{
"description": "This is an example only.",
"_filename": "example/Measure-HBPComponent.json",
"package_name": "hl7.fhir.us.cqfmeasures",
"date": "2021-04-03T13:00:06-06:00",
"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": "2.1.0",
"extension": [ {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
"valueCode": "Encounter"
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "in",
"name": "Measurement Period",
"type": "Period"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "out",
"name": "SDE Sex",
"type": "Coding"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Numerator",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with Normal Blood Pressure Reading",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Qualifying Encounter During Measurement Period",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with Prehypertensive Blood Pressure Reading",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with Order for Intervention for Hypertension",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with Order for Follow Up Within One Year",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with Referral to Alternate Provider for High Blood Pressure Reading",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with First Hypertensive Reading",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with High Blood Pressure Reading",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with High Blood Pressure Reading Within Year Prior",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with Order for Follow Up Within 4 Weeks",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with Second Hypertensive Reading",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with Order for Laboratory Test for Hypertension",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with Order for Electrocardiogram for Hypertension",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with Order for Hypertension Medication",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Denominator",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Initial Population",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Payer",
"type": "Any"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Ethnicity",
"type": "Coding"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "1",
"min": 0,
"use": "out",
"name": "Patient",
"type": "Patient"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Denominator Exclusions",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "SDE Race",
"type": "Coding"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Denominator Exceptions",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-parameter",
"valueParameterDefinition": {
"max": "*",
"min": 0,
"use": "out",
"name": "Encounter with Order for Hypertension Follow Up Declined by Patient",
"type": "Encounter"
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"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"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8480-6",
"system": "http://loinc.org",
"display": "Systolic blood pressure"
} ],
"path": "code"
} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8462-4",
"system": "http://loinc.org",
"display": "Diastolic blood pressure"
} ],
"path": "code"
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}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
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"code": "8480-6",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"codeFilter": [ {
"code": [ {
"code": "8462-4",
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"display": "Diastolic blood pressure"
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"path": "code"
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "ServiceRequest",
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"codeFilter": [ {
"path": "code",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
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"path": "code",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "MedicationRequest",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Coverage",
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Patient",
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}
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Patient",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Condition",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Condition" ],
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"path": "code",
"valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.263"
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"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8480-6",
"system": "http://loinc.org",
"display": "Systolic blood pressure"
} ],
"path": "code"
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}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "Observation",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ],
"codeFilter": [ {
"code": [ {
"code": "8462-4",
"system": "http://loinc.org",
"display": "Diastolic blood pressure"
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"path": "code"
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}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "ServiceRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ],
"codeFilter": [ {
"code": [ {
"code": "34534-8",
"system": "http://loinc.org",
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}
}, {
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"code": [ {
"code": "11524-6",
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} ],
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} ]
}
}, {
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"type": "ServiceRequest",
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"codeFilter": [ {
"code": [ {
"code": "34534-8",
"system": "http://loinc.org",
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} ],
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}, {
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"code": [ {
"code": "11524-6",
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} ],
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}, {
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}, {
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}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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"type": "ServiceRequest",
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} ]
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}, {
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"type": "ServiceRequest",
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} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "MedicationRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/MedicationRequest" ],
"codeFilter": [ {
"path": "medication",
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} ]
}
}, {
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"type": "MedicationRequest",
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} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
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} ]
}
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-dataRequirement",
"valueDataRequirement": {
"type": "MedicationRequest",
"profile": [ "http://hl7.org/fhir/StructureDefinition/MedicationRequest" ],
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"path": "medication",
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}, {
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"valueDataRequirement": {
"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"
} ]
}
}, {
"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": "EKG 12 channel 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": "HBPComponent"
}, {
"url": "name",
"valueString": "SDE Sex"
}, {
"url": "statement",
"valueString": "define \"SDE Sex\":\n SDE.\"SDE Sex\""
}, {
"url": "displaySequence",
"valueInteger": 0
} ]
}, {
"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\":\n case\n when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }\n when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }\n else null\n end"
}, {
"url": "displaySequence",
"valueInteger": 1
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Numerator"
}, {
"url": "statement",
"valueString": "define \"Numerator\":\n \"Encounter with Normal Blood Pressure Reading\"\n union ( \"Encounter with Prehypertensive Blood Pressure Reading\"\n intersect ( ( \"Encounter with Order for Intervention for Hypertension\"\n intersect \"Encounter with Order for Follow Up Within One Year\"\n )\n union \"Encounter with Referral to Alternate Provider for High Blood Pressure Reading\"\n )\n )\n union ( \"Encounter with First Hypertensive Reading\"\n intersect ( ( \"Encounter with Order for Intervention for Hypertension\"\n intersect \"Encounter with Order for Follow Up Within 4 Weeks\"\n )\n union \"Encounter with Referral to Alternate Provider for High Blood Pressure Reading\"\n )\n )\n union ( \"Encounter with Second Hypertensive Reading\"\n intersect ( ( \"Encounter with Order for Intervention for Hypertension\"\n intersect ( \"Encounter with Order for Laboratory Test for Hypertension\"\n union \"Encounter with Order for Electrocardiogram for Hypertension\"\n union \"Encounter with Order for Hypertension Medication\"\n )\n )\n union \"Encounter with Referral to Alternate Provider for High Blood Pressure Reading\"\n )\n )"
}, {
"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\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n let EncounterLastSystolicBP: Last([Observation: \"Systolic blood pressure\"] SystolicBP\n where SystolicBP.effective during QualifyingEncounter.period\n sort by effective\n ),\n EncounterLastDiastolicBP: Last([Observation: \"Diastolic blood pressure\"] DiastolicBP\n where DiastolicBP.effective during QualifyingEncounter.period\n sort by effective\n )\n where EncounterLastSystolicBP.value included in Interval[1 'mm[Hg]', 120 'mm[Hg]' )\n 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": "Qualifying Encounter During Measurement Period"
}, {
"url": "statement",
"valueString": "define \"Qualifying Encounter During Measurement Period\":\n [Encounter: \"Encounter to Screen for Blood Pressure\"] ValidEncounter\n where ValidEncounter.period during \"Measurement Period\""
}, {
"url": "displaySequence",
"valueInteger": 4
} ]
}, {
"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\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n let EncounterLastSystolicBP: Last([Observation: \"Systolic blood pressure\"] SystolicBP\n where SystolicBP.effective during QualifyingEncounter.period\n sort by effective\n ),\n EncounterLastDiastolicBP: Last([Observation: \"Diastolic blood pressure\"] DiastolicBP\n where DiastolicBP.effective during QualifyingEncounter.period\n sort by effective\n )\n where EncounterLastSystolicBP.value included in Interval[1 'mm[Hg]', 140 'mm[Hg]' )\n and EncounterLastDiastolicBP.value included in Interval[1 'mm[Hg]', 90 'mm[Hg]' )\n and ( EncounterLastSystolicBP.value >= 120 'mm[Hg]'\n or EncounterLastDiastolicBP.value >= 80 'mm[Hg]'\n )"
}, {
"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 Intervention for Hypertension"
}, {
"url": "statement",
"valueString": "define \"Encounter with Order for Intervention for Hypertension\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n with ( [ServiceRequest: \"Lifestyle Recommendation\"]\n union [ServiceRequest: \"Weight Reduction Recommended\"]\n union [ServiceRequest: \"Dietary Recommendations\"]\n union [ServiceRequest: \"Recommendation to Increase Physical Activity\"]\n union [ServiceRequest: \"Referral or Counseling for Alcohol Consumption\"] ) HighBloodPressureIntervention\n such that HighBloodPressureIntervention.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 Order for Follow Up Within One Year"
}, {
"url": "statement",
"valueString": "define \"Encounter with Order for Follow Up Within One Year\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n with [ServiceRequest: \"Follow Up Within One Year\"] FollowupOneYear\n such that FollowupOneYear.authoredOn same day as start of QualifyingEncounter.period"
}, {
"url": "displaySequence",
"valueInteger": 7
} ]
}, {
"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\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n with [ServiceRequest: \"Referral to Primary Care or Alternate Provider\"] Referral\n such that Referral.authoredOn same day as start of QualifyingEncounter.period\n and Referral.reasonCode in \"Finding of Elevated Blood Pressure or Hypertension\""
}, {
"url": "displaySequence",
"valueInteger": 8
} ]
}, {
"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\":\n \"Encounter with High Blood Pressure Reading\"\n except \"Encounter with High Blood Pressure Reading Within Year Prior\""
}, {
"url": "displaySequence",
"valueInteger": 9
} ]
}, {
"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\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n let EncounterLastSystolicBP: Last([Observation: \"Systolic blood pressure\"] SystolicBP\n where SystolicBP.effective during QualifyingEncounter.period\n sort by effective\n ),\n EncounterLastDiastolicBP: Last([Observation: \"Diastolic blood pressure\"] DiastolicBP\n where DiastolicBP.effective during QualifyingEncounter.period\n sort by effective\n )\n where EncounterLastSystolicBP.value > 0 'mm[Hg]'\n and EncounterLastDiastolicBP.value > 0 'mm[Hg]'\n and ( EncounterLastSystolicBP.value >= 140 'mm[Hg]'\n or EncounterLastDiastolicBP.value >= 90 'mm[Hg]'\n )"
}, {
"url": "displaySequence",
"valueInteger": 10
} ]
}, {
"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\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n let EncounterLastSystolicBP: Last([Observation: \"Systolic blood pressure\"] SystolicBP\n where SystolicBP.effective 1 year or less before start of QualifyingEncounter.period\n sort by effective\n ),\n EncounterLastDiastolicBP: Last([Observation: \"Diastolic blood pressure\"] DiastolicBP\n where DiastolicBP.effective 1 year or less before start of QualifyingEncounter.period\n sort by effective\n )\n where EncounterLastSystolicBP.value > 0 'mm[Hg]'\n and EncounterLastDiastolicBP.value > 0 'mm[Hg]'\n and ( EncounterLastSystolicBP.value >= 140 'mm[Hg]'\n or EncounterLastDiastolicBP.value >= 90 'mm[Hg]'\n )"
}, {
"url": "displaySequence",
"valueInteger": 11
} ]
}, {
"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\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n with [ServiceRequest: \"Follow Up Within 4 Weeks\"] Followup4Weeks\n such that Followup4Weeks.authoredOn same day as start of QualifyingEncounter.period"
}, {
"url": "displaySequence",
"valueInteger": 12
} ]
}, {
"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\":\n \"Encounter with High Blood Pressure Reading\"\n intersect \"Encounter with High Blood Pressure Reading Within Year Prior\""
}, {
"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 Laboratory Test for Hypertension"
}, {
"url": "statement",
"valueString": "define \"Encounter with Order for Laboratory Test for Hypertension\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n with [ServiceRequest: \"Laboratory Tests for Hypertension\"] HypertensionLabs\n such that HypertensionLabs.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 Electrocardiogram for Hypertension"
}, {
"url": "statement",
"valueString": "define \"Encounter with Order for Electrocardiogram for Hypertension\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n with ( [ServiceRequest: \"EKG 12 channel panel\"]\n union [ServiceRequest: \"EKG study\"] ) ECG\n such that ECG.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": "Encounter with Order for Hypertension Medication"
}, {
"url": "statement",
"valueString": "define \"Encounter with Order for Hypertension Medication\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n with [MedicationRequest: \"Pharmacologic Therapy for Hypertension\"] AntihypertensiveMedication\n such that AntihypertensiveMedication.authoredOn same day as start of QualifyingEncounter.period"
}, {
"url": "displaySequence",
"valueInteger": 16
} ]
}, {
"url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition",
"extension": [ {
"url": "libraryName",
"valueString": "HBPComponent"
}, {
"url": "name",
"valueString": "Denominator"
}, {
"url": "statement",
"valueString": "define \"Denominator\":\n \"Initial Population\""
}, {
"url": "displaySequence",
"valueInteger": 17
} ]
}, {
"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\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n with [Patient] BirthDate\n such that Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of \"Measurement Period\" ) >= 18"
}, {
"url": "displaySequence",
"valueInteger": 18
} ]
}, {
"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\":\n SDE.\"SDE Payer\""
}, {
"url": "displaySequence",
"valueInteger": 19
} ]
}, {
"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\":\n [Coverage: type in \"Payer\"] Payer\n return {\n code: Payer.type,\n period: Payer.period\n }"
}, {
"url": "displaySequence",
"valueInteger": 20
} ]
}, {
"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\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n with [Patient] BirthDate\n such that Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of \"Measurement Period\" ) >= 18"
}, {
"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\":\n SDE.\"SDE Ethnicity\""
}, {
"url": "displaySequence",
"valueInteger": 22
} ]
}, {
"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\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding"
}, {
"url": "displaySequence",
"valueInteger": 23
} ]
}, {
"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\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n with [Condition: \"Diagnosis of Hypertension\"] Hypertension\n such that Global.\"Prevalence Period\" ( Hypertension ) overlaps before QualifyingEncounter.period"
}, {
"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\":\n SDE.\"SDE Race\""
}, {
"url": "displaySequence",
"valueInteger": 25
} ]
}, {
"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\":\n (flatten (\n Patient.extension Extension\n where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'\n return Extension.extension\n )) E\n where E.url = 'ombCategory'\n or E.url = 'detailed'\n return E.value as Coding"
}, {
"url": "displaySequence",
"valueInteger": 26
} ]
}, {
"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\":\n \"Encounter with Medical Reason for Not Obtaining or Patient Declined Blood Pressure Measurement\"\n union \"Encounter with Order for Hypertension Follow Up Declined by Patient\""
}, {
"url": "displaySequence",
"valueInteger": 27
} ]
}, {
"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\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n with ( [Observation: \"Systolic blood pressure\"]\n union [Observation: \"Diastolic blood pressure\"] ) NoBPScreen\n such that ( NoBPScreen.code in \"Medical Reason\"\n or NoBPScreen.code in \"Patient Declined\"\n )\n and NoBPScreen.effective same day as start of QualifyingEncounter.period\n and \"Not Done\"(NoBPScreen)\n and NoBPScreen.status = 'final'"
}, {
"url": "displaySequence",
"valueInteger": 28
} ]
}, {
"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\":\n \"Qualifying Encounter During Measurement Period\" QualifyingEncounter\n with ( [ServiceRequest: \"EKG 12 channel panel\"]\n union [ServiceRequest: \"EKG study\"]\n union [ServiceRequest: \"Follow Up Within One Year\"]\n union [ServiceRequest: \"Follow Up Within 4 Weeks\"]\n union [ServiceRequest: \"Referral to Primary Care or Alternate Provider\"]\n union [ServiceRequest: \"Lifestyle Recommendation\"]\n union [ServiceRequest: \"Weight Reduction Recommended\"]\n union [ServiceRequest: \"Dietary Recommendations\"]\n union [ServiceRequest: \"Recommendation to Increase Physical Activity\"]\n union [ServiceRequest: \"Referral or Counseling for Alcohol Consumption\"]\n union [ServiceRequest: \"Laboratory Tests for Hypertension\"]\n union [MedicationRequest: \"Pharmacologic Therapy for Hypertension\"] ) NoFollowUpOrdered\n such that NoFollowUpOrdered.doNotPerform is true\n and NoFollowUpOrdered.code in \"Patient Declined\"\n and NoFollowUpOrdered.authoredOn same day as start of QualifyingEncounter.period"
}, {
"url": "displaySequence",
"valueInteger": 29
} ]
} ],
"status": "draft",
"language": "en",
"id": "cdd3318e-3233-4b64-8b67-7c35266c80ff",
"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",
"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": "Library FHIRHelpers",
"resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
}, {
"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"
} ],
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/cqi/index.cfm",
"system": "url"
} ]
} ],
"improvementNotation": {
"coding": [ {
"code": "increase",
"system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
} ]
},
"effectivePeriod": {
"end": "2022-12-31",
"start": "2022-01-01"
}
}