{
"description": "This is an example only.",
"_filename": "example/Measure-HBPComponent.json",
"package_name": "hl7.fhir.us.cqfmeasures",
"date": "2022-02-22T11:37:03-06:00",
"group": [ {
"population": [ {
"id": "53248B01-E1CF-4C67-AE39-8483F8114CAE",
"code": {
"coding": [ {
"code": "initial-population",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Initial Population"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Initial Population"
}
}, {
"id": "9D2AB719-A4D5-41D3-8785-7DBE8CA10FD3",
"code": {
"coding": [ {
"code": "denominator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Denominator"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Denominator"
}
}, {
"id": "165DEA75-8DF1-4F2C-9F8A-BBEE1A02A5D6",
"code": {
"coding": [ {
"code": "denominator-exclusion",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Denominator Exclusion"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Denominator Exclusions"
}
}, {
"id": "BF70F2AC-568C-4587-AF54-E4F54E6FCC83",
"code": {
"coding": [ {
"code": "denominator-exception",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Denominator Exception"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Denominator Exceptions"
}
}, {
"id": "7B0319A6-913B-4F39-8D3C-04FA0A6B5C3A",
"code": {
"coding": [ {
"code": "numerator",
"system": "http://terminology.hl7.org/CodeSystem/measure-population",
"display": "Numerator"
} ]
},
"criteria": {
"language": "text/cql-identifier",
"expression": "Numerator"
}
} ]
} ],
"meta": {
"profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm" ]
},
"publisher": "Clinical Quality Information WG",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"name": "HBPComponent",
"type": "[{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/measure-type\\\", :code \\\"process\\\"}]}]",
"experimental": "true",
"resourceType": "Measure",
"title": "Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented",
"supplementalData": [ {
"id": "cd02ebb6-a0bf-4196-90f9-80f2a8a79bbf",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Ethnicity"
}
}, {
"id": "a67a3fc7-cedd-4d78-b7b0-4718fa7f3e2b",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Payer"
}
}, {
"id": "3dc8840d-cc30-44af-a233-3b2b6c602060",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Race"
}
}, {
"id": "5a4e95aa-f8b3-400f-89b3-02555a361251",
"usage": [ {
"coding": [ {
"code": "supplemental-data",
"system": "http://terminology.hl7.org/CodeSystem/measure-data-usage"
} ]
} ],
"criteria": {
"language": "text/cql-identifier",
"expression": "SDE Sex"
}
} ],
"library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/HBPComponent" ],
"package_version": "4.0.0",
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
"valueCode": "Encounter"
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
"valueReference": {
"reference": "Device/software-system-example"
}
}, {
"id": "effective-data-requirements",
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
"valueReference": {
"reference": "#effective-data-requirements"
}
} ],
"contained": [ {
"date": "2022-02-22T10:37:03-07:00",
"dataRequirement": [ {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8480-6",
"system": "http://loinc.org",
"display": "Systolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8462-4",
"system": "http://loinc.org",
"display": "Diastolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8480-6",
"system": "http://loinc.org",
"display": "Systolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8462-4",
"system": "http://loinc.org",
"display": "Diastolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8480-6",
"system": "http://loinc.org",
"display": "Systolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "code" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8462-4",
"system": "http://loinc.org",
"display": "Diastolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "code" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8480-6",
"system": "http://loinc.org",
"display": "Systolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8462-4",
"system": "http://loinc.org",
"display": "Diastolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8462-4",
"system": "http://loinc.org",
"display": "Diastolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8480-6",
"system": "http://loinc.org",
"display": "Systolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8462-4",
"system": "http://loinc.org",
"display": "Diastolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8480-6",
"system": "http://loinc.org",
"display": "Systolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8480-6",
"system": "http://loinc.org",
"display": "Systolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8462-4",
"system": "http://loinc.org",
"display": "Diastolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8480-6",
"system": "http://loinc.org",
"display": "Systolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8462-4",
"system": "http://loinc.org",
"display": "Diastolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8462-4",
"system": "http://loinc.org",
"display": "Diastolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8480-6",
"system": "http://loinc.org",
"display": "Systolic blood pressure"
} ],
"path": "code"
} ],
"mustSupport": [ "effective", "code", "value" ]
}, {
"type": "Coverage",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Coverage" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
} ],
"mustSupport": [ "period", "type" ]
}, {
"type": "Patient",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ],
"mustSupport": [ "extension", "birthDate", "value", "url" ]
}, {
"type": "MedicationRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/MedicationRequest" ],
"codeFilter": [ {
"path": "medication",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577"
} ],
"mustSupport": [ "authoredOn", "medication" ]
}, {
"type": "Encounter",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
"codeFilter": [ {
"path": "type",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920"
} ],
"mustSupport": [ "period", "type" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"code": [ {
"code": "34534-8",
"system": "http://loinc.org",
"display": "12 lead EKG panel"
} ],
"path": "code"
} ],
"mustSupport": [ "code" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"code": [ {
"code": "11524-6",
"system": "http://loinc.org",
"display": "EKG study"
} ],
"path": "code"
} ],
"mustSupport": [ "code" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"code": [ {
"code": "34534-8",
"system": "http://loinc.org",
"display": "12 lead EKG panel"
} ],
"path": "code"
} ],
"mustSupport": [ "code" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"code": [ {
"code": "11524-6",
"system": "http://loinc.org",
"display": "EKG study"
} ],
"path": "code"
} ],
"mustSupport": [ "code" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581"
} ],
"mustSupport": [ "code" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510"
} ],
"mustSupport": [ "code" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515"
} ],
"mustSupport": [ "code" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518"
} ],
"mustSupport": [ "code" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583"
} ],
"mustSupport": [ "code" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482"
} ],
"mustSupport": [ "code", "authoredOn" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579"
} ],
"mustSupport": [ "code", "authoredOn" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578"
} ],
"mustSupport": [ "code", "authoredOn" ]
}, {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580"
} ],
"mustSupport": [ "code", "authoredOn", "reasonCode" ]
}, {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
"codeFilter": [ {
"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263"
} ],
"mustSupport": [ "code" ]
} ],
"name": "EffectiveDataRequirements",
"type": {
"coding": [ {
"code": "module-definition",
"system": "http://terminology.hl7.org/CodeSystem/library-type"
} ]
},
"resourceType": "Library",
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding": {
"code": "8480-6",
"system": "http://loinc.org",
"display": "Systolic blood pressure"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding": {
"code": "8462-4",
"system": "http://loinc.org",
"display": "Diastolic blood pressure"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding": {
"code": "34534-8",
"system": "http://loinc.org",
"display": "12 lead EKG panel"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode",
"valueCoding": {
"code": "11524-6",
"system": "http://loinc.org",
"display": "EKG study"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "SupplementalDataElements"
}, {
"url": "name",
"valueString": "SDE Sex"
}, {
"url": "statement",
"valueString": "define \"SDE Sex\": case when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' } when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' } else null end"
}, {
"url": "displaySequence",
"valueInteger": 0
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "SDE Sex"
}, {
"url": "statement",
"valueString": "define \"SDE Sex\": SDE.\"SDE Sex\""
}, {
"url": "displaySequence",
"valueInteger": 1
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Qualifying Encounter During Measurement Period"
}, {
"url": "statement",
"valueString": "define \"Qualifying Encounter During Measurement Period\": [Encounter: \"Encounter to Screen for Blood Pressure\"] ValidEncounter where ValidEncounter.period during \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 2
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with Normal Blood Pressure Reading"
}, {
"url": "statement",
"valueString": "define \"Encounter with Normal Blood Pressure Reading\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter let EncounterLastSystolicBP: Last([Observation: \"Systolic blood pressure\"] SystolicBP where SystolicBP.effective during QualifyingEncounter.period sort by effective ), EncounterLastDiastolicBP: Last([Observation: \"Diastolic blood pressure\"] DiastolicBP where DiastolicBP.effective during QualifyingEncounter.period sort by effective ) where EncounterLastSystolicBP.value included in Interval[1 'mm[Hg]', 120 'mm[Hg]' ) and EncounterLastDiastolicBP.value included in Interval[1 'mm[Hg]', 80 'mm[Hg]' )"
}, {
"url": "displaySequence",
"valueInteger": 3
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with Prehypertensive Blood Pressure Reading"
}, {
"url": "statement",
"valueString": "define \"Encounter with Prehypertensive Blood Pressure Reading\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter let EncounterLastSystolicBP: Last([Observation: \"Systolic blood pressure\"] SystolicBP where SystolicBP.effective during QualifyingEncounter.period sort by effective ), EncounterLastDiastolicBP: Last([Observation: \"Diastolic blood pressure\"] DiastolicBP where DiastolicBP.effective during QualifyingEncounter.period sort by effective ) where EncounterLastSystolicBP.value included in Interval[1 'mm[Hg]', 140 'mm[Hg]' ) and EncounterLastDiastolicBP.value included in Interval[1 'mm[Hg]', 90 'mm[Hg]' ) and ( EncounterLastSystolicBP.value >= 120 'mm[Hg]' or EncounterLastDiastolicBP.value >= 80 'mm[Hg]' )"
}, {
"url": "displaySequence",
"valueInteger": 4
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with Order for Intervention for Hypertension"
}, {
"url": "statement",
"valueString": "define \"Encounter with Order for Intervention for Hypertension\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with ( [ServiceRequest: \"Lifestyle Recommendation\"] union [ServiceRequest: \"Weight Reduction Recommended\"] union [ServiceRequest: \"Dietary Recommendations\"] union [ServiceRequest: \"Recommendation to Increase Physical Activity\"] union [ServiceRequest: \"Referral or Counseling for Alcohol Consumption\"] ) HighBloodPressureIntervention such that HighBloodPressureIntervention.authoredOn same day as start of QualifyingEncounter.period"
}, {
"url": "displaySequence",
"valueInteger": 5
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with Order for Follow Up Within One Year"
}, {
"url": "statement",
"valueString": "define \"Encounter with Order for Follow Up Within One Year\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [ServiceRequest: \"Follow Up Within One Year\"] FollowupOneYear such that FollowupOneYear.authoredOn same day as start of QualifyingEncounter.period"
}, {
"url": "displaySequence",
"valueInteger": 6
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with Referral to Alternate Provider for High Blood Pressure Reading"
}, {
"url": "statement",
"valueString": "define \"Encounter with Referral to Alternate Provider for High Blood Pressure Reading\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [ServiceRequest: \"Referral to Primary Care or Alternate Provider\"] Referral such that Referral.authoredOn same day as start of QualifyingEncounter.period and Referral.reasonCode in \"Finding of Elevated Blood Pressure or Hypertension\""
}, {
"url": "displaySequence",
"valueInteger": 7
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with High Blood Pressure Reading"
}, {
"url": "statement",
"valueString": "define \"Encounter with High Blood Pressure Reading\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter let EncounterLastSystolicBP: Last([Observation: \"Systolic blood pressure\"] SystolicBP where SystolicBP.effective during QualifyingEncounter.period sort by effective ), EncounterLastDiastolicBP: Last([Observation: \"Diastolic blood pressure\"] DiastolicBP where DiastolicBP.effective during QualifyingEncounter.period sort by effective ) where EncounterLastSystolicBP.value > 0 'mm[Hg]' and EncounterLastDiastolicBP.value > 0 'mm[Hg]' and ( EncounterLastSystolicBP.value >= 140 'mm[Hg]' or EncounterLastDiastolicBP.value >= 90 'mm[Hg]' )"
}, {
"url": "displaySequence",
"valueInteger": 8
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with High Blood Pressure Reading Within Year Prior"
}, {
"url": "statement",
"valueString": "define \"Encounter with High Blood Pressure Reading Within Year Prior\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter let EncounterLastSystolicBP: Last([Observation: \"Systolic blood pressure\"] SystolicBP where SystolicBP.effective 1 year or less before start of QualifyingEncounter.period sort by effective ), EncounterLastDiastolicBP: Last([Observation: \"Diastolic blood pressure\"] DiastolicBP where DiastolicBP.effective 1 year or less before start of QualifyingEncounter.period sort by effective ) where EncounterLastSystolicBP.value > 0 'mm[Hg]' and EncounterLastDiastolicBP.value > 0 'mm[Hg]' and ( EncounterLastSystolicBP.value >= 140 'mm[Hg]' or EncounterLastDiastolicBP.value >= 90 'mm[Hg]' )"
}, {
"url": "displaySequence",
"valueInteger": 9
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with First Hypertensive Reading"
}, {
"url": "statement",
"valueString": "define \"Encounter with First Hypertensive Reading\": \"Encounter with High Blood Pressure Reading\" except \"Encounter with High Blood Pressure Reading Within Year Prior\""
}, {
"url": "displaySequence",
"valueInteger": 10
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with Order for Follow Up Within 4 Weeks"
}, {
"url": "statement",
"valueString": "define \"Encounter with Order for Follow Up Within 4 Weeks\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [ServiceRequest: \"Follow Up Within 4 Weeks\"] Followup4Weeks such that Followup4Weeks.authoredOn same day as start of QualifyingEncounter.period"
}, {
"url": "displaySequence",
"valueInteger": 11
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with Second Hypertensive Reading"
}, {
"url": "statement",
"valueString": "define \"Encounter with Second Hypertensive Reading\": \"Encounter with High Blood Pressure Reading\" intersect \"Encounter with High Blood Pressure Reading Within Year Prior\""
}, {
"url": "displaySequence",
"valueInteger": 12
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with Order for Laboratory Test for Hypertension"
}, {
"url": "statement",
"valueString": "define \"Encounter with Order for Laboratory Test for Hypertension\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [ServiceRequest: \"Laboratory Tests for Hypertension\"] HypertensionLabs such that HypertensionLabs.authoredOn same day as start of QualifyingEncounter.period"
}, {
"url": "displaySequence",
"valueInteger": 13
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with Order for Electrocardiogram for Hypertension"
}, {
"url": "statement",
"valueString": "define \"Encounter with Order for Electrocardiogram for Hypertension\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with ( [ServiceRequest: \"12 lead EKG panel\"] union [ServiceRequest: \"EKG study\"] ) ECG such that ECG.authoredOn same day as start of QualifyingEncounter.period"
}, {
"url": "displaySequence",
"valueInteger": 14
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with Order for Hypertension Medication"
}, {
"url": "statement",
"valueString": "define \"Encounter with Order for Hypertension Medication\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [MedicationRequest: \"Pharmacologic Therapy for Hypertension\"] AntihypertensiveMedication such that AntihypertensiveMedication.authoredOn same day as start of QualifyingEncounter.period"
}, {
"url": "displaySequence",
"valueInteger": 15
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Numerator"
}, {
"url": "statement",
"valueString": "define \"Numerator\": \"Encounter with Normal Blood Pressure Reading\" union ( \"Encounter with Prehypertensive Blood Pressure Reading\" intersect ( ( \"Encounter with Order for Intervention for Hypertension\" intersect \"Encounter with Order for Follow Up Within One Year\" ) union \"Encounter with Referral to Alternate Provider for High Blood Pressure Reading\" ) ) union ( \"Encounter with First Hypertensive Reading\" intersect ( ( \"Encounter with Order for Intervention for Hypertension\" intersect \"Encounter with Order for Follow Up Within 4 Weeks\" ) union \"Encounter with Referral to Alternate Provider for High Blood Pressure Reading\" ) ) union ( \"Encounter with Second Hypertensive Reading\" intersect ( ( \"Encounter with Order for Intervention for Hypertension\" intersect ( \"Encounter with Order for Laboratory Test for Hypertension\" union \"Encounter with Order for Electrocardiogram for Hypertension\" union \"Encounter with Order for Hypertension Medication\" ) ) union \"Encounter with Referral to Alternate Provider for High Blood Pressure Reading\" ) )"
}, {
"url": "displaySequence",
"valueInteger": 16
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Initial Population"
}, {
"url": "statement",
"valueString": "define \"Initial Population\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [Patient] BirthDate such that Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of \"Measurement Period\" ) >= 18"
}, {
"url": "displaySequence",
"valueInteger": 17
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Denominator"
}, {
"url": "statement",
"valueString": "define \"Denominator\": \"Initial Population\""
}, {
"url": "displaySequence",
"valueInteger": 18
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "SupplementalDataElements"
}, {
"url": "name",
"valueString": "SDE Payer"
}, {
"url": "statement",
"valueString": "define \"SDE Payer\": [Coverage: type in \"Payer\"] Payer return { code: Payer.type, period: Payer.period }"
}, {
"url": "displaySequence",
"valueInteger": 19
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "SDE Payer"
}, {
"url": "statement",
"valueString": "define \"SDE Payer\": SDE.\"SDE Payer\""
}, {
"url": "displaySequence",
"valueInteger": 20
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "SupplementalDataElements"
}, {
"url": "name",
"valueString": "SDE Ethnicity"
}, {
"url": "statement",
"valueString": "define \"SDE Ethnicity\": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding"
}, {
"url": "displaySequence",
"valueInteger": 21
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "SDE Ethnicity"
}, {
"url": "statement",
"valueString": "define \"SDE Ethnicity\": SDE.\"SDE Ethnicity\""
}, {
"url": "displaySequence",
"valueInteger": 22
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Denominator Exclusions"
}, {
"url": "statement",
"valueString": "define \"Denominator Exclusions\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with [Condition: \"Diagnosis of Hypertension\"] Hypertension such that Global.\"Prevalence Period\" ( Hypertension ) overlaps before QualifyingEncounter.period"
}, {
"url": "displaySequence",
"valueInteger": 23
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "SupplementalDataElements"
}, {
"url": "name",
"valueString": "SDE Race"
}, {
"url": "statement",
"valueString": "define \"SDE Race\": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding"
}, {
"url": "displaySequence",
"valueInteger": 24
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "SDE Race"
}, {
"url": "statement",
"valueString": "define \"SDE Race\": SDE.\"SDE Race\""
}, {
"url": "displaySequence",
"valueInteger": 25
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement"
}, {
"url": "statement",
"valueString": "define \"Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with ( [Observation: \"Systolic blood pressure\"] union [Observation: \"Diastolic blood pressure\"] ) NoBPScreen such that ( NoBPScreen.code in \"Medical Reason\" or NoBPScreen.code in \"Patient Declined\" ) and NoBPScreen.effective same day as start of QualifyingEncounter.period and \"Not Done\"(NoBPScreen) and NoBPScreen.status = 'final'"
}, {
"url": "displaySequence",
"valueInteger": 26
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Encounter with Order for Hypertension Follow Up Declined by Patient"
}, {
"url": "statement",
"valueString": "define \"Encounter with Order for Hypertension Follow Up Declined by Patient\": \"Qualifying Encounter During Measurement Period\" QualifyingEncounter with ( [ServiceRequest: \"12 lead EKG panel\"] union [ServiceRequest: \"EKG study\"] union [ServiceRequest: \"Follow Up Within One Year\"] union [ServiceRequest: \"Follow Up Within 4 Weeks\"] union [ServiceRequest: \"Referral to Primary Care or Alternate Provider\"] union [ServiceRequest: \"Lifestyle Recommendation\"] union [ServiceRequest: \"Weight Reduction Recommended\"] union [ServiceRequest: \"Dietary Recommendations\"] union [ServiceRequest: \"Recommendation to Increase Physical Activity\"] union [ServiceRequest: \"Referral or Counseling for Alcohol Consumption\"] union [ServiceRequest: \"Laboratory Tests for Hypertension\"] union [MedicationRequest: \"Pharmacologic Therapy for Hypertension\"] ) NoFollowUpOrdered such that NoFollowUpOrdered.doNotPerform is true and NoFollowUpOrdered.code in \"Patient Declined\" and NoFollowUpOrdered.authoredOn same day as start of QualifyingEncounter.period"
}, {
"url": "displaySequence",
"valueInteger": 27
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Denominator Exceptions"
}, {
"url": "statement",
"valueString": "define \"Denominator Exceptions\": \"Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement\" union \"Encounter with Order for Hypertension Follow Up Declined by Patient\""
}, {
"url": "displaySequence",
"valueInteger": 28
} ]
} ],
"status": "active",
"id": "effective-data-requirements",
"relatedArtifact": [ {
"type": "depends-on",
"display": "Library SDE",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000"
}, {
"type": "depends-on",
"display": "Library FHIRHelpers",
"resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
}, {
"type": "depends-on",
"display": "Library Global",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000"
}, {
"type": "depends-on",
"display": "Code system LOINC",
"resource": "http://loinc.org"
}, {
"type": "depends-on",
"display": "Value set Encounter to Screen for Blood Pressure",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1920"
}, {
"type": "depends-on",
"display": "Value set Lifestyle Recommendation",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1581"
}, {
"type": "depends-on",
"display": "Value set Weight Reduction Recommended",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1510"
}, {
"type": "depends-on",
"display": "Value set Dietary Recommendations",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1515"
}, {
"type": "depends-on",
"display": "Value set Recommendation to Increase Physical Activity",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1518"
}, {
"type": "depends-on",
"display": "Value set Referral or Counseling for Alcohol Consumption",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1583"
}, {
"type": "depends-on",
"display": "Value set Follow Up Within One Year",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1579"
}, {
"type": "depends-on",
"display": "Value set Referral to Primary Care or Alternate Provider",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1580"
}, {
"type": "depends-on",
"display": "Value set Finding of Elevated Blood Pressure or Hypertension",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.514"
}, {
"type": "depends-on",
"display": "Value set Follow Up Within 4 Weeks",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1578"
}, {
"type": "depends-on",
"display": "Value set Laboratory Tests for Hypertension",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1482"
}, {
"type": "depends-on",
"display": "Value set Pharmacologic Therapy for Hypertension",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.1577"
}, {
"type": "depends-on",
"display": "Value set Payer",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"
}, {
"type": "depends-on",
"display": "Value set Diagnosis of Hypertension",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263"
}, {
"type": "depends-on",
"display": "Value set Medical Reason",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007"
}, {
"type": "depends-on",
"display": "Value set Patient Declined",
"resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1582"
} ],
"parameter": [ {
"max": "1",
"min": 0,
"use": "in",
"name": "Measurement Period",
"type": "Period"
}, {
"max": "1",
"min": 0,
"use": "out",
"name": "SDE Sex",
"type": "Coding"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "Numerator",
"type": "Encounter"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "Denominator",
"type": "Encounter"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Payer",
"type": "Resource"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "Initial Population",
"type": "Encounter"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Ethnicity",
"type": "Coding"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "Denominator Exclusions",
"type": "Encounter"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Race",
"type": "Coding"
}, {
"max": "*",
"min": 0,
"use": "out",
"name": "Denominator Exceptions",
"type": "Encounter"
} ]
} ],
"status": "draft",
"language": "en",
"id": "1ca8fbcc-a36c-497f-9bd0-bb3200b9311e",
"kind": null,
"url": "http://hl7.org/fhir/us/cqfmeasures/Measure/HBPComponent",
"scoring": {
"coding": [ {
"code": "proportion",
"system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
"display": "Proportion"
} ]
},
"version": "0.0.001",
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/cqi",
"system": "url"
} ]
} ],
"improvementNotation": {
"coding": [ {
"code": "increase",
"system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
} ]
},
"effectivePeriod": {
"end": "2022-12-31",
"start": "2022-01-01"
}
}