Quality Measure Implementation Guide
2.0.0-ballot - STU 2 Ballot

Quality Measure Implementation Guide - Downloaded Version null See the Directory of published versions

## : Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

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    <Measure xmlns="http://hl7.org/fhir">
      <id value="HBPComponent"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-publishablemeasure"/>
        <profile
                 value="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure"/>
        <profile
                 value="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-proportionmeasure"/>
      </meta>
      <language value="en"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
      <table class="narrative-table">
        <tbody>
    <tr>

    <th colspan="2" scope="row" class="row-header">Metadata</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Title</th>

    <td class="content-container">Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Version</th>

    <td class="content-container">0.0.001</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Short Name</th>

    <td class="content-container">High Blood Pressure Screening</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">GUID (Version Independent)</th>

    <td class="content-container">http://example.org/fhir/us/cqm/Measure/HBPComponent</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">GUID (Version Specific)</th>

    <td class="content-container">http://example.org/fhir/us/cqm/Measure/22v11</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Identifier</th>

    <td class="content-container">urn:oid:2.16.840.1.113883.4.642.40.61.29.11</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Effective Period</th>

    <td class="content-container">2022-01-01 through 2022-12-31</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Experimental</th>

    <td class="content-container">true</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Use Context</th>

    <td class="content-container">
        Clinical Venue

     =
        EC

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Jurisdiction</th>

    <td class="content-container">
        001 from <a href="http://unstats.un.org/unsd/methods/m49/m49.htm">http://unstats.un.org/unsd/methods/m49/m49.htm</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Steward (Publisher)</th>

    <td class="content-container">HL7 International / Clinical Quality Information</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Description</th>

    <td class="content-container"><div><p>This is an example only.</p>
    </div></td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Measure Basis</th>

    <td class="content-container">Encounter</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Measure Scoring</th>

    <td class="content-container">
        Proportion

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Improvement Notation</th>

    <td class="content-container">
        increase from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Measure Type</th>

    <td class="content-container">
        process from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html">http://terminology.hl7.org/CodeSystem/measure-type</a>

    </td>

    </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: primary)</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">supplemental-data Guidance</th>

    <td class="content-container"><div><p>This guidance provides instructions on how to collect and report supplemental data elements for this measure.</p>
    </div></td>

    </tr>

      <tr>

    <th colspan="2" scope="row" class="row-header">Supplemental Data Elements</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Supplemental Data Element</th>

      <td class="content-container">

          <em>ID</em>: cd02ebb6-a0bf-4196-90f9-80f2a8a79bbf

          <br/>

              <em>Usage Code</em>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span>

            <br/>

          <em>Description</em>: No description provided

            <br/>

              <em>Logic Definition</em>: <a href="#hbpcomponent-sde-ethnicity">SDE Ethnicity</a>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Supplemental Data Element</th>

      <td class="content-container">

          <em>ID</em>: a67a3fc7-cedd-4d78-b7b0-4718fa7f3e2b

          <br/>

              <em>Usage Code</em>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span>

            <br/>

          <em>Description</em>: No description provided

            <br/>

              <em>Logic Definition</em>: <a href="#hbpcomponent-sde-payer">SDE Payer</a>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Supplemental Data Element</th>

      <td class="content-container">

          <em>ID</em>: 3dc8840d-cc30-44af-a233-3b2b6c602060

          <br/>

              <em>Usage Code</em>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span>

            <br/>

          <em>Description</em>: No description provided

            <br/>

              <em>Logic Definition</em>: <a href="#hbpcomponent-sde-race">SDE Race</a>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Supplemental Data Element</th>

      <td class="content-container">

          <em>ID</em>: 5a4e95aa-f8b3-400f-89b3-02555a361251

          <br/>

              <em>Usage Code</em>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span>

            <br/>

          <em>Description</em>: No description provided

            <br/>

              <em>Logic Definition</em>: <a href="#hbpcomponent-sde-sex">SDE Sex</a>

      </td>
    </tr>

    <tr>

    <th colspan="2" scope="row" class="row-header">Measure Logic</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Primary Library</th>

    <td class="content-container"><a href="Library-HBPComponent.html">HBP Component Library</a></td>

    </tr>

    <tr>
      <th scope="row" class="row-header">Contents</th>
      <td class="content-container">
        <em><a href="#population-criteria">Population Criteria</a></em>
        <br/>
        <em><a href="#definitions">Logic Definitions</a></em>
        <br/>
        <em><a href="#terminology">Terminology</a></em>
        <br/>
        <em><a href="#dependencies">Dependencies</a></em>
        <br/>
        <em><a href="#data-requirements">Data Requirements</a></em>
        <br/>
        <em><a href="#parameters">Parameters</a></em>
        <br/>
      </td>
    </tr>

      <tr>

    <th colspan="2" scope="row" class="row-header"><a name="population-criteria"> </a>Population Criteria</th>

    </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: primary)</th>

    </tr>

      <tr>

    <th colspan="2" scope="row" class="row-header"><a name="definitions"> </a>Logic Definitions</th>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> SupplementalDataElements</td>

    </tr>
    <tr>

      <td>

          <a name="supplementaldataelements-sde-sex"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Sex&quot;:
      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 scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> SupplementalDataElements</td>

    </tr>
    <tr>

      <td>

          <a name="supplementaldataelements-sde-payer"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Payer&quot;:
      [Coverage: type in &quot;Payer&quot;] Payer
            return {
              code: Payer.type,
              period: Payer.period
            }</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> SupplementalDataElements</td>

    </tr>
    <tr>

      <td>

          <a name="supplementaldataelements-sde-ethnicity"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Ethnicity&quot;:
      (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 scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> SupplementalDataElements</td>

    </tr>
    <tr>

      <td>

          <a name="supplementaldataelements-sde-race"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Race&quot;:
      (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 scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MATGlobalCommonFunctions</td>

    </tr>
    <tr>

      <td>

          <a name="matglobalcommonfunctions-calendarageinyearsat"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function &quot;CalendarAgeInYearsAt&quot;(BirthDateTime DateTime, AsOf DateTime):
    	years between ToDate(BirthDateTime)and ToDate(AsOf)</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MATGlobalCommonFunctions</td>

    </tr>
    <tr>

      <td>

          <a name="matglobalcommonfunctions-todate"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function &quot;ToDate&quot;(Value DateTime):
    	DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MATGlobalCommonFunctions</td>

    </tr>
    <tr>

      <td>

          <a name="matglobalcommonfunctions-prevalence-period"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function &quot;Prevalence Period&quot;(condition Condition):
      Interval[start of &quot;Normalize Interval&quot;(condition.onset), end of &quot;Normalize Abatement&quot;(condition))</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MATGlobalCommonFunctions</td>

    </tr>
    <tr>

      <td>

          <a name="matglobalcommonfunctions-normalize-interval"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
    *
    *    CQFMeasures Common Logic
    *
    */

    define function &quot;Normalize Interval&quot;(choice Choice&lt;FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range&gt;):
      case
    	  when choice is FHIR.dateTime then
        	Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]
    		when choice is FHIR.Period then
      		FHIRHelpers.ToInterval(choice as FHIR.Period)
    		when choice is FHIR.instant then
    			Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]
    		when choice is FHIR.Age then
    		  Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),
    			  FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)
    		when choice is FHIR.Range then
    		  Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),
    			  FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)
    		when choice is FHIR.Timing then
    		  Message(null as Interval&lt;DateTime&gt;, true, '1', 'Error', 'Cannot compute a single interval from a Timing type')
        when choice is FHIR.string then
          Message(null as Interval&lt;DateTime&gt;, true, '1', 'Error', 'Cannot compute an interval from a String value')
    		else
    			null as Interval&lt;DateTime&gt;
    	end</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MATGlobalCommonFunctions</td>

    </tr>
    <tr>

      <td>

          <a name="matglobalcommonfunctions-normalize-abatement"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function &quot;Normalize Abatement&quot;(condition Condition):
    	if condition.abatement is FHIR.dateTime then
    	  Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]
    	else if condition.abatement is FHIR.Period then
    	  FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)
    	else if condition.abatement is FHIR.string then
        Message(null as Interval&lt;DateTime&gt;, true, '1', 'Error', 'Cannot compute an interval from a String value')
    	else if condition.abatement is FHIR.Age then
    		Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),
    			FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)
    	else if condition.abatement is FHIR.Range then
    	  Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),
    		  FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)
    	else if condition.abatement is FHIR.boolean then
    	  Interval[end of &quot;Normalize Interval&quot;(condition.onset), condition.recordedDate)
    	else null</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-sde-sex"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Sex&quot;:
      SDE.&quot;SDE Sex&quot;</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-qualifying-encounter-during-measurement-period"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Qualifying Encounter During Measurement Period&quot;:
      [Encounter: &quot;Encounter to Screen for Blood Pressure&quot;] ValidEncounter
          where ValidEncounter.period during &quot;Measurement Period&quot;</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-normal-blood-pressure-reading"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with Normal Blood Pressure Reading&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          let EncounterLastSystolicBP: Last([Observation: &quot;Systolic blood pressure&quot;] SystolicBP
              where SystolicBP.effective during QualifyingEncounter.period
              sort by effective
          ),
          EncounterLastDiastolicBP: Last([Observation: &quot;Diastolic blood pressure&quot;] DiastolicBP
              where DiastolicBP.effective during QualifyingEncounter.period
              sort by effective
          )
          where EncounterLastSystolicBP.value included in Interval[1 'mm[Hg]', 120 'mm[Hg]' )
            and EncounterLastDiastolicBP.value included in Interval[1 'mm[Hg]', 80 'mm[Hg]' )</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-prehypertensive-blood-pressure-reading"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with Prehypertensive Blood Pressure Reading&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          let EncounterLastSystolicBP: Last([Observation: &quot;Systolic blood pressure&quot;] SystolicBP
              where SystolicBP.effective during QualifyingEncounter.period
              sort by effective
          ),
          EncounterLastDiastolicBP: Last([Observation: &quot;Diastolic blood pressure&quot;] 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 &gt;= 120 'mm[Hg]'
                or EncounterLastDiastolicBP.value &gt;= 80 'mm[Hg]'
            )</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-order-for-intervention-for-hypertension"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with Order for Intervention for Hypertension&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with ( [ServiceRequest: &quot;Lifestyle Recommendation&quot;]
            union [ServiceRequest: &quot;Weight Reduction Recommended&quot;]
            union [ServiceRequest: &quot;Dietary Recommendations&quot;]
            union [ServiceRequest: &quot;Recommendation to Increase Physical Activity&quot;]
            union [ServiceRequest: &quot;Referral or Counseling for Alcohol Consumption&quot;] ) HighBloodPressureIntervention
            such that HighBloodPressureIntervention.authoredOn same day as start of QualifyingEncounter.period</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-order-for-follow-up-within-one-year"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with Order for Follow Up Within One Year&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [ServiceRequest: &quot;Follow Up Within One Year&quot;] FollowupOneYear
            such that FollowupOneYear.authoredOn same day as start of QualifyingEncounter.period</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-referral-to-alternate-provider-for-high-blood-pressure-reading"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with Referral to Alternate Provider for High Blood Pressure Reading&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [ServiceRequest: &quot;Referral to Primary Care or Alternate Provider&quot;] Referral
            such that Referral.authoredOn same day as start of QualifyingEncounter.period
              and Referral.reasonCode in &quot;Finding of Elevated Blood Pressure or Hypertension&quot;</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-high-blood-pressure-reading"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with High Blood Pressure Reading&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          let EncounterLastSystolicBP: Last([Observation: &quot;Systolic blood pressure&quot;] SystolicBP
              where SystolicBP.effective during QualifyingEncounter.period
              sort by effective
          ),
          EncounterLastDiastolicBP: Last([Observation: &quot;Diastolic blood pressure&quot;] DiastolicBP
              where DiastolicBP.effective during QualifyingEncounter.period
              sort by effective
          )
          where EncounterLastSystolicBP.value &gt; 0 'mm[Hg]'
            and EncounterLastDiastolicBP.value &gt; 0 'mm[Hg]'
            and ( EncounterLastSystolicBP.value &gt;= 140 'mm[Hg]'
                or EncounterLastDiastolicBP.value &gt;= 90 'mm[Hg]'
            )</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-high-blood-pressure-reading-within-year-prior"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with High Blood Pressure Reading Within Year Prior&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          let EncounterLastSystolicBP: Last([Observation: &quot;Systolic blood pressure&quot;] SystolicBP
              where SystolicBP.effective 1 year or less before start of QualifyingEncounter.period
              sort by effective
          ),
          EncounterLastDiastolicBP: Last([Observation: &quot;Diastolic blood pressure&quot;] DiastolicBP
              where DiastolicBP.effective 1 year or less before start of QualifyingEncounter.period
              sort by effective
          )
          where EncounterLastSystolicBP.value &gt; 0 'mm[Hg]'
            and EncounterLastDiastolicBP.value &gt; 0 'mm[Hg]'
            and ( EncounterLastSystolicBP.value &gt;= 140 'mm[Hg]'
                or EncounterLastDiastolicBP.value &gt;= 90 'mm[Hg]'
            )</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-first-hypertensive-reading"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with First Hypertensive Reading&quot;:
      &quot;Encounter with High Blood Pressure Reading&quot;
          except &quot;Encounter with High Blood Pressure Reading Within Year Prior&quot;</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-order-for-follow-up-within-4-weeks"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with Order for Follow Up Within 4 Weeks&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [ServiceRequest: &quot;Follow Up Within 4 Weeks&quot;] Followup4Weeks
            such that Followup4Weeks.authoredOn same day as start of QualifyingEncounter.period</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-second-hypertensive-reading"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with Second Hypertensive Reading&quot;:
      &quot;Encounter with High Blood Pressure Reading&quot;
          intersect &quot;Encounter with High Blood Pressure Reading Within Year Prior&quot;</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-order-for-laboratory-test-for-hypertension"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with Order for Laboratory Test for Hypertension&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [ServiceRequest: &quot;Laboratory Tests for Hypertension&quot;] HypertensionLabs
            such that HypertensionLabs.authoredOn same day as start of QualifyingEncounter.period</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-order-for-electrocardiogram-for-hypertension"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with Order for Electrocardiogram for Hypertension&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with ( [ServiceRequest: &quot;12 lead EKG panel&quot;]
            union [ServiceRequest: &quot;EKG study&quot;] ) ECG
            such that ECG.authoredOn same day as start of QualifyingEncounter.period</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-order-for-hypertension-medication"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with Order for Hypertension Medication&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [MedicationRequest: &quot;Pharmacologic Therapy for Hypertension&quot;] AntihypertensiveMedication
            such that AntihypertensiveMedication.authoredOn same day as start of QualifyingEncounter.period</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-numerator"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Numerator&quot;:
      &quot;Encounter with Normal Blood Pressure Reading&quot;
          union ( &quot;Encounter with Prehypertensive Blood Pressure Reading&quot;
              intersect ( ( &quot;Encounter with Order for Intervention for Hypertension&quot;
                    intersect &quot;Encounter with Order for Follow Up Within One Year&quot;
                )
                  union &quot;Encounter with Referral to Alternate Provider for High Blood Pressure Reading&quot;
              )
          )
          union ( &quot;Encounter with First Hypertensive Reading&quot;
              intersect ( ( &quot;Encounter with Order for Intervention for Hypertension&quot;
                    intersect &quot;Encounter with Order for Follow Up Within 4 Weeks&quot;
                )
                  union &quot;Encounter with Referral to Alternate Provider for High Blood Pressure Reading&quot;
              )
          )
          union ( &quot;Encounter with Second Hypertensive Reading&quot;
              intersect ( ( &quot;Encounter with Order for Intervention for Hypertension&quot;
                    intersect ( &quot;Encounter with Order for Laboratory Test for Hypertension&quot;
                        union &quot;Encounter with Order for Electrocardiogram for Hypertension&quot;
                        union &quot;Encounter with Order for Hypertension Medication&quot;
                    )
                )
                  union &quot;Encounter with Referral to Alternate Provider for High Blood Pressure Reading&quot;
              )
          )</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-initial-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Initial Population&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [Patient] BirthDate
            such that Global.&quot;CalendarAgeInYearsAt&quot; ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of &quot;Measurement Period&quot; ) &gt;= 18</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-denominator"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Denominator&quot;:
      &quot;Initial Population&quot;</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-sde-payer"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Payer&quot;:
      SDE.&quot;SDE Payer&quot;</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-sde-ethnicity"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Ethnicity&quot;:
      SDE.&quot;SDE Ethnicity&quot;</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-denominator-exclusions"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Denominator Exclusions&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [Condition: &quot;Diagnosis of Hypertension&quot;] Hypertension
            such that Global.&quot;Prevalence Period&quot; ( Hypertension ) overlaps before QualifyingEncounter.period</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-sde-race"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;SDE Race&quot;:
      SDE.&quot;SDE Race&quot;</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-medical-reason-for-not-obtaining-or-patient-declined-blood-pressure-measurement"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with ( [Observation: &quot;Systolic blood pressure&quot;]
            union [Observation: &quot;Diastolic blood pressure&quot;] ) NoBPScreen
            such that ( NoBPScreen.code in &quot;Medical Reason&quot;
                or NoBPScreen.code in &quot;Patient Declined&quot;
            )
              and NoBPScreen.effective same day as start of QualifyingEncounter.period
              and &quot;Not Done&quot;(NoBPScreen)
              and NoBPScreen.status = 'final'</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-encounter-with-order-for-hypertension-follow-up-declined-by-patient"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Encounter with Order for Hypertension Follow Up Declined by Patient&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with ( [ServiceRequest: &quot;12 lead EKG panel&quot;]
            union [ServiceRequest: &quot;EKG study&quot;]
            union [ServiceRequest: &quot;Follow Up Within One Year&quot;]
            union [ServiceRequest: &quot;Follow Up Within 4 Weeks&quot;]
            union [ServiceRequest: &quot;Referral to Primary Care or Alternate Provider&quot;]
            union [ServiceRequest: &quot;Lifestyle Recommendation&quot;]
            union [ServiceRequest: &quot;Weight Reduction Recommended&quot;]
            union [ServiceRequest: &quot;Dietary Recommendations&quot;]
            union [ServiceRequest: &quot;Recommendation to Increase Physical Activity&quot;]
            union [ServiceRequest: &quot;Referral or Counseling for Alcohol Consumption&quot;]
            union [ServiceRequest: &quot;Laboratory Tests for Hypertension&quot;]
            union [MedicationRequest: &quot;Pharmacologic Therapy for Hypertension&quot;] ) NoFollowUpOrdered
            such that NoFollowUpOrdered.doNotPerform is true
              and NoFollowUpOrdered.code in &quot;Patient Declined&quot;
              and NoFollowUpOrdered.authoredOn same day as start of QualifyingEncounter.period</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-denominator-exceptions"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Denominator Exceptions&quot;:
      &quot;Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement&quot;
          union &quot;Encounter with Order for Hypertension Follow Up Declined by Patient&quot;</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-not-done"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function &quot;Not Done&quot;(res DomainResource ):
      if ( res R
          where ( &quot;GetModiferExtension&quot;(R, 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDone').value = true )
      ) is not null then true
        else false</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-getmodiferextension"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function &quot;GetModiferExtension&quot;(res DomainResource, url String ):
      singleton from &quot;GetModifierExtensions&quot;(res, url)</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> HBPComponent</td>

    </tr>
    <tr>

      <td>

          <a name="hbpcomponent-getmodifierextensions"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function &quot;GetModifierExtensions&quot;(res DomainResource, url String ):
      res.modifierExtension E
        where E.url = ( url )
        return E</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-tostring"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value AdministrativeGender): value.value</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-tointerval"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
    @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)
    value to a CQL DateTime Interval
    @comment: If the start value of the given period is unspecified, the starting
    boundary of the resulting interval will be open (meaning the start of the interval
    is unknown, as opposed to interpreted as the beginning of time).
    */
    define function ToInterval(period FHIR.Period):
        if period is null then
            null
        else
            if period.&quot;start&quot; is null then
                Interval(period.&quot;start&quot;.value, period.&quot;end&quot;.value]
            else
                Interval[period.&quot;start&quot;.value, period.&quot;end&quot;.value]</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-todatetime"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToDateTime(value dateTime): value.value</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-todatetime"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToDateTime(value instant): value.value</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-tointerval"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
    @description: Converts the given FHIR [Range](https://hl7.org/fhir/datatypes.html#Range) value to a CQL Interval of Quantity
    */
    define function ToInterval(range FHIR.Range):
        if range is null then
            null
        else
            Interval[ToQuantity(range.low), ToQuantity(range.high)]</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-toquantity"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
    @description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity)
    value to a CQL Quantity
    @comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity
    has a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`)
    an error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used.
    @seealso: ToCalendarUnit
    */
    define function ToQuantity(quantity FHIR.Quantity):
        case
            when quantity is null then null
            when quantity.value is null then null
            when quantity.comparator is not null then
                Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')
            when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'
                  or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then
                System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }
            else
                Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' &amp; quantity.unit.value &amp; ' (' &amp; quantity.system.value &amp; '|' &amp; quantity.code.value &amp; ')')
        end</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-tocalendarunit"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
    @description: Converts a UCUM definite duration unit to a CQL calendar duration
    unit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities)
    topic of the CQL specification.
    @comment: Note that for durations above days (or weeks), the conversion is understood to be approximate
    */
    define function ToCalendarUnit(unit System.String):
        case unit
            when 'ms' then 'millisecond'
            when 's' then 'second'
            when 'min' then 'minute'
            when 'h' then 'hour'
            when 'd' then 'day'
            when 'wk' then 'week'
            when 'mo' then 'month'
            when 'a' then 'year'
            else unit
        end</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-toconcept"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
    @description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.
    */
    define function ToConcept(concept FHIR.CodeableConcept):
        if concept is null then
            null
        else
            System.Concept {
                codes: concept.coding C return ToCode(C),
                display: concept.text.value
            }</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-tocode"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">/*
    @description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.
    */
    define function ToCode(coding FHIR.Coding):
        if coding is null then
            null
        else
            System.Code {
              code: coding.code.value,
              system: coding.system.value,
              version: coding.version.value,
              display: coding.display.value
            }</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-tostring"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value string): value.value</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-todate"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToDate(value date): value.value</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-tostring"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value uri): value.value</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-toboolean"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToBoolean(value boolean): value.value</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-tostring"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value ObservationStatus): value.value</code></pre>
      </td>

    </tr>

      <tr>

    <th colspan="2" scope="row" class="row-header"><a name="terminology"> </a>Terminology</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Code System</th>

      <td class="content-container">

        <em>Description</em>: Code system LOINC

        <br/>

        <em>Resource</em>: <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-loinc.html">Logical Observation Identifiers, Names and Codes (LOINC)</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://loinc.org</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Encounter to Screen for Blood Pressure

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1920/expansion">Encounter to Screen for Blood Pressure</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Lifestyle Recommendation

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1581/expansion">Lifestyle Recommendation</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Weight Reduction Recommended

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1510/expansion">Weight Reduction Recommended</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Dietary Recommendations

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1515/expansion">Dietary Recommendations</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Recommendation to Increase Physical Activity

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1518/expansion">Recommendation to Increase Physical Activity</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Referral or Counseling for Alcohol Consumption

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1583/expansion">Referral or Counseling for Alcohol Consumption</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Follow Up Within One Year

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1579/expansion">Follow Up Within One Year</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Referral to Primary Care or Alternate Provider

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1580/expansion">Referral to Primary Care or Alternate Provider</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Finding of Elevated Blood Pressure or Hypertension

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1047.514/expansion">Finding of Elevated Blood Pressure or Hypertension</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.514</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Follow Up Within 4 Weeks

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1578/expansion">Follow Up Within 4 Weeks</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Laboratory Tests for Hypertension

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1482/expansion">Laboratory Tests for Hypertension</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Pharmacologic Therapy for Hypertension

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.1577/expansion">Pharmacologic Therapy for Hypertension</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Payer

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion">Payer Type</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Diagnosis of Hypertension

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.263/expansion">Diagnosis of Hypertension</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Medical Reason

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1007/expansion">Medical Reason</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Patient Declined

        <br/>

        <em>Resource</em>: <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1582/expansion">Patient Declined</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1582</tt>

      </td>
    </tr>

      <tr>
        <th scope="row" class="row-header">Direct Reference Code</th>
        <td class="content-container">

            <em>Display</em>: Systolic blood pressure
            <br/>

          <em>Code</em>: 8480-6
          <br/>
          <em>System</em>: <tt>http://loinc.org</tt>
        </td>
      </tr>

      <tr>
        <th scope="row" class="row-header">Direct Reference Code</th>
        <td class="content-container">

            <em>Display</em>: Diastolic blood pressure
            <br/>

          <em>Code</em>: 8462-4
          <br/>
          <em>System</em>: <tt>http://loinc.org</tt>
        </td>
      </tr>

      <tr>
        <th scope="row" class="row-header">Direct Reference Code</th>
        <td class="content-container">

            <em>Display</em>: 12 lead EKG panel
            <br/>

          <em>Code</em>: 34534-8
          <br/>
          <em>System</em>: <tt>http://loinc.org</tt>
        </td>
      </tr>

      <tr>
        <th scope="row" class="row-header">Direct Reference Code</th>
        <td class="content-container">

            <em>Display</em>: EKG study
            <br/>

          <em>Code</em>: 11524-6
          <br/>
          <em>System</em>: <tt>http://loinc.org</tt>
        </td>
      </tr>

      <tr>

    <th colspan="2" scope="row" class="row-header"><a name="dependencies"> </a>Dependencies</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Dependency</th>

      <td class="content-container">

        <em>Description</em>: FHIR model information

        <br/>

        <em>Resource</em>: <a href="http://hl7.org/fhir/uv/cql/STU2/Library-FHIR-ModelInfo.html">http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Dependency</th>

      <td class="content-container">

        <em>Description</em>: Library SDE

        <br/>

        <em>Resource</em>: <a href="Library-SupplementalDataElements.html">Supplemental Data Elementsversion: null2.0.000)</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.000</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Dependency</th>

      <td class="content-container">

        <em>Description</em>: Library FHIRHelpers

        <br/>

        <em>Resource</em>: <a href="http://hl7.org/fhir/uv/cql/STU2/Library-FHIRHelpers.html">http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Dependency</th>

      <td class="content-container">

        <em>Description</em>: Library Global

        <br/>

        <em>Resource</em>: <a href="Library-MATGlobalCommonFunctions.html">MAT Global Common Functions FHIR Libraryversion: null5.0.000)</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Library/MATGlobalCommonFunctions|5.0.000</tt>

      </td>
    </tr>

      <tr>

    <th colspan="2" scope="row" class="row-header"><a name="data-requirements"> </a>Data Requirements</th>

    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: Patient
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/patient.html">Patient</a>
        <br/>

        <em>Must Support Elements</em>: birthDate, url, extension, value
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: Encounter
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a>
        <br/>

        <em>Must Support Elements</em>: type, period
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: type</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1920/expansion">Encounter to Screen for Blood Pressure</a>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: Observation
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/observation.html">Observation</a>
        <br/>

        <em>Must Support Elements</em>: code, effective, status, value
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>Code(s)</em>:

          <a href="https://loinc.org/8480-6">LOINC: 8480-6</a> (Systolic blood pressure)

        </span>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: Observation
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/observation.html">Observation</a>
        <br/>

        <em>Must Support Elements</em>: code, effective, status, value
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>Code(s)</em>:

          <a href="https://loinc.org/8462-4">LOINC: 8462-4</a> (Diastolic blood pressure)

        </span>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: ServiceRequest
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a>
        <br/>

        <em>Must Support Elements</em>: code, authoredOn
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>Code(s)</em>:

          <a href="https://loinc.org/34534-8">LOINC: 34534-8</a> (12 lead EKG panel)

        </span>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: ServiceRequest
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a>
        <br/>

        <em>Must Support Elements</em>: code, authoredOn
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>Code(s)</em>:

          <a href="https://loinc.org/11524-6">LOINC: 11524-6</a> (EKG study)

        </span>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: ServiceRequest
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a>
        <br/>

        <em>Must Support Elements</em>: code, authoredOn
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1579/expansion">Follow Up Within One Year</a>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: ServiceRequest
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a>
        <br/>

        <em>Must Support Elements</em>: code, authoredOn
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1578/expansion">Follow Up Within 4 Weeks</a>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: ServiceRequest
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a>
        <br/>

        <em>Must Support Elements</em>: code, authoredOn, reasonCode
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1580/expansion">Referral to Primary Care or Alternate Provider</a>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: ServiceRequest
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a>
        <br/>

        <em>Must Support Elements</em>: code, authoredOn
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1581/expansion">Lifestyle Recommendation</a>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: ServiceRequest
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a>
        <br/>

        <em>Must Support Elements</em>: code, authoredOn
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1510/expansion">Weight Reduction Recommended</a>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: ServiceRequest
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a>
        <br/>

        <em>Must Support Elements</em>: code, authoredOn
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1515/expansion">Dietary Recommendations</a>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: ServiceRequest
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a>
        <br/>

        <em>Must Support Elements</em>: code, authoredOn
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1518/expansion">Recommendation to Increase Physical Activity</a>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: ServiceRequest
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a>
        <br/>

        <em>Must Support Elements</em>: code, authoredOn
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1583/expansion">Referral or Counseling for Alcohol Consumption</a>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: ServiceRequest
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a>
        <br/>

        <em>Must Support Elements</em>: code, authoredOn
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.1482/expansion">Laboratory Tests for Hypertension</a>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: MedicationRequest
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/medicationrequest.html">MedicationRequest</a>
        <br/>

        <em>Must Support Elements</em>: medication, authoredOn
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: medication</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.1577/expansion">Pharmacologic Therapy for Hypertension</a>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: MedicationRequest
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/medicationrequest.html">MedicationRequest</a>
        <br/>

        <em>Must Support Elements</em>: medication.reference, authoredOn
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: Medication
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/medication.html">Medication</a>
        <br/>

        <em>Must Support Elements</em>: id, code
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: Coverage
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/coverage.html">Coverage</a>
        <br/>

        <em>Must Support Elements</em>: type, period
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: type</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion">Payer Type</a>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: Condition
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/condition.html">Condition</a>
        <br/>

        <em>Must Support Elements</em>: code
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <a href="https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.600.263/expansion">Diagnosis of Hypertension</a>
        <br/>

      </td>
    </tr>

      <tr>

    <th colspan="2" scope="row" class="row-header"><a name="parameters"> </a>Parameters</th>

    </tr>

      <tr>

    <th scope="row" class="row-header"/>

      <td class="content-container">
        <table>
          <thead>
            <tr>
              <td><em>Name</em></td>
              <td><em>Use</em></td>
              <td><em>Card.</em></td>
              <td><em>Type</em></td>
              <td><em>Documentation</em></td>
            </tr>
          </thead>
          <tbody>

            <tr>
              <td>Measurement Period</td>
              <td>In</td>
              <td>0..1</td>
              <td>Period</td>
              <td/>
            </tr>

            <tr>
              <td>SDE Sex</td>
              <td>Out</td>
              <td>0..1</td>
              <td>Coding</td>
              <td/>
            </tr>

            <tr>
              <td>Numerator</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Encounter</td>
              <td/>
            </tr>

            <tr>
              <td>Denominator</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Encounter</td>
              <td/>
            </tr>

            <tr>
              <td>SDE Payer</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Resource</td>
              <td/>
            </tr>

            <tr>
              <td>Initial Population</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Encounter</td>
              <td/>
            </tr>

            <tr>
              <td>SDE Ethnicity</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Coding</td>
              <td/>
            </tr>

            <tr>
              <td>Denominator Exclusions</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Encounter</td>
              <td/>
            </tr>

            <tr>
              <td>SDE Race</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Coding</td>
              <td/>
            </tr>

            <tr>
              <td>Denominator Exceptions</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Encounter</td>
              <td/>
            </tr>

          </tbody>
        </table>
      </td>
    </tr>

    <tr>
      <th colspan="2" scope="row" class="row-header">Generated using version 0.5.4 of the sample-content-ig Liquid templates</th>
    </tr>

        </tbody>
      </table>
    </div>
      </text>
      <contained>
        <Library>
          <id value="effective-data-requirements"/>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="8480-6"/>
              <display value="Systolic blood pressure"/>
            </valueCoding>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="8462-4"/>
              <display value="Diastolic blood pressure"/>
            </valueCoding>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="34534-8"/>
              <display value="12 lead EKG panel"/>
            </valueCoding>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode">
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="11524-6"/>
              <display value="EKG study"/>
            </valueCoding>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="SupplementalDataElements"/>
            </extension>
            <extension url="name">
              <valueString value="SDE Sex"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;SDE Sex&quot;:
      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="0"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="SDE Sex"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;SDE Sex&quot;:
      SDE.&quot;SDE Sex&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString
                           value="Qualifying Encounter During Measurement Period"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Qualifying Encounter During Measurement Period&quot;:
      [Encounter: &quot;Encounter to Screen for Blood Pressure&quot;] ValidEncounter
          where ValidEncounter.period during &quot;Measurement Period&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="2"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="Encounter with Normal Blood Pressure Reading"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with Normal Blood Pressure Reading&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          let EncounterLastSystolicBP: Last([Observation: &quot;Systolic blood pressure&quot;] SystolicBP
              where SystolicBP.effective during QualifyingEncounter.period
              sort by effective
          ),
          EncounterLastDiastolicBP: Last([Observation: &quot;Diastolic blood pressure&quot;] DiastolicBP
              where DiastolicBP.effective during QualifyingEncounter.period
              sort by effective
          )
          where EncounterLastSystolicBP.value included in Interval[1 'mm[Hg]', 120 'mm[Hg]' )
            and EncounterLastDiastolicBP.value included in Interval[1 'mm[Hg]', 80 'mm[Hg]' )"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="3"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString
                           value="Encounter with Prehypertensive Blood Pressure Reading"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with Prehypertensive Blood Pressure Reading&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          let EncounterLastSystolicBP: Last([Observation: &quot;Systolic blood pressure&quot;] SystolicBP
              where SystolicBP.effective during QualifyingEncounter.period
              sort by effective
          ),
          EncounterLastDiastolicBP: Last([Observation: &quot;Diastolic blood pressure&quot;] 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 &gt;= 120 'mm[Hg]'
                or EncounterLastDiastolicBP.value &gt;= 80 'mm[Hg]'
            )"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="4"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString
                           value="Encounter with Order for Intervention for Hypertension"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with Order for Intervention for Hypertension&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with ( [ServiceRequest: &quot;Lifestyle Recommendation&quot;]
            union [ServiceRequest: &quot;Weight Reduction Recommended&quot;]
            union [ServiceRequest: &quot;Dietary Recommendations&quot;]
            union [ServiceRequest: &quot;Recommendation to Increase Physical Activity&quot;]
            union [ServiceRequest: &quot;Referral or Counseling for Alcohol Consumption&quot;] ) HighBloodPressureIntervention
            such that HighBloodPressureIntervention.authoredOn same day as start of QualifyingEncounter.period"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="5"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString
                           value="Encounter with Order for Follow Up Within One Year"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with Order for Follow Up Within One Year&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [ServiceRequest: &quot;Follow Up Within One Year&quot;] FollowupOneYear
            such that FollowupOneYear.authoredOn same day as start of QualifyingEncounter.period"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="6"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString
                           value="Encounter with Referral to Alternate Provider for High Blood Pressure Reading"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with Referral to Alternate Provider for High Blood Pressure Reading&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [ServiceRequest: &quot;Referral to Primary Care or Alternate Provider&quot;] Referral
            such that Referral.authoredOn same day as start of QualifyingEncounter.period
              and Referral.reasonCode in &quot;Finding of Elevated Blood Pressure or Hypertension&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="7"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="Encounter with High Blood Pressure Reading"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with High Blood Pressure Reading&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          let EncounterLastSystolicBP: Last([Observation: &quot;Systolic blood pressure&quot;] SystolicBP
              where SystolicBP.effective during QualifyingEncounter.period
              sort by effective
          ),
          EncounterLastDiastolicBP: Last([Observation: &quot;Diastolic blood pressure&quot;] DiastolicBP
              where DiastolicBP.effective during QualifyingEncounter.period
              sort by effective
          )
          where EncounterLastSystolicBP.value &gt; 0 'mm[Hg]'
            and EncounterLastDiastolicBP.value &gt; 0 'mm[Hg]'
            and ( EncounterLastSystolicBP.value &gt;= 140 'mm[Hg]'
                or EncounterLastDiastolicBP.value &gt;= 90 'mm[Hg]'
            )"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="8"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString
                           value="Encounter with High Blood Pressure Reading Within Year Prior"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with High Blood Pressure Reading Within Year Prior&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          let EncounterLastSystolicBP: Last([Observation: &quot;Systolic blood pressure&quot;] SystolicBP
              where SystolicBP.effective 1 year or less before start of QualifyingEncounter.period
              sort by effective
          ),
          EncounterLastDiastolicBP: Last([Observation: &quot;Diastolic blood pressure&quot;] DiastolicBP
              where DiastolicBP.effective 1 year or less before start of QualifyingEncounter.period
              sort by effective
          )
          where EncounterLastSystolicBP.value &gt; 0 'mm[Hg]'
            and EncounterLastDiastolicBP.value &gt; 0 'mm[Hg]'
            and ( EncounterLastSystolicBP.value &gt;= 140 'mm[Hg]'
                or EncounterLastDiastolicBP.value &gt;= 90 'mm[Hg]'
            )"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="9"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="Encounter with First Hypertensive Reading"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with First Hypertensive Reading&quot;:
      &quot;Encounter with High Blood Pressure Reading&quot;
          except &quot;Encounter with High Blood Pressure Reading Within Year Prior&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="10"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString
                           value="Encounter with Order for Follow Up Within 4 Weeks"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with Order for Follow Up Within 4 Weeks&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [ServiceRequest: &quot;Follow Up Within 4 Weeks&quot;] Followup4Weeks
            such that Followup4Weeks.authoredOn same day as start of QualifyingEncounter.period"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="11"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="Encounter with Second Hypertensive Reading"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with Second Hypertensive Reading&quot;:
      &quot;Encounter with High Blood Pressure Reading&quot;
          intersect &quot;Encounter with High Blood Pressure Reading Within Year Prior&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="12"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString
                           value="Encounter with Order for Laboratory Test for Hypertension"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with Order for Laboratory Test for Hypertension&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [ServiceRequest: &quot;Laboratory Tests for Hypertension&quot;] HypertensionLabs
            such that HypertensionLabs.authoredOn same day as start of QualifyingEncounter.period"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="13"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString
                           value="Encounter with Order for Electrocardiogram for Hypertension"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with Order for Electrocardiogram for Hypertension&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with ( [ServiceRequest: &quot;12 lead EKG panel&quot;]
            union [ServiceRequest: &quot;EKG study&quot;] ) ECG
            such that ECG.authoredOn same day as start of QualifyingEncounter.period"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="14"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString
                           value="Encounter with Order for Hypertension Medication"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with Order for Hypertension Medication&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [MedicationRequest: &quot;Pharmacologic Therapy for Hypertension&quot;] AntihypertensiveMedication
            such that AntihypertensiveMedication.authoredOn same day as start of QualifyingEncounter.period"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="15"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="Numerator"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Numerator&quot;:
      &quot;Encounter with Normal Blood Pressure Reading&quot;
          union ( &quot;Encounter with Prehypertensive Blood Pressure Reading&quot;
              intersect ( ( &quot;Encounter with Order for Intervention for Hypertension&quot;
                    intersect &quot;Encounter with Order for Follow Up Within One Year&quot;
                )
                  union &quot;Encounter with Referral to Alternate Provider for High Blood Pressure Reading&quot;
              )
          )
          union ( &quot;Encounter with First Hypertensive Reading&quot;
              intersect ( ( &quot;Encounter with Order for Intervention for Hypertension&quot;
                    intersect &quot;Encounter with Order for Follow Up Within 4 Weeks&quot;
                )
                  union &quot;Encounter with Referral to Alternate Provider for High Blood Pressure Reading&quot;
              )
          )
          union ( &quot;Encounter with Second Hypertensive Reading&quot;
              intersect ( ( &quot;Encounter with Order for Intervention for Hypertension&quot;
                    intersect ( &quot;Encounter with Order for Laboratory Test for Hypertension&quot;
                        union &quot;Encounter with Order for Electrocardiogram for Hypertension&quot;
                        union &quot;Encounter with Order for Hypertension Medication&quot;
                    )
                )
                  union &quot;Encounter with Referral to Alternate Provider for High Blood Pressure Reading&quot;
              )
          )"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="16"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="Initial Population"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Initial Population&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [Patient] BirthDate
            such that Global.&quot;CalendarAgeInYearsAt&quot; ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of &quot;Measurement Period&quot; ) &gt;= 18"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="17"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="Denominator"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Denominator&quot;:
      &quot;Initial Population&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="18"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="SupplementalDataElements"/>
            </extension>
            <extension url="name">
              <valueString value="SDE Payer"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;SDE Payer&quot;:
      [Coverage: type in &quot;Payer&quot;] Payer
            return {
              code: Payer.type,
              period: Payer.period
            }"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="19"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="SDE Payer"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;SDE Payer&quot;:
      SDE.&quot;SDE Payer&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="20"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="SupplementalDataElements"/>
            </extension>
            <extension url="name">
              <valueString value="SDE Ethnicity"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;SDE Ethnicity&quot;:
      (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/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="SDE Ethnicity"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;SDE Ethnicity&quot;:
      SDE.&quot;SDE Ethnicity&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="22"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="Denominator Exclusions"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Denominator Exclusions&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with [Condition: &quot;Diagnosis of Hypertension&quot;] Hypertension
            such that Global.&quot;Prevalence Period&quot; ( Hypertension ) overlaps before QualifyingEncounter.period"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="23"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="SupplementalDataElements"/>
            </extension>
            <extension url="name">
              <valueString value="SDE Race"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;SDE Race&quot;:
      (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="24"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="SDE Race"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;SDE Race&quot;:
      SDE.&quot;SDE Race&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="25"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString
                           value="Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with ( [Observation: &quot;Systolic blood pressure&quot;]
            union [Observation: &quot;Diastolic blood pressure&quot;] ) NoBPScreen
            such that ( NoBPScreen.code in &quot;Medical Reason&quot;
                or NoBPScreen.code in &quot;Patient Declined&quot;
            )
              and NoBPScreen.effective same day as start of QualifyingEncounter.period
              and &quot;Not Done&quot;(NoBPScreen)
              and NoBPScreen.status = 'final'"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="26"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString
                           value="Encounter with Order for Hypertension Follow Up Declined by Patient"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Encounter with Order for Hypertension Follow Up Declined by Patient&quot;:
      &quot;Qualifying Encounter During Measurement Period&quot; QualifyingEncounter
          with ( [ServiceRequest: &quot;12 lead EKG panel&quot;]
            union [ServiceRequest: &quot;EKG study&quot;]
            union [ServiceRequest: &quot;Follow Up Within One Year&quot;]
            union [ServiceRequest: &quot;Follow Up Within 4 Weeks&quot;]
            union [ServiceRequest: &quot;Referral to Primary Care or Alternate Provider&quot;]
            union [ServiceRequest: &quot;Lifestyle Recommendation&quot;]
            union [ServiceRequest: &quot;Weight Reduction Recommended&quot;]
            union [ServiceRequest: &quot;Dietary Recommendations&quot;]
            union [ServiceRequest: &quot;Recommendation to Increase Physical Activity&quot;]
            union [ServiceRequest: &quot;Referral or Counseling for Alcohol Consumption&quot;]
            union [ServiceRequest: &quot;Laboratory Tests for Hypertension&quot;]
            union [MedicationRequest: &quot;Pharmacologic Therapy for Hypertension&quot;] ) NoFollowUpOrdered
            such that NoFollowUpOrdered.doNotPerform is true
              and NoFollowUpOrdered.code in &quot;Patient Declined&quot;
              and NoFollowUpOrdered.authoredOn same day as start of QualifyingEncounter.period"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="27"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="Denominator Exceptions"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Denominator Exceptions&quot;:
      &quot;Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement&quot;
          union &quot;Encounter with Order for Hypertension Follow Up Declined by Patient&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="28"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToString"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function ToString(value AdministrativeGender): value.value"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="29"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToInterval"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="/*
    @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period)
    value to a CQL DateTime Interval
    @comment: If the start value of the given period is unspecified, the starting
    boundary of the resulting interval will be open (meaning the start of the interval
    is unknown, as opposed to interpreted as the beginning of time).
    */
    define function ToInterval(period FHIR.Period):
        if period is null then
            null
        else
            if period.&quot;start&quot; is null then
                Interval(period.&quot;start&quot;.value, period.&quot;end&quot;.value]
            else
                Interval[period.&quot;start&quot;.value, period.&quot;end&quot;.value]"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="30"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToDateTime"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function ToDateTime(value dateTime): value.value"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="31"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToDateTime"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function ToDateTime(value instant): value.value"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="32"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToInterval"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="/*
    @description: Converts the given FHIR [Range](https://hl7.org/fhir/datatypes.html#Range) value to a CQL Interval of Quantity
    */
    define function ToInterval(range FHIR.Range):
        if range is null then
            null
        else
            Interval[ToQuantity(range.low), ToQuantity(range.high)]"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="33"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToQuantity"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="/*
    @description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity)
    value to a CQL Quantity
    @comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity
    has a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`)
    an error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used.
    @seealso: ToCalendarUnit
    */
    define function ToQuantity(quantity FHIR.Quantity):
        case
            when quantity is null then null
            when quantity.value is null then null
            when quantity.comparator is not null then
                Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')
            when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'
                  or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then
                System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }
            else
                Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' &amp; quantity.unit.value &amp; ' (' &amp; quantity.system.value &amp; '|' &amp; quantity.code.value &amp; ')')
        end"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="34"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToCalendarUnit"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="/*
    @description: Converts a UCUM definite duration unit to a CQL calendar duration
    unit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities)
    topic of the CQL specification.
    @comment: Note that for durations above days (or weeks), the conversion is understood to be approximate
    */
    define function ToCalendarUnit(unit System.String):
        case unit
            when 'ms' then 'millisecond'
            when 's' then 'second'
            when 'min' then 'minute'
            when 'h' then 'hour'
            when 'd' then 'day'
            when 'wk' then 'week'
            when 'mo' then 'month'
            when 'a' then 'year'
            else unit
        end"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="35"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToConcept"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="/*
    @description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept.
    */
    define function ToConcept(concept FHIR.CodeableConcept):
        if concept is null then
            null
        else
            System.Concept {
                codes: concept.coding C return ToCode(C),
                display: concept.text.value
            }"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="36"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToCode"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="/*
    @description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code.
    */
    define function ToCode(coding FHIR.Coding):
        if coding is null then
            null
        else
            System.Code {
              code: coding.code.value,
              system: coding.system.value,
              version: coding.version.value,
              display: coding.display.value
            }"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="37"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToString"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function ToString(value string): value.value"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="38"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MATGlobalCommonFunctions"/>
            </extension>
            <extension url="name">
              <valueString value="CalendarAgeInYearsAt"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function &quot;CalendarAgeInYearsAt&quot;(BirthDateTime DateTime, AsOf DateTime):
    	years between ToDate(BirthDateTime)and ToDate(AsOf)"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="39"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MATGlobalCommonFunctions"/>
            </extension>
            <extension url="name">
              <valueString value="ToDate"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function &quot;ToDate&quot;(Value DateTime):
    	DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="40"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToDate"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function ToDate(value date): value.value"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="41"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToString"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function ToString(value uri): value.value"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="42"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MATGlobalCommonFunctions"/>
            </extension>
            <extension url="name">
              <valueString value="Prevalence Period"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function &quot;Prevalence Period&quot;(condition Condition):
      Interval[start of &quot;Normalize Interval&quot;(condition.onset), end of &quot;Normalize Abatement&quot;(condition))"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="43"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MATGlobalCommonFunctions"/>
            </extension>
            <extension url="name">
              <valueString value="Normalize Interval"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="/*
    *
    *    CQFMeasures Common Logic
    *
    */

    define function &quot;Normalize Interval&quot;(choice Choice&lt;FHIR.dateTime, FHIR.Period, FHIR.Timing, FHIR.instant, FHIR.string, FHIR.Age, FHIR.Range&gt;):
      case
    	  when choice is FHIR.dateTime then
        	Interval[FHIRHelpers.ToDateTime(choice as FHIR.dateTime), FHIRHelpers.ToDateTime(choice as FHIR.dateTime)]
    		when choice is FHIR.Period then
      		FHIRHelpers.ToInterval(choice as FHIR.Period)
    		when choice is FHIR.instant then
    			Interval[FHIRHelpers.ToDateTime(choice as FHIR.instant), FHIRHelpers.ToDateTime(choice as FHIR.instant)]
    		when choice is FHIR.Age then
    		  Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age),
    			  FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(choice as FHIR.Age) + 1 year)
    		when choice is FHIR.Range then
    		  Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).low),
    			  FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((choice as FHIR.Range).high) + 1 year)
    		when choice is FHIR.Timing then
    		  Message(null as Interval&lt;DateTime&gt;, true, '1', 'Error', 'Cannot compute a single interval from a Timing type')
        when choice is FHIR.string then
          Message(null as Interval&lt;DateTime&gt;, true, '1', 'Error', 'Cannot compute an interval from a String value')
    		else
    			null as Interval&lt;DateTime&gt;
    	end"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="44"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MATGlobalCommonFunctions"/>
            </extension>
            <extension url="name">
              <valueString value="Normalize Abatement"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function &quot;Normalize Abatement&quot;(condition Condition):
    	if condition.abatement is FHIR.dateTime then
    	  Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]
    	else if condition.abatement is FHIR.Period then
    	  FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)
    	else if condition.abatement is FHIR.string then
        Message(null as Interval&lt;DateTime&gt;, true, '1', 'Error', 'Cannot compute an interval from a String value')
    	else if condition.abatement is FHIR.Age then
    		Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),
    			FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)
    	else if condition.abatement is FHIR.Range then
    	  Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),
    		  FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)
    	else if condition.abatement is FHIR.boolean then
    	  Interval[end of &quot;Normalize Interval&quot;(condition.onset), condition.recordedDate)
    	else null"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="45"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="Not Done"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function &quot;Not Done&quot;(res DomainResource ):
      if ( res R
          where ( &quot;GetModiferExtension&quot;(R, 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDone').value = true )
      ) is not null then true
        else false"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="46"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToBoolean"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function ToBoolean(value boolean): value.value"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="47"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="GetModiferExtension"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function &quot;GetModiferExtension&quot;(res DomainResource, url String ):
      singleton from &quot;GetModifierExtensions&quot;(res, url)"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="48"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="HBPComponent"/>
            </extension>
            <extension url="name">
              <valueString value="GetModifierExtensions"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function &quot;GetModifierExtensions&quot;(res DomainResource, url String ):
      res.modifierExtension E
        where E.url = ( url )
        return E"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="49"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToString"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function ToString(value ObservationStatus): value.value"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="50"/>
            </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>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="FHIR model information"/>
            <resource
                      value="http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Library SDE"/>
            <resource
                      value="http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.000"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Library FHIRHelpers"/>
            <resource
                      value="http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Library Global"/>
            <resource
                      value="http://hl7.org/fhir/uv/cqm/Library/MATGlobalCommonFunctions|5.0.000"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Code system LOINC"/>
            <resource value="http://loinc.org"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Value set Encounter to Screen for Blood Pressure"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Value set Lifestyle Recommendation"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Value set Weight Reduction Recommended"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Value set Dietary Recommendations"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display
                     value="Value set Recommendation to Increase Physical Activity"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display
                     value="Value set Referral or Counseling for Alcohol Consumption"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Value set Follow Up Within One Year"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display
                     value="Value set Referral to Primary Care or Alternate Provider"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display
                     value="Value set Finding of Elevated Blood Pressure or Hypertension"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.514"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Value set Follow Up Within 4 Weeks"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Value set Laboratory Tests for Hypertension"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Value set Pharmacologic Therapy for Hypertension"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Value set Payer"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Value set Diagnosis of Hypertension"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Value set Medical Reason"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Value set Patient Declined"/>
            <resource
                      value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1582"/>
          </relatedArtifact>
          <parameter>
            <name value="Measurement Period"/>
            <use value="in"/>
            <min value="0"/>
            <max value="1"/>
            <type value="Period"/>
          </parameter>
          <parameter>
            <name value="SDE Sex"/>
            <use value="out"/>
            <min value="0"/>
            <max value="1"/>
            <type value="Coding"/>
          </parameter>
          <parameter>
            <name value="Numerator"/>
            <use value="out"/>
            <min value="0"/>
            <max value="*"/>
            <type value="Encounter"/>
          </parameter>
          <parameter>
            <name value="Denominator"/>
            <use value="out"/>
            <min value="0"/>
            <max value="*"/>
            <type value="Encounter"/>
          </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="*"/>
            <type value="Encounter"/>
          </parameter>
          <parameter>
            <name value="SDE Ethnicity"/>
            <use value="out"/>
            <min value="0"/>
            <max value="*"/>
            <type value="Coding"/>
          </parameter>
          <parameter>
            <name value="Denominator Exclusions"/>
            <use value="out"/>
            <min value="0"/>
            <max value="*"/>
            <type value="Encounter"/>
          </parameter>
          <parameter>
            <name value="SDE Race"/>
            <use value="out"/>
            <min value="0"/>
            <max value="*"/>
            <type value="Coding"/>
          </parameter>
          <parameter>
            <name value="Denominator Exceptions"/>
            <use value="out"/>
            <min value="0"/>
            <max value="*"/>
            <type value="Encounter"/>
          </parameter>
          <dataRequirement>
            <type value="Patient"/>
            <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
            <mustSupport value="birthDate"/>
            <mustSupport value="url"/>
            <mustSupport value="extension"/>
            <mustSupport value="value"/>
          </dataRequirement>
          <dataRequirement>
            <type value="Encounter"/>
            <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
            <mustSupport value="type"/>
            <mustSupport value="period"/>
            <codeFilter>
              <path value="type"/>
              <valueSet
                        value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920"/>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="Observation"/>
            <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
            <mustSupport value="code"/>
            <mustSupport value="effective"/>
            <mustSupport value="status"/>
            <mustSupport value="value"/>
            <codeFilter>
              <path value="code"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="8480-6"/>
                <display value="Systolic blood pressure"/>
              </code>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="Observation"/>
            <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
            <mustSupport value="code"/>
            <mustSupport value="effective"/>
            <mustSupport value="status"/>
            <mustSupport value="value"/>
            <codeFilter>
              <path value="code"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="8462-4"/>
                <display value="Diastolic blood pressure"/>
              </code>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="ServiceRequest"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
            <mustSupport value="code"/>
            <mustSupport value="authoredOn"/>
            <codeFilter>
              <path value="code"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="34534-8"/>
                <display value="12 lead EKG panel"/>
              </code>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="ServiceRequest"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
            <mustSupport value="code"/>
            <mustSupport value="authoredOn"/>
            <codeFilter>
              <path value="code"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="11524-6"/>
                <display value="EKG study"/>
              </code>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="ServiceRequest"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
            <mustSupport value="code"/>
            <mustSupport value="authoredOn"/>
            <codeFilter>
              <path value="code"/>
              <valueSet
                        value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579"/>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="ServiceRequest"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
            <mustSupport value="code"/>
            <mustSupport value="authoredOn"/>
            <codeFilter>
              <path value="code"/>
              <valueSet
                        value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578"/>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="ServiceRequest"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
            <mustSupport value="code"/>
            <mustSupport value="authoredOn"/>
            <mustSupport value="reasonCode"/>
            <codeFilter>
              <path value="code"/>
              <valueSet
                        value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580"/>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="ServiceRequest"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
            <mustSupport value="code"/>
            <mustSupport value="authoredOn"/>
            <codeFilter>
              <path value="code"/>
              <valueSet
                        value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581"/>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="ServiceRequest"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
            <mustSupport value="code"/>
            <mustSupport value="authoredOn"/>
            <codeFilter>
              <path value="code"/>
              <valueSet
                        value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510"/>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="ServiceRequest"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
            <mustSupport value="code"/>
            <mustSupport value="authoredOn"/>
            <codeFilter>
              <path value="code"/>
              <valueSet
                        value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515"/>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="ServiceRequest"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
            <mustSupport value="code"/>
            <mustSupport value="authoredOn"/>
            <codeFilter>
              <path value="code"/>
              <valueSet
                        value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518"/>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="ServiceRequest"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
            <mustSupport value="code"/>
            <mustSupport value="authoredOn"/>
            <codeFilter>
              <path value="code"/>
              <valueSet
                        value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583"/>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="ServiceRequest"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/ServiceRequest"/>
            <mustSupport value="code"/>
            <mustSupport value="authoredOn"/>
            <codeFilter>
              <path value="code"/>
              <valueSet
                        value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482"/>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="MedicationRequest"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
            <mustSupport value="medication"/>
            <mustSupport value="authoredOn"/>
            <codeFilter>
              <path value="medication"/>
              <valueSet
                        value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577"/>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="MedicationRequest"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
            <mustSupport value="medication.reference"/>
            <mustSupport value="authoredOn"/>
          </dataRequirement>
          <dataRequirement>
            <type value="Medication"/>
            <profile value="http://hl7.org/fhir/StructureDefinition/Medication"/>
            <mustSupport value="id"/>
            <mustSupport value="code"/>
          </dataRequirement>
          <dataRequirement>
            <type value="Coverage"/>
            <profile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
            <mustSupport value="type"/>
            <mustSupport value="period"/>
            <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="Condition"/>
            <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
            <mustSupport value="code"/>
            <codeFilter>
              <path value="code"/>
              <valueSet
                        value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263"/>
            </codeFilter>
          </dataRequirement>
        </Library>
      </contained>
      <extension
                 url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis">
        <valueCode value="Encounter"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem">
        <valueReference>🔗
          <reference value="Device/software-system-example"/>
        </valueReference>
      </extension>
      <extension
                 url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-supplementalDataGuidance">
        <extension url="usage">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
              <code value="supplemental-data"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="guidance">
          <valueMarkdown
                         value="This guidance provides instructions on how to collect and report supplemental data elements for this measure."/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
        <valueCanonical value="#effective-data-requirements"/>
      </extension>
      <url value="http://hl7.org/fhir/uv/cqm/Measure/HBPComponent"/>
      <identifier>
        <use value="official"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"/>
            <code value="version-independent"/>
            <display value="Version Independent"/>
          </coding>
        </type>
        <system value="urn:ietf:rfc:3986"/>
        <value value="http://example.org/fhir/us/cqm/Measure/HBPComponent"/>
      </identifier>
      <identifier>
        <use value="official"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"/>
            <code value="version-specific"/>
            <display value="Version Specific"/>
          </coding>
        </type>
        <system value="urn:ietf:rfc:3986"/>
        <value value="http://example.org/fhir/us/cqm/Measure/22v11"/>
      </identifier>
      <identifier>
        <use value="usual"/>
        <type>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/artifact-identifier-type"/>
            <code value="short-name"/>
            <display value="Short Name"/>
          </coding>
        </type>
        <value value="High Blood Pressure Screening"/>
      </identifier>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.16.840.1.113883.4.642.40.61.29.11"/>
      </identifier>
      <version value="0.0.001"/>
      <name value="HBPComponent"/>
      <title
             value="Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented"/>
      <status value="active"/>
      <experimental value="true"/>
      <date value="2025-08-13T17:14:51-06:00"/>
      <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."/>
      <useContext>
        <code>
          <system
                  value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
          <code value="venue"/>
          <display value="Clinical Venue"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes"/>
            <code value="ec"/>
            <display value="EC"/>
          </coding>
        </valueCodeableConcept>
      </useContext>
      <jurisdiction>
        <coding>
          <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
          <code value="001"/>
        </coding>
      </jurisdiction>
      <effectivePeriod>
        <start value="2022-01-01"/>
        <end value="2022-12-31"/>
      </effectivePeriod>
      <library value="http://hl7.org/fhir/uv/cqm/Library/HBPComponent"/>
      <scoring>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
          <code value="proportion"/>
          <display value="Proportion"/>
        </coding>
      </scoring>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
          <code value="process"/>
        </coding>
      </type>
      <improvementNotation>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
          <code value="increase"/>
        </coding>
      </improvementNotation>
      <group>
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId">
          <valueString value="primary"/>
        </extension>
        <population id="53248B01-E1CF-4C67-AE39-8483F8114CAE">
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString value="primary-hbpcomponent-initial-population"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="initial-population"/>
              <display value="Initial Population"/>
            </coding>
          </code>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Initial Population"/>
          </criteria>
        </population>
        <population id="9D2AB719-A4D5-41D3-8785-7DBE8CA10FD3">
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString value="primary-hbpcomponent-denominator"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="denominator"/>
              <display value="Denominator"/>
            </coding>
          </code>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Denominator"/>
          </criteria>
        </population>
        <population id="165DEA75-8DF1-4F2C-9F8A-BBEE1A02A5D6">
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString value="primary-hbpcomponent-denominator-exclusion"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="denominator-exclusion"/>
              <display value="Denominator Exclusion"/>
            </coding>
          </code>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Denominator Exclusions"/>
          </criteria>
        </population>
        <population id="BF70F2AC-568C-4587-AF54-E4F54E6FCC83">
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString value="primary-hbpcomponent-denominator-exception"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="denominator-exception"/>
              <display value="Denominator Exception"/>
            </coding>
          </code>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Denominator Exceptions"/>
          </criteria>
        </population>
        <population id="7B0319A6-913B-4F39-8D3C-04FA0A6B5C3A">
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString value="primary-hbpcomponent-numerator"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="numerator"/>
              <display value="Numerator"/>
            </coding>
          </code>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Numerator"/>
          </criteria>
        </population>
      </group>
      <supplementalData id="cd02ebb6-a0bf-4196-90f9-80f2a8a79bbf">
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId">
          <valueString value="hbpcomponent-sde-ethnicity"/>
        </extension>
        <usage>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
            <code value="supplemental-data"/>
          </coding>
        </usage>
        <criteria>
          <language value="text/cql-identifier"/>
          <expression value="SDE Ethnicity"/>
        </criteria>
      </supplementalData>
      <supplementalData id="a67a3fc7-cedd-4d78-b7b0-4718fa7f3e2b">
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId">
          <valueString value="hbpcomponent-sde-payer"/>
        </extension>
        <usage>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
            <code value="supplemental-data"/>
          </coding>
        </usage>
        <criteria>
          <language value="text/cql-identifier"/>
          <expression value="SDE Payer"/>
        </criteria>
      </supplementalData>
      <supplementalData id="3dc8840d-cc30-44af-a233-3b2b6c602060">
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId">
          <valueString value="hbpcomponent-sde-race"/>
        </extension>
        <usage>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
            <code value="supplemental-data"/>
          </coding>
        </usage>
        <criteria>
          <language value="text/cql-identifier"/>
          <expression value="SDE Race"/>
        </criteria>
      </supplementalData>
      <supplementalData id="5a4e95aa-f8b3-400f-89b3-02555a361251">
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId">
          <valueString value="ccscomponent-sde-sex"/>
        </extension>
        <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>