920 Dependency Description: Value Set Ethnicity Resource: Ethnicity Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837 Dependency Description: Value Set Finding of Elevated Blood Pressure or Hypertension Resource: Finding of Elevated Blood Pressure or Hypertension Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.514 Dependency Description: Value Set Follow Up Within 4 Weeks Resource: Follow Up Within 4 Weeks Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578 Dependency Description: Value Set Follow Up Within One Year Resource: Follow Up Within One Year Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579 Dependency Description: Value Set Laboratory Tests for Hypertension Resource: Laboratory Tests for Hypertension Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482 Dependency Description: Value Set Lifestyle Recommendation Resource: Lifestyle Recommendation Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581 Dependency Description: Value Set Medical Reason Resource: Medical Reason Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007 Dependency Description: Value Set ONC Administrative Sex Resource: ONC Administrative Sex Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1 Dependency Description: Value Set Patient Declined Resource: Patient Declined Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1582 Dependency Description: Value Set Pharmacologic Therapy for Hypertension Resource: Pharmacologic Therapy for Hypertension Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577 Dependency Description: Value Set Recommendation to Increase Physical Activity Resource: Recommendation to Increase Physical Activity Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518 Dependency Description: Value Set Referral or Counseling for Alcohol Consumption Resource: Referral or Counseling for Alcohol Consumption Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583 Dependency Description: Value Set Referral to Primary Care or Alternate Provider Resource: Referral to Primary Care or Alternate Provider Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580 Dependency Description: Value Set Weight Reduction Recommended Resource: Weight Reduction Recommended Canonical URL: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510 Data Requirement Type: Encounter Profile(s): Encounter Code Filter(s): Path: type ValueSet: Encounter to Screen for Blood Pressure Data Requirement Type: Patient Profile(s): Patient Data Requirement Type: ServiceRequest Profile(s): ServiceRequest Code Filter(s): Path: code Code(s): LOINC: 34534-8 (12 lead EKG panel) Data Requirement Type: ServiceRequest Profile(s): ServiceRequest Code Filter(s): Path: code Code(s): LOINC: 11524-6 (EKG study) Data Requirement Type: ServiceRequest Profile(s): ServiceRequest Code Filter(s): Path: code ValueSet: Follow Up Within One Year Data Requirement Type: ServiceRequest Profile(s): ServiceRequest Code Filter(s): Path: code ValueSet: Follow Up Within 4 Weeks Data Requirement Type: ServiceRequest Profile(s): ServiceRequest Code Filter(s): Path: code ValueSet: Referral to Primary Care or Alternate Provider Data Requirement Type: ServiceRequest Profile(s): ServiceRequest Code Filter(s): Path: code ValueSet: Lifestyle Recommendation Data Requirement Type: ServiceRequest Profile(s): ServiceRequest Code Filter(s): Path: code ValueSet: Weight Reduction Recommended Data Requirement Type: ServiceRequest Profile(s): ServiceRequest Code Filter(s): Path: code ValueSet: Dietary Recommendations Data Requirement Type: ServiceRequest Profile(s): ServiceRequest Code Filter(s): Path: code ValueSet: Recommendation to Increase Physical Activity Data Requirement Type: ServiceRequest Profile(s): ServiceRequest Code Filter(s): Path: code ValueSet: Referral or Counseling for Alcohol Consumption Data Requirement Type: ServiceRequest Profile(s): ServiceRequest Code Filter(s): Path: code ValueSet: Laboratory Tests for Hypertension Data Requirement Type: MedicationRequest Profile(s): MedicationRequest Data Requirement Type: Medication Profile(s): Medication Data Requirement Type: Observation Profile(s): Observation Code Filter(s): Path: code Code(s): LOINC: 8480-6 (Systolic blood pressure) Data Requirement Type: Observation Profile(s): Observation Code Filter(s): Path: code Code(s): LOINC: 8462-4 (Diastolic blood pressure) Data Requirement Type: Condition Profile(s): Condition Code Filter(s): Path: code ValueSet: Diagnosis of Hypertension Parameters Name Use Card. Type Documentation Measurement Period In 0..1 Period Patient Out 0..1 Patient SDE Ethnicity Out 0..* Coding SDE Payer Out 0..* Resource SDE Race Out 0..* Coding SDE Sex Out 0..1 Coding Qualifying Encounter During Measurement Period Out 0..* Encounter Encounter with High Blood Pressure Reading Out 0..* Encounter Encounter with High Blood Pressure Reading Within Year Prior Out 0..* Encounter Encounter with Second Hypertensive Reading Out 0..* Encounter Encounter with Normal Blood Pressure Reading Out 0..* Encounter Encounter with Prehypertensive Blood Pressure Reading Out 0..* Encounter Encounter with Order for Intervention for Hypertension Out 0..* Encounter Encounter with Order for Follow Up Within One Year Out 0..* Encounter Encounter with Referral to Alternate Provider for High Blood Pressure Reading Out 0..* Encounter Encounter with First Hypertensive Reading Out 0..* Encounter Encounter with Order for Follow Up Within 4 Weeks Out 0..* Encounter Encounter with Order for Laboratory Test for Hypertension Out 0..* Encounter Encounter with Order for Electrocardiogram for Hypertension Out 0..* Encounter Encounter with Order for Hypertension Medication Out 0..* Encounter Numerator Out 0..* Encounter Initial Population Out 0..* Encounter Encounter with Order for Hypertension Follow Up Declined by Patient Out 0..* Encounter Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement Out 0..* Encounter Denominator Exceptions Out 0..* Encounter Denominator Exclusions Out 0..* Encounter Denominator Out 0..* Encounter Library Content CQL Content /* This example is a work in progress and should not be considered a final specification or recommendation for guidance. This example will help guide and direct the process of finding conventions and usage patterns that meet the needs of the various stakeholders in the measure development community. */ library HBPComponent version '0.0.001' using FHIR version '4.0.1' include hl7.fhir.uv.cql.FHIRHelpers version '4.0.1' called FHIRHelpers include SupplementalDataElements version '2.0.000' called SDE include MATGlobalCommonFunctions version '5.0.000' called Global codesystem "LOINC": 'http://loinc.org' valueset "Diagnosis of Hypertension": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263' valueset "Dietary Recommendations": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515' valueset "Encounter to Screen for Blood Pressure": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920' valueset "Ethnicity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837' valueset "Finding of Elevated Blood Pressure or Hypertension": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.514' valueset "Follow Up Within 4 Weeks": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578' valueset "Follow Up Within One Year": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579' valueset "Laboratory Tests for Hypertension": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482' valueset "Lifestyle Recommendation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581' valueset "Medical Reason": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007' valueset "ONC Administrative Sex": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1' valueset "Patient Declined": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1582' valueset "Pharmacologic Therapy for Hypertension": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577' valueset "Recommendation to Increase Physical Activity": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518' valueset "Referral or Counseling for Alcohol Consumption": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583' valueset "Referral to Primary Care or Alternate Provider": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580' valueset "Weight Reduction Recommended": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510' code "Birth date": '21112-8' from "LOINC" display 'Birth date' code "Diastolic blood pressure": '8462-4' from "LOINC" display 'Diastolic blood pressure' code "12 lead EKG panel": '34534-8' from "LOINC" display '12 lead EKG panel' code "EKG study": '11524-6' from "LOINC" display 'EKG study' code "Systolic blood pressure": '8480-6' from "LOINC" display 'Systolic blood pressure' parameter "Measurement Period" Interval<DateTime> context Patient define "SDE Ethnicity": SDE."SDE Ethnicity" define "SDE Payer": SDE."SDE Payer" define "SDE Race": SDE."SDE Race" define "SDE Sex": SDE."SDE Sex" define "Encounter with Second Hypertensive Reading": "Encounter with High Blood Pressure Reading" intersect "Encounter with High Blood Pressure Reading Within Year Prior" define "Numerator": "Encounter with Normal Blood Pressure Reading" union ( "Encounter with Prehypertensive Blood Pressure Reading" intersect ( ( "Encounter with Order for Intervention for Hypertension" intersect "Encounter with Order for Follow Up Within One Year" ) union "Encounter with Referral to Alternate Provider for High Blood Pressure Reading" ) ) union ( "Encounter with First Hypertensive Reading" intersect ( ( "Encounter with Order for Intervention for Hypertension" intersect "Encounter with Order for Follow Up Within 4 Weeks" ) union "Encounter with Referral to Alternate Provider for High Blood Pressure Reading" ) ) union ( "Encounter with Second Hypertensive Reading" intersect ( ( "Encounter with Order for Intervention for Hypertension" intersect ( "Encounter with Order for Laboratory Test for Hypertension" union "Encounter with Order for Electrocardiogram for Hypertension" union "Encounter with Order for Hypertension Medication" ) ) union "Encounter with Referral to Alternate Provider for High Blood Pressure Reading" ) ) define "Encounter with First Hypertensive Reading": "Encounter with High Blood Pressure Reading" except "Encounter with High Blood Pressure Reading Within Year Prior" define "Initial Population": "Qualifying Encounter During Measurement Period" QualifyingEncounter with [Patient] BirthDate such that Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18 define "Encounter with Order for Follow Up Within One Year": "Qualifying Encounter During Measurement Period" QualifyingEncounter with [ServiceRequest: "Follow Up Within One Year"] FollowupOneYear such that FollowupOneYear.authoredOn same day as start of QualifyingEncounter.period define "Encounter with Order for Follow Up Within 4 Weeks": "Qualifying Encounter During Measurement Period" QualifyingEncounter with [ServiceRequest: "Follow Up Within 4 Weeks"] Followup4Weeks such that Followup4Weeks.authoredOn same day as start of QualifyingEncounter.period define "Encounter with Order for Hypertension Medication": "Qualifying Encounter During Measurement Period" QualifyingEncounter with [MedicationRequest: "Pharmacologic Therapy for Hypertension"] AntihypertensiveMedication such that AntihypertensiveMedication.authoredOn same day as start of QualifyingEncounter.period define "Encounter with Order for Laboratory Test for Hypertension": "Qualifying Encounter During Measurement Period" QualifyingEncounter with [ServiceRequest: "Laboratory Tests for Hypertension"] HypertensionLabs such that HypertensionLabs.authoredOn same day as start of QualifyingEncounter.period define "Encounter with Referral to Alternate Provider for High Blood Pressure Reading": "Qualifying Encounter During Measurement Period" QualifyingEncounter with [ServiceRequest: "Referral to Primary Care or Alternate Provider"] Referral such that Referral.authoredOn same day as start of QualifyingEncounter.period and Referral.reasonCode in "Finding of Elevated Blood Pressure or Hypertension" define "Encounter with Order for Hypertension Follow Up Declined by Patient": "Qualifying Encounter During Measurement Period" QualifyingEncounter with ( [ServiceRequest: "12 lead EKG panel"] union [ServiceRequest: "EKG study"] union [ServiceRequest: "Follow Up Within One Year"] union [ServiceRequest: "Follow Up Within 4 Weeks"] union [ServiceRequest: "Referral to Primary Care or Alternate Provider"] union [ServiceRequest: "Lifestyle Recommendation"] union [ServiceRequest: "Weight Reduction Recommended"] union [ServiceRequest: "Dietary Recommendations"] union [ServiceRequest: "Recommendation to Increase Physical Activity"] union [ServiceRequest: "Referral or Counseling for Alcohol Consumption"] union [ServiceRequest: "Laboratory Tests for Hypertension"] union [MedicationRequest: "Pharmacologic Therapy for Hypertension"] ) NoFollowUpOrdered such that NoFollowUpOrdered.doNotPerform is true and NoFollowUpOrdered.code in "Patient Declined" and NoFollowUpOrdered.authoredOn same day as start of QualifyingEncounter.period define "Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement": "Qualifying Encounter During Measurement Period" QualifyingEncounter with ( [Observation: "Systolic blood pressure"] union [Observation: "Diastolic blood pressure"] ) NoBPScreen such that ( NoBPScreen.code in "Medical Reason" or NoBPScreen.code in "Patient Declined" ) and NoBPScreen.effective same day as start of QualifyingEncounter.period and "Not Done"(NoBPScreen) and NoBPScreen.status = 'final' define "Denominator Exceptions": "Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement" union "Encounter with Order for Hypertension Follow Up Declined by Patient" define "Denominator Exclusions": "Qualifying Encounter During Measurement Period" QualifyingEncounter with [Condition: "Diagnosis of Hypertension"] Hypertension such that Global."Prevalence Period" ( Hypertension ) overlaps before QualifyingEncounter.period define "Denominator": "Initial Population" define "Encounter with Order for Electrocardiogram for Hypertension": "Qualifying Encounter During Measurement Period" QualifyingEncounter with ( [ServiceRequest: "12 lead EKG panel"] union [ServiceRequest: "EKG study"] ) ECG such that ECG.authoredOn same day as start of QualifyingEncounter.period define "Encounter with Order for Intervention for Hypertension": "Qualifying Encounter During Measurement Period" QualifyingEncounter with ( [ServiceRequest: "Lifestyle Recommendation"] union [ServiceRequest: "Weight Reduction Recommended"] union [ServiceRequest: "Dietary Recommendations"] union [ServiceRequest: "Recommendation to Increase Physical Activity"] union [ServiceRequest: "Referral or Counseling for Alcohol Consumption"] ) HighBloodPressureIntervention such that HighBloodPressureIntervention.authoredOn same day as start of QualifyingEncounter.period define "Encounter with High Blood Pressure Reading": "Qualifying Encounter During Measurement Period" QualifyingEncounter let EncounterLastSystolicBP: Last([Observation: "Systolic blood pressure"] SystolicBP where SystolicBP.effective during QualifyingEncounter.period sort by effective ), EncounterLastDiastolicBP: Last([Observation: "Diastolic blood pressure"] DiastolicBP where DiastolicBP.effective during QualifyingEncounter.period sort by effective ) where EncounterLastSystolicBP.value > 0 'mm[Hg]' and EncounterLastDiastolicBP.value > 0 'mm[Hg]' and ( EncounterLastSystolicBP.value >= 140 'mm[Hg]' or EncounterLastDiastolicBP.value >= 90 'mm[Hg]' ) define "Encounter with High Blood Pressure Reading Within Year Prior": "Qualifying Encounter During Measurement Period" QualifyingEncounter let EncounterLastSystolicBP: Last([Observation: "Systolic blood pressure"] SystolicBP where SystolicBP.effective 1 year or less before start of QualifyingEncounter.period sort by effective ), EncounterLastDiastolicBP: Last([Observation: "Diastolic blood pressure"] DiastolicBP where DiastolicBP.effective 1 year or less before start of QualifyingEncounter.period sort by effective ) where EncounterLastSystolicBP.value > 0 'mm[Hg]' and EncounterLastDiastolicBP.value > 0 'mm[Hg]' and ( EncounterLastSystolicBP.value >= 140 'mm[Hg]' or EncounterLastDiastolicBP.value >= 90 'mm[Hg]' ) define "Encounter with Normal Blood Pressure Reading": "Qualifying Encounter During Measurement Period" QualifyingEncounter let EncounterLastSystolicBP: Last([Observation: "Systolic blood pressure"] SystolicBP where SystolicBP.effective during QualifyingEncounter.period sort by effective ), EncounterLastDiastolicBP: Last([Observation: "Diastolic blood pressure"] DiastolicBP where DiastolicBP.effective during QualifyingEncounter.period sort by effective ) where EncounterLastSystolicBP.value included in Interval[1 'mm[Hg]', 120 'mm[Hg]' ) and EncounterLastDiastolicBP.value included in Interval[1 'mm[Hg]', 80 'mm[Hg]' ) define "Encounter with Prehypertensive Blood Pressure Reading": "Qualifying Encounter During Measurement Period" QualifyingEncounter let EncounterLastSystolicBP: Last([Observation: "Systolic blood pressure"] SystolicBP where SystolicBP.effective during QualifyingEncounter.period sort by effective ), EncounterLastDiastolicBP: Last([Observation: "Diastolic blood pressure"] DiastolicBP where DiastolicBP.effective during QualifyingEncounter.period sort by effective ) where EncounterLastSystolicBP.value included in Interval[1 'mm[Hg]', 140 'mm[Hg]' ) and EncounterLastDiastolicBP.value included in Interval[1 'mm[Hg]', 90 'mm[Hg]' ) and ( EncounterLastSystolicBP.value >= 120 'mm[Hg]' or EncounterLastDiastolicBP.value >= 80 'mm[Hg]' ) define "Qualifying Encounter During Measurement Period": [Encounter: "Encounter to Screen for Blood Pressure"] ValidEncounter where ValidEncounter.period during "Measurement Period" define function "Not Done"(res DomainResource ): if ( res R where ( "GetModiferExtension"(R, 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDone').value = true ) ) is not null then true else false define function "GetModifierExtensions"(res DomainResource, url String ): res.modifierExtension E where E.url = ( url ) return E define function "GetModiferExtension"(res DomainResource, url String ): singleton from "GetModifierExtensions"(res, url) ELM XML Content Encoded data ELM JSON Content Encoded data Generated using version 0.5.4 of the sample-content-ig Liquid templates
HL7 International / Clinical Quality Information
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
Value Set Encounter to Screen for Blood Pressure
Value Set Finding of Elevated Blood Pressure or Hypertension
Value Set Laboratory Tests for Hypertension
Value Set Pharmacologic Therapy for Hypertension
Value Set Recommendation to Increase Physical Activity
Value Set Referral or Counseling for Alcohol Consumption
Value Set Referral to Primary Care or Alternate Provider
Qualifying Encounter During Measurement Period
Encounter with High Blood Pressure Reading
Encounter with High Blood Pressure Reading Within Year Prior
Encounter with Second Hypertensive Reading
Encounter with Normal Blood Pressure Reading
Encounter with Prehypertensive Blood Pressure Reading
Encounter with Order for Intervention for Hypertension
Encounter with Order for Follow Up Within One Year
Encounter with Referral to Alternate Provider for High Blood Pressure Reading
Encounter with First Hypertensive Reading
Encounter with Order for Follow Up Within 4 Weeks
Encounter with Order for Laboratory Test for Hypertension
Encounter with Order for Electrocardiogram for Hypertension
Encounter with Order for Hypertension Medication
Encounter with Order for Hypertension Follow Up Declined by Patient
Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement