Quality Measure Implementation Guide (STU4)
4.0.0-ballot - ballot United States of America flag

Quality Measure Implementation Guide (STU4), published by Clinical Quality Information WG. This is not an authorized publication; it is the continuous build for version 4.0.0-ballot). This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions

: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention - XML Representation

Draft as of 2022-02-22

Raw xml | Download



<Measure xmlns="http://hl7.org/fhir">
  <id value="TSCComponent"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm"/>
    <profile
             value="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en">
    <table class="grid dict">
        
        <tr>
            <th scope="row"><b>Id: </b></th>
            <td style="padding-left: 4px;">TSCComponent</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Url: </b></th>
            <td style="padding-left: 4px;"><a href="http://hl7.org/fhir/us/cqfmeasures/Measure/TSCComponent">http://hl7.org/fhir/us/cqfmeasures/Measure/TSCComponent</a></td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Version: </b></th>
            <td style="padding-left: 4px;">0.0.001</td>
        </tr>
        
        
        
        <tr>
            <th scope="row"><b>Name: </b></th>
            <td style="padding-left: 4px;">TSCComponent</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Title: </b></th>
            <td style="padding-left: 4px;">Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention</td>
        </tr>
        
        
        
        <tr>
            <th scope="row"><b>Status: </b></th>
            <td style="padding-left: 4px;">draft</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Experimental: </b></th>
            <td style="padding-left: 4px;">true</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Scoring: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span><a href="http://terminology.hl7.org/CodeSystem/measure-scoring">http://terminology.hl7.org/CodeSystem/measure-scoring</a></span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>proportion</span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>display: </b> <span>Proportion</span>
                        </p>
                        
                    
                
                
            </td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Improvement Notation: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span><a href="http://terminology.hl7.org/CodeSystem/measure-improvement-notation">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a></span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>increase</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Type: </b></th>
            <td style="padding-left: 4px;">
                
                    
                        
                        <p style="margin-bottom: 5px;">
                            <b>system: </b> <span><a href="http://terminology.hl7.org/CodeSystem/measure-type">http://terminology.hl7.org/CodeSystem/measure-type</a></span>
                        </p>
                        
                        
                        <p style="margin-bottom: 5px;">
                            <b>code: </b> <span>process</span>
                        </p>
                        
                        
                    
                
                
            </td>
        </tr>
        
        
        
        <tr>
            <th scope="row"><b>Date: </b></th>
            <td style="padding-left: 4px;">2022-02-22 11:37:04-0600</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Publisher: </b></th>
            <td style="padding-left: 4px;">Clinical Quality Information WG</td>
        </tr>
        
        
        <tr>
            <th scope="row"><b>Description: </b></th>
            <td style="padding-left: 4px;"><div><p>This is an example only.</p>
</div></td>
        </tr>
        
        
        
        
        
        
        
            <tr>
                <th scope="row"><b>Supplemental Data: </b></th>
                <td style="padding-left: 4px;">
                    <table class="grid-dict">
                        <tr><th><b>expression</b></th><th><b>system</b></th></tr>
                        
                        <tr>
                            <td>SDE Ethnicity</td>
                            <td><a href="http://terminology.hl7.org/CodeSystem/measure-data-usage">http://terminology.hl7.org/CodeSystem/measure-data-usage</a></td>
                        </tr>
                        
                        <tr>
                            <td>SDE Payer</td>
                            <td><a href="http://terminology.hl7.org/CodeSystem/measure-data-usage">http://terminology.hl7.org/CodeSystem/measure-data-usage</a></td>
                        </tr>
                        
                        <tr>
                            <td>SDE Race</td>
                            <td><a href="http://terminology.hl7.org/CodeSystem/measure-data-usage">http://terminology.hl7.org/CodeSystem/measure-data-usage</a></td>
                        </tr>
                        
                        <tr>
                            <td>SDE Sex</td>
                            <td><a href="http://terminology.hl7.org/CodeSystem/measure-data-usage">http://terminology.hl7.org/CodeSystem/measure-data-usage</a></td>
                        </tr>
                        
                    </table>
                </td>
            </tr>
        
        
        
        <tr>
            <th scope="row"><b>Jurisdiction: </b></th>
            <td style="padding-left: 25px;">US</td>
        </tr>
        
        
        
        
        
        
        
        
        
        <tr>
            <th scope="row"><b>Effective Period: </b></th>
            <td style="padding-left: 4px;">2022-01-01..2022-12-31</td>
        </tr>
        
        
        
        
        
        
    </table>
</div>
  </text>
  <contained>
    <Library>
      <id value="effective-data-requirements"/>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
          <code value="active"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://www.ama-assn.org/go/cpt"/>
          <code value="96158"/>
          <display
                   value="Health behavior intervention, individual, face-to-face; initial 30 minutes"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode">
        <valueCoding>
          <system value="http://www.ama-assn.org/go/cpt"/>
          <code value="96156"/>
          <display
                   value="Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"/>
        </valueCoding>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Most Recent Tobacco Use Screening Indicates Tobacco Non User"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Most Recent Tobacco Use Screening Indicates Tobacco Non User&quot;:   ( Last([&quot;Observation&quot;: &quot;Tobacco Use Screening&quot;] TobaccoUseScreening         where Global.&quot;Normalize Interval&quot;(TobaccoUseScreening.effective)overlaps &quot;Measurement Period&quot;         sort by start of Global.&quot;Normalize Interval&quot;(effective)     )) MostRecentTobaccoUseScreening       where MostRecentTobaccoUseScreening.value in &quot;Tobacco Non-User&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="0"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Most Recent Tobacco Use Screening Indicates Tobacco User"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Most Recent Tobacco Use Screening Indicates Tobacco User&quot;:   ( Last([&quot;Observation&quot;: &quot;Tobacco Use Screening&quot;] TobaccoUseScreening         where Global.&quot;Normalize Interval&quot;(TobaccoUseScreening.effective)overlaps &quot;Measurement Period&quot;         sort by start of Global.&quot;Normalize Interval&quot;(effective)     )) MostRecentTobaccoUseScreening       where MostRecentTobaccoUseScreening.value in &quot;Tobacco User&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Tobacco Cessation Counseling Given"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="// MedicationStatement is not available in R5, known publication issue //define &quot;Active Pharmacotherapy for Tobacco Cessation&quot;: //  [&quot;MedicationStatement&quot;: &quot;Tobacco Use Cessation Pharmacotherapy&quot;] TakingCessationPharmacotherapy //      where Global.&quot;Normalize Interval&quot; ( TakingCessationPharmacotherapy.effective ) overlaps after &quot;Measurement Period&quot; //        and TakingCessationPharmacotherapy.status in { 'active', 'completed' } define &quot;Tobacco Cessation Counseling Given&quot;:   [&quot;Encounter&quot;: &quot;Tobacco Use Cessation Counseling&quot;] TobaccoCessationCounseling       where TobaccoCessationCounseling.period during &quot;Measurement Period&quot;         and TobaccoCessationCounseling.status = 'finished'"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="2"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Tobacco Cessation Pharmacotherapy Ordered"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Tobacco Cessation Pharmacotherapy Ordered&quot;:   [&quot;MedicationRequest&quot;: &quot;Tobacco Use Cessation Pharmacotherapy&quot;] CessationPharmacotherapyOrdered       where CessationPharmacotherapyOrdered.authoredOn during &quot;Measurement Period&quot;         and CessationPharmacotherapyOrdered.status = 'active'"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="3"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Numerator 3"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Numerator 3&quot;:   &quot;Most Recent Tobacco Use Screening Indicates Tobacco Non User&quot; is not null       or ( &quot;Most Recent Tobacco Use Screening Indicates Tobacco User&quot; is not null           and ( exists &quot;Tobacco Cessation Counseling Given&quot;               or exists &quot;Tobacco Cessation Pharmacotherapy Ordered&quot;               //or exists &quot;Active Pharmacotherapy for Tobacco Cessation&quot;           )       )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="4"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Medical Reason for Not Screening for Tobacco Use"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Medical Reason for Not Screening for Tobacco Use&quot;:   [&quot;Observation&quot;: &quot;Tobacco Use Screening&quot;] NoTobaccoUseScreening       where NoTobaccoUseScreening.issued during &quot;Measurement Period&quot;         and &quot;Not Done&quot;(NoTobaccoUseScreening)         and &quot;Not Done Reason in Medical Reason&quot;(NoTobaccoUseScreening)         and NoTobaccoUseScreening.status = 'final'"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="5"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Has Limited Life Expectancy"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="//or exists &quot;Active Pharmacotherapy for Tobacco Cessation&quot; define &quot;Has Limited Life Expectancy&quot;:   exists ( [&quot;Condition&quot;] LimitedLifeExpectancy         where Global.&quot;Prevalence Period&quot; ( LimitedLifeExpectancy ) overlaps after &quot;Measurement Period&quot;           and LimitedLifeExpectancy.clinicalStatus ~ ToConcept(Global.&quot;active&quot;)     )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="6"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Denominator Exceptions 1"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Denominator Exceptions 1&quot;:   exists &quot;Medical Reason for Not Screening for Tobacco Use&quot;       or &quot;Has Limited Life Expectancy&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="7"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Numerator 1"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Numerator 1&quot;:   &quot;Most Recent Tobacco Use Screening Indicates Tobacco Non User&quot; is not null       or &quot;Most Recent Tobacco Use Screening Indicates Tobacco User&quot; is not null"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="8"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Numerator 2"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Numerator 2&quot;:   exists &quot;Tobacco Cessation Counseling Given&quot;       or exists &quot;Tobacco Cessation Pharmacotherapy Ordered&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="9"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="SupplementalDataElements"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Race"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &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="10"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Race"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Race&quot;:   SDE.&quot;SDE Race&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="11"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="SupplementalDataElements"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Sex"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &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="12"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Sex"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Sex&quot;:   SDE.&quot;SDE Sex&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="13"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Office Based Visit During Measurement Period"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Office Based Visit During Measurement Period&quot;:   ( [&quot;Encounter&quot;: &quot;Health behavior intervention, individual, face-to-face; initial 30 minutes&quot;]       union [&quot;Encounter&quot;: &quot;Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)&quot;]       union [&quot;Encounter&quot;: &quot;Home Healthcare Services&quot;]       union [&quot;Encounter&quot;: &quot;Occupational Therapy Evaluation&quot;]       union [&quot;Encounter&quot;: &quot;Office Visit&quot;]       union [&quot;Encounter&quot;: &quot;Ophthalmological Services&quot;]       union [&quot;Encounter&quot;: &quot;Physical Therapy Evaluation&quot;]       union [&quot;Encounter&quot;: &quot;Psych Visit - Diagnostic Evaluation&quot;]       union [&quot;Encounter&quot;: &quot;Psych Visit - Psychotherapy&quot;]       union [&quot;Encounter&quot;: &quot;Psychoanalysis&quot;]       union [&quot;Encounter&quot;: &quot;Speech and Hearing Evaluation&quot;] ) OfficeBasedEncounter       where OfficeBasedEncounter.period during &quot;Measurement Period&quot;         and OfficeBasedEncounter.status = 'finished'"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="14"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Preventive Visit During Measurement Period"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Preventive Visit During Measurement Period&quot;:   ( [&quot;Encounter&quot;: &quot;Annual Wellness Visit&quot;]       union [&quot;Encounter&quot;: &quot;Preventive Care Services - Established Office Visit, 18 and Up&quot;]       union [&quot;Encounter&quot;: &quot;Preventive Care Services - Group Counseling&quot;]       union [&quot;Encounter&quot;: &quot;Preventive Care Services - Other&quot;]       union [&quot;Encounter&quot;: &quot;Preventive Care Services-Individual Counseling&quot;]       union [&quot;Encounter&quot;: &quot;Preventive Care Services-Initial Office Visit, 18 and Up&quot;] ) PreventiveEncounter       where PreventiveEncounter.period during &quot;Measurement Period&quot;         and PreventiveEncounter.status = 'finished'"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="15"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Initial Population"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Initial Population&quot;:   exists ( [&quot;Patient&quot;] BirthDate         where Global.&quot;CalendarAgeInYearsAt&quot; ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of &quot;Measurement Period&quot; ) &gt;= 18     )       and ( Count(&quot;Office Based Visit During Measurement Period&quot;)&gt;= 2           or exists &quot;Preventive Visit During Measurement Period&quot;       )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="16"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Denominator 3"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Denominator 3&quot;:   &quot;Initial Population&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="17"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Denominator 2"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Denominator 2&quot;:   &quot;Initial Population&quot;       and &quot;Most Recent Tobacco Use Screening Indicates Tobacco User&quot; is not null"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="18"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="SupplementalDataElements"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Payer"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &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/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Payer"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Payer&quot;:   SDE.&quot;SDE Payer&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="20"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="SupplementalDataElements"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Ethnicity"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &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/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="SDE Ethnicity"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;SDE Ethnicity&quot;:   SDE.&quot;SDE Ethnicity&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="22"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Medical Reason for Not Counseling Tobacco User"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Medical Reason for Not Counseling Tobacco User&quot;:   [&quot;Procedure&quot;: &quot;Tobacco Use Cessation Counseling&quot;] NoTobaccoCessationCounseling       where Global.&quot;Normalize Interval&quot; ( NoTobaccoCessationCounseling.performed ) starts during &quot;Measurement Period&quot;         and ( ( NoTobaccoCessationCounseling.status = 'not-done'               and NoTobaccoCessationCounseling.statusReason in &quot;Medical Reason&quot;           )             or ( &quot;Not Done&quot;(NoTobaccoCessationCounseling)                 and &quot;Not Done Reason in Medical Reason&quot;(NoTobaccoCessationCounseling)             )         )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="23"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString
                       value="Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy&quot;:   [&quot;MedicationRequest&quot;: &quot;Tobacco Use Cessation Pharmacotherapy&quot;] NoCessationPharmacotherapyOrdered       where NoCessationPharmacotherapyOrdered.authoredOn during &quot;Measurement Period&quot;         and NoCessationPharmacotherapyOrdered.status = 'completed'         and ( ( &quot;Not Done&quot;(NoCessationPharmacotherapyOrdered)               and &quot;Not Done Reason in Medical Reason&quot;(NoCessationPharmacotherapyOrdered)           )             or ( NoCessationPharmacotherapyOrdered.doNotPerform = true                 and NoCessationPharmacotherapyOrdered.statusReason in &quot;Medical Reason&quot;             )         )"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="24"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Denominator Exceptions 2"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Denominator Exceptions 2&quot;:   exists &quot;Medical Reason for Not Counseling Tobacco User&quot;       or exists &quot;Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy&quot;       or &quot;Has Limited Life Expectancy&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="25"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Denominator Exceptions 3"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Denominator Exceptions 3&quot;:   exists &quot;Medical Reason for Not Screening for Tobacco Use&quot;       or exists &quot;Medical Reason for Not Counseling Tobacco User&quot;       or exists &quot;Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy&quot;       or &quot;Has Limited Life Expectancy&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="26"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition">
        <extension url="libraryName">
          <valueString value="TSCComponent"/>
        </extension>
        <extension url="name">
          <valueString value="Denominator 1"/>
        </extension>
        <extension url="statement">
          <valueString
                       value="define &quot;Denominator 1&quot;:   &quot;Initial Population&quot;"/>
        </extension>
        <extension url="displaySequence">
          <valueInteger value="27"/>
        </extension>
      </extension>
      <name value="EffectiveDataRequirements"/>
      <status value="active"/>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
          <code value="module-definition"/>
        </coding>
      </type>
      <date value="2022-02-22T10:37:04-07:00"/>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library Global"/>
        <resource
                  value="http://hl7.org/fhir/us/cqfmeasures/Library/MATGlobalCommonFunctions|5.0.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library FHIRHelpers"/>
        <resource
                  value="http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Library SDE"/>
        <resource
                  value="http://hl7.org/fhir/us/cqfmeasures/Library/SupplementalDataElements|2.0.000"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system ConditionClinicalStatusCodes"/>
        <resource
                  value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Code system CPT"/>
        <resource value="http://www.ama-assn.org/go/cpt"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Tobacco Use Screening"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Tobacco Non-User"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1189"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Tobacco User"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1170"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Tobacco Use Cessation Counseling"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Tobacco Use Cessation Pharmacotherapy"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Home Healthcare Services"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Occupational Therapy Evaluation"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Office Visit"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Ophthalmological Services"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Physical Therapy Evaluation"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Psych Visit - Diagnostic Evaluation"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Psych Visit - Psychotherapy"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Psychoanalysis"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Speech and Hearing Evaluation"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Annual Wellness Visit"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display
                 value="Value set Preventive Care Services - Established Office Visit, 18 and Up"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display
                 value="Value set Preventive Care Services - Group Counseling"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Preventive Care Services - Other"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display
                 value="Value set Preventive Care Services-Individual Counseling"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display
                 value="Value set Preventive Care Services-Initial Office Visit, 18 and Up"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Payer"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
      </relatedArtifact>
      <relatedArtifact>
        <type value="depends-on"/>
        <display value="Value set Medical Reason"/>
        <resource
                  value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007"/>
      </relatedArtifact>
      <parameter>
        <name value="Measurement Period"/>
        <use value="in"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Period"/>
      </parameter>
      <parameter>
        <name value="Numerator 3"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Denominator Exceptions 1"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Numerator 1"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Numerator 2"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="SDE Race"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Coding"/>
      </parameter>
      <parameter>
        <name value="SDE Sex"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="Coding"/>
      </parameter>
      <parameter>
        <name value="Denominator 3"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Denominator 2"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="SDE Payer"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Resource"/>
      </parameter>
      <parameter>
        <name value="Initial Population"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="SDE Ethnicity"/>
        <use value="out"/>
        <min value="0"/>
        <max value="*"/>
        <type value="Coding"/>
      </parameter>
      <parameter>
        <name value="Denominator Exceptions 2"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Denominator Exceptions 3"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <parameter>
        <name value="Denominator 1"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <type value="boolean"/>
      </parameter>
      <dataRequirement>
        <type value="Patient"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
        <mustSupport value="extension"/>
        <mustSupport value="value"/>
        <mustSupport value="birthDate"/>
        <mustSupport value="url"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <code>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="96158"/>
            <display
                     value="Health behavior intervention, individual, face-to-face; initial 30 minutes"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <code>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="96156"/>
            <display
                     value="Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"/>
          </code>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Encounter"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
        <mustSupport value="period"/>
        <mustSupport value="type"/>
        <mustSupport value="status"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Coverage"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Coverage"/>
        <mustSupport value="period"/>
        <mustSupport value="type"/>
        <codeFilter>
          <path value="type"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Observation"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
        <mustSupport value="effective"/>
        <mustSupport value="code"/>
        <mustSupport value="issued"/>
        <mustSupport value="value"/>
        <mustSupport value="status"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="MedicationRequest"/>
        <profile
                 value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
        <mustSupport value="authoredOn"/>
        <mustSupport value="statusReason"/>
        <mustSupport value="medication"/>
        <mustSupport value="doNotPerform"/>
        <mustSupport value="status"/>
        <codeFilter>
          <path value="medication"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190"/>
        </codeFilter>
      </dataRequirement>
      <dataRequirement>
        <type value="Condition"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
        <mustSupport value="clinicalStatus"/>
      </dataRequirement>
      <dataRequirement>
        <type value="Procedure"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
        <mustSupport value="code"/>
        <mustSupport value="statusReason"/>
        <mustSupport value="performed"/>
        <mustSupport value="status"/>
        <codeFilter>
          <path value="code"/>
          <valueSet
                    value="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509"/>
        </codeFilter>
      </dataRequirement>
    </Library>
  </contained>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis">
    <valueCode value="boolean"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem">
    <valueReference>
      <reference value="Device/software-system-example"/>
    </valueReference>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements" id="effective-data-requirements">
    <valueReference>
      <reference value="#effective-data-requirements"/>
    </valueReference>
  </extension>
  <url value="http://hl7.org/fhir/us/cqfmeasures/Measure/TSCComponent"/>
  <version value="0.0.001"/>
  <name value="TSCComponent"/>
  <title
         value="Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2022-02-22T11:37:04-06:00"/>
  <publisher value="Clinical Quality Information WG"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description value="This is an example only."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <effectivePeriod>
    <start value="2022-01-01"/>
    <end value="2022-12-31"/>
  </effectivePeriod>
  <library value="http://ecqi.healthit.gov/ecqms/Library/TSCComponent"/>
  <scoring>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
      <code value="proportion"/>
      <display value="Proportion"/>
    </coding>
  </scoring>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
      <code value="process"/>
    </coding>
  </type>
  <improvementNotation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
      <code value="increase"/>
    </coding>
  </improvementNotation>
  <group id="group-1">
    <code>
      <text value="Group 1"/>
    </code>
    <population id="1DE7294A-72AE-42D1-A2A6-BCAE23DBA8A6">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Initial Population"/>
      </criteria>
    </population>
    <population id="0F57D23C-C2AA-4CE1-9E20-33DAE1F2B145">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator 1"/>
      </criteria>
    </population>
    <population id="570F7624-72EC-4CFC-9137-F48E476D77DC">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator-exception"/>
          <display value="Denominator Exception"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator Exceptions 1"/>
      </criteria>
    </population>
    <population id="20577EB7-3FE9-43D2-B918-A8C7AE5E0E91">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Numerator 1"/>
      </criteria>
    </population>
  </group>
  <group id="group-2">
    <code>
      <text value="Group 2"/>
    </code>
    <population id="DD346C87-5D2B-4319-B41D-7BF64ADF95D0">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Initial Population"/>
      </criteria>
    </population>
    <population id="A1FAA872-5C94-4F2B-A355-8E3A3390369C">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator 2"/>
      </criteria>
    </population>
    <population id="3AE470CD-37DF-492D-A3A4-365BAF744C5A">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator-exception"/>
          <display value="Denominator Exception"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator Exceptions 2"/>
      </criteria>
    </population>
    <population id="B1F8B729-7BBD-4616-B39C-E90444B7884C">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Numerator 2"/>
      </criteria>
    </population>
  </group>
  <group id="group-3">
    <code>
      <text value="Group 3"/>
    </code>
    <population id="EA2696EE-326B-490A-82B5-E4D8FC581E77">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="initial-population"/>
          <display value="Initial Population"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Initial Population"/>
      </criteria>
    </population>
    <population id="D346BB79-EFD1-4DB1-902A-36F027BE75E9">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator"/>
          <display value="Denominator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator 3"/>
      </criteria>
    </population>
    <population id="6BBFE753-2072-4848-B189-0E5B44BE1F52">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="denominator-exception"/>
          <display value="Denominator Exception"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Denominator Exceptions 3"/>
      </criteria>
    </population>
    <population id="F8E22F0F-7307-4BED-9295-648803772928">
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-population"/>
          <code value="numerator"/>
          <display value="Numerator"/>
        </coding>
      </code>
      <criteria>
        <language value="text/cql-identifier"/>
        <expression value="Numerator 3"/>
      </criteria>
    </population>
  </group>
  <supplementalData id="fe7bab72-cc69-44bb-a678-473b24811e67">
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Ethnicity"/>
    </criteria>
  </supplementalData>
  <supplementalData id="2486f84d-df90-489b-8f5c-e55cdcfb361e">
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Payer"/>
    </criteria>
  </supplementalData>
  <supplementalData id="bb0949c4-1f7b-4ce2-a988-c2e60f1a0079">
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Race"/>
    </criteria>
  </supplementalData>
  <supplementalData id="742028bc-5aa5-4a5b-927d-be1908e10aaf">
    <usage>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
        <code value="supplemental-data"/>
      </coding>
    </usage>
    <criteria>
      <language value="text/cql-identifier"/>
      <expression value="SDE Sex"/>
    </criteria>
  </supplementalData>
</Measure>