eCQM QICore Content Implementation Guide
2023.0.0 - CI Build

eCQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2023.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/ecqm-content-qicore-2023/ and changes regularly. See the Directory of published versions

## : Controlling High Blood PressureFHIR - TTL Representation

Draft as of 2023-09-07

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix sct: <http://snomed.info/id/> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Measure ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "ControllingHighBloodPressureFHIR"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm>     ] [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm>     ] [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <table class=\"grid dict\">\n        \n            <tr>\n                <th scope=\"row\"><b>Title: </b></th>\n                <td style=\"padding-left: 4px;\">Controlling High Blood PressureFHIR</td>\n            </tr>\n        \n\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Id: </b></th>\n                <td style=\"padding-left: 4px;\">ControllingHighBloodPressureFHIR</td>\n            </tr>\n            \n                <tr>\n                    <th scope=\"row\"><b>Download cql: </b></th>\n                    <td style=\"padding-left: 4px;\"><a href=\"Library-ControllingHighBloodPressureFHIR.cql\">ControllingHighBloodPressureFHIR.cql</a></td>\n                </tr>\n            \n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Version: </b></th>\n                <td style=\"padding-left: 4px;\">0.0.001</td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Url: </b></th>\n                <td style=\"padding-left: 4px;\"><a href=\"Measure-ControllingHighBloodPressureFHIR.html\">Controlling High Blood PressureFHIR</a></td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\">\n                    <b>\n                        \n                            \n                                short-name identifier:\n                            \n                        \n                    </b>\n                </th>\n\n                <td style=\"padding-left: 4px;\">\n                    \n                        <p style=\"margin-bottom: 5px;\">\n                            <span>CMS165FHIR</span>\n                        </p>\n                    \n                </td>\n            </tr>\n        \n            <tr>\n                <th scope=\"row\">\n                    <b>\n                        \n                            \n                                version-independent identifier:\n                            \n                        \n                    </b>\n                </th>\n\n                <td style=\"padding-left: 4px;\">\n                    \n                        <p style=\"margin-bottom: 5px;\">\n                            <span>urn:uuid:9017d914-6748-45a9-bff1-8392ed644a7b</span>\n                        </p>\n                    \n                </td>\n            </tr>\n        \n            <tr>\n                <th scope=\"row\">\n                    <b>\n                        \n                            \n                                version-specific identifier:\n                            \n                        \n                    </b>\n                </th>\n\n                <td style=\"padding-left: 4px;\">\n                    \n                        <p style=\"margin-bottom: 5px;\">\n                            <span>urn:uuid:e254a6be-bec3-4304-87bc-d85ad3d8fa39</span>\n                        </p>\n                    \n                </td>\n            </tr>\n        \n            <tr>\n                <th scope=\"row\">\n                    <b>\n                        \n                            \n                                publisher (CMS) identifier:\n                            \n                        \n                    </b>\n                </th>\n\n                <td style=\"padding-left: 4px;\">\n                    \n                        <p style=\"margin-bottom: 5px;\">\n                            <span>165FHIR</span>\n                        </p>\n                    \n                </td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Effective Period: </b></th>\n                <td style=\"padding-left: 4px;\">2024-01-01\n                    ..2024-12-31</td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Status: </b></th>\n                <td style=\"padding-left: 4px;\">draft</td>\n            </tr>\n        \n\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Date: </b></th>\n                <td style=\"padding-left: 4px;\">2023-09-07 19:36:39+0000</td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Approval Date: </b></th>\n                <td style=\"padding-left: 4px;\">2023-08-28</td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Last Review Date: </b></th>\n                <td style=\"padding-left: 4px;\">2023-08-28</td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Name: </b></th>\n                <td style=\"padding-left: 4px;\">ControllingHighBloodPressureFHIR</td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Publisher: </b></th>\n                <td style=\"padding-left: 4px;\">National Committee for Quality Assurance</td>\n            </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Author: </b></th>\n            <td style=\"padding-left: 4px;\">National Committee for Quality Assurance: <a href=\"https://www.ncqa.org/\">https://www.ncqa.org/</a></td>\n        </tr>\n        \n\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Description: </b></th>\n                <td style=\"padding-left: 4px;\"><div><p>Percentage of patients 18-85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (&lt;140/90 mmHg) during the measurement period</p>\n</div></td>\n            </tr>\n        \n\n        \n\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Use Context: </b></th>\n                <td style=\"padding-left: 4px;\">\n                    <table class=\"grid-dict\">\n                        <tr>\n                            <th><b>code</b></th>\n                            <th><b>value</b></th>\n                        </tr>\n                        \n                            <tr>\n                                <td>program</td>\n                                <td/>\n                            </tr>\n                        \n                    </table>\n                </td>\n            </tr>\n        \n\n        \n\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Purpose: </b></th>\n                <td style=\"padding-left: 4px;\"><div><p>UNKNOWN</p>\n</div></td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Copyright: </b></th>\n                <td style=\"padding-left: 4px;\"><div><p>This Physician Performance Measure (Measure) and related data specifications are owned and were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2022 National Committee for Quality Assurance. All Rights Reserved.</p>\n<p>Limited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third-party codes contained in the specifications.</p>\n<p>CPT(R) codes, descriptions and other data are copyright 2022. American Medical Association. All rights reserved. CPT is a trademark of the American Medical Association. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.</p>\n<p>LOINC(R) copyright 2004-2022 Regenstrief Institute, Inc.</p>\n<p>This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2022 International Health Terminology Standards Development Organisation.</p>\n<p>ICD-10 copyright 2022 World Health Organization. All Rights Reserved.</p>\n</div></td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Disclaimer: </b></th>\n                <td style=\"padding-left: 4px;\"><div><p>The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED \"AS IS\" WITHOUT WARRANTY OF ANY KIND.</p>\n<p>Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].</p>\n</div></td>\n            </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Rationale: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>High blood pressure (HBP), also known as hypertension, is when the pressure in blood vessels is higher than normal (Centers for Disease Control and Prevention [CDC], 2021). The causes of hypertension are multiple and multifaceted and can be based on genetic predisposition, environmental risk factors, being overweight and obese, sodium intake, potassium intake, physical activity, and alcohol use. High blood pressure is common; according to the American Heart Association, between 2013-2016, approximately 121.5 million US adults &gt;= 20 years of age had HBP and the prevalence of hypertension among US adults 65 and older was 77.0 percent (Virani et al., 2021). In an analysis of adults with hypertension in NHANES, the estimated age-adjusted proportion with controlled BP increased from 31.8 percent in 1999 to 53.8 percent in 2014. However, that proportion declined to 43.7 percent in 2017 to 2018 (Tsao et al., 2022).</p>\n<p>HBP, known as the “silent killer,” increases risks of heart disease and stroke which are two of the leading causes of death in the US; a person who has HBP is four times more likely to die from a stroke and three times more likely to die from heart disease (CDC, 2012). The National Center for Health Statistics reported that in 2020 there were over 670,000 deaths with HBP as a primary or contributing cause (CDC, 2022). Between 2009 and 2019 the number of deaths due to HBP rose by 65.3 percent (Tsao et al., 2022). Managing and treating HBP would reduce cardiovascular disease mortality for males and females by 30.4 percent and 38.0 percent, respectively (Patel et al., 2015). Age-adjusted death rates attributable to HBP in 2019 were more than twice as high in non-Hispanic Black males (56.7 percent) when compared to rates for non-Hispanic White males (25.7 percent) (Tsao et al., 2022).</p>\n<p>HBP costs the U.S. approximately 131 billion dollars each year, averaged over 12 years from 2003 to 2014 (Kirkland et al., 2018). A study on cost-effectiveness on treating hypertension found that controlling HBP in patients with cardiovascular disease and systolic blood pressures (SBP) of &gt;= 160 mmHg could be effective and cost-saving (Moran, 2015).</p>\n<p>Many studies have shown that controlling high blood pressure reduces cardiovascular events and mortality. The Systolic Blood Pressure Intervention Trial (SPRINT) investigated the impact of obtaining a SBP goal of &lt;120 mmHg compared to a SBP goal of &lt;140 mmHg among patients 50 and older with established cardiovascular disease and found that the patients with the former goal had reduced cardiovascular events and mortality (SPRINT Research Group et al., 2015).</p>\n<p>Controlling HBP will significantly reduce the risks of cardiovascular disease mortality and lead to better health outcomes like reduction of heart attacks, stroke, and kidney disease (James et al., 2014). Thus, the relationship between the measure (control of hypertension) and the long-term clinical outcomes listed is well established.</p>\n</div></td>\n        </tr>\n        \n\n        \n        <tr>\n            <th scope=\"row\"><b>Clinical recommendation statement: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>U.S. Preventive Services Task Force (USPSTF) (2021):</p>\n<ul>\n<li>The USPSTF recommends screening for hypertension in adults 18 years or older with office blood pressure measurement (OBPM). The USPSTF recommends obtaining blood pressure measurements outside of the clinical setting for diagnostic confirmation before starting treatment. This is a grade A recommendation.</li>\n</ul>\n<p>American College of Cardiology/American Heart Association (2017):</p>\n<ul>\n<li>\n<p>For adults with confirmed hypertension and known CVD or 10-year ASCVD event risk of 10 percent or higher, a blood pressure target of less than 130/80 mmHg is recommended (Level of evidence: B-R (for systolic blood pressures), Level of evidence: C-EO (for diastolic blood pressure))</p>\n</li>\n<li>\n<p>For adults with confirmed hypertension, without additional markers of increased CVD risk, a blood pressure target of less than 130/80 mmHg may be reasonable (Note: clinical trial evidence is strongest for a target blood pressure of 140/90 mmHg in this population. However, observational studies suggest that these individuals often have a high lifetime risk and would benefit from blood pressure control earlier in life) (Level of evidence: B-NR (for systolic blood pressure), Level of evidence: C-EO (for diastolic blood pressure)).</p>\n</li>\n</ul>\n<p>American College of Physicians and the American Academy of Family Physicians (2017):</p>\n<ul>\n<li>\n<p>Initiate or intensify pharmacologic treatment in some adults aged 60 years or older at high cardiovascular risk, based on individualized assessment, to achieve a target systolic blood pressure of less than 140 mmHg (Grade: weak recommendation, Quality of evidence: low)</p>\n</li>\n<li>\n<p>Initiate or intensify pharmacologic treatment in adults aged 60 years or older with a history of stroke or transient ischemic attack to achieve a target systolic blood pressure of less than 140 mmHg to reduce the risk of recurrent stroke (Grade: weak recommendation, Quality of evidence: moderate)</p>\n</li>\n</ul>\n<p>American Diabetes Association (2021):</p>\n<ul>\n<li>\n<p>For individuals with diabetes and hypertension at higher cardiovascular risk (existing atherosclerotic cardiovascular disease or 10-year atherosclerotic cardiovascular disease risk &gt;=15 percent), a blood pressure target of &lt;130/80 mmHg may be appropriate, if it can be safely attained (Level of evidence: C)</p>\n</li>\n<li>\n<p>For individuals with diabetes and hypertension at lower risk for cardiovascular disease (10-year atherosclerotic cardiovascular disease risk &lt;15 percent), treat to a blood pressure target of &lt;140/90 mmHg (Level of evidence: A)</p>\n</li>\n</ul>\n</div></td>\n        </tr>\n        \n\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Guidance (Usage): </b></th>\n                <td style=\"padding-left: 4px;\">In reference to the numerator element, only blood pressure readings performed by a clinician or an automated blood pressure monitor or device are acceptable for numerator compliance with this measure. This includes blood pressures taken in person by a clinician and blood pressures measured remotely by electronic monitoring devices capable of transmitting the blood pressure data to the clinician. Blood pressure readings taken by an automated blood pressure monitor or device and conveyed by the patient to the clinician are also acceptable. It is the clinician’s responsibility and discretion to confirm the automated blood pressure monitor or device used to obtain the blood pressure is considered acceptable and reliable and whether the blood pressure reading is considered accurate before documenting it in the patient’s medical record.\n\nDo not include BP readings taken during an acute inpatient stay or an ED visit.\n\nIf no blood pressure is recorded during the measurement period, the patient's blood pressure is assumed \"not controlled\".\n\nIf there are multiple blood pressure readings on the same day, use the lowest systolic and the lowest diastolic reading as the most recent blood pressure reading. Ranges and thresholds do not meet criteria for this measure. A distinct numeric result for both the systolic and diastolic BP reading is required for numerator compliance.\n\nThis eCQM is a patient-based measure.\n\nThis FHIR-based measure has been derived from the QDM-based measure: CMS165v12.\n\nPlease refer to the HL7 QI-Core Implementation Guide (http://hl7.org/fhir/us/qicore/index.html) for more information on QI-Core and mapping recommendations from QDM to QI-Core 4.1.1 (http://hl7.org/fhir/us/qicore/qdm-to-qicore.html).</td>\n            </tr>\n        \n\n        \n            \n                <tr>\n                    <th scope=\"row\"><b>Population Criteria: </b></th>\n                    <td style=\"padding-left: 4px;\">\n                        \n                            <table class=\"grid-dict\">\n                                \n                                    <tr>\n                                        <th><b>643716e4d4d7050edabb0444</b></th>\n                                    </tr>\n                                \n                                \n                                    <tr>\n                                        <td>Initial Population:</td>\n                                        \n                                            <td>Patients 18-85 years of age by the end of the measurement period who had a visit during the meaurement period and diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Denominator:</td>\n                                        \n                                            <td>Equals Initial Population</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Denominator Exclusion:</td>\n                                        \n                                            <td>Patients with evidence of end stage renal disease (ESRD), dialysis or renal transplant before or during the measurement period. Also exclude patients with a diagnosis of pregnancy during the measurement period.\n\nExclude patients who are in hospice care for any part of the measurement period.\n\nExclude patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period. \n\nExclude patients 66-80 by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria:\n- Advanced illness with two outpatient encounters during the measurement period or the year prior\n- OR advanced illness with one inpatient encounter during the measurement period or the year prior\n- OR taking dementia medications during the measurement period or the year prior\n\nExclude patients 81 and older by the end of the measurement period with an indication of frailty for any part of the measurement period.\n\nExclude patients receiving palliative care for any part of the measurement period.</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Denominator Exception:</td>\n                                        \n                                            <td>None</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Numerator:</td>\n                                        \n                                            <td>Patients whose most recent blood pressure is adequately controlled (systolic blood pressure &lt; 140 mmHg and diastolic blood pressure &lt; 90 mmHg) during the measurement period</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Numerator Exclusion:</td>\n                                        \n                                            <td>None</td>\n                                        \n                                    </tr>\n                                \n                                \n                            </table>\n                        \n                    </td>\n                </tr>\n            \n        \n\n        \n            <tr>\n                <th scope=\"row\">\n                    <b> Supplemental Data Guidance\n                        : </b></th>\n                <td style=\"padding-left: 4px;\">  </td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b> Supplemental Data Elements: </b></th>\n                <td style=\"padding-left: 4px;\">\n                    \n                        \n                            \n                                SDE Ethnicity\n                            \n                        \n                    \n                        \n                            \n                                SDE Payer\n                            \n                        \n                    \n                        \n                            \n                                SDE Race\n                            \n                        \n                    \n                        \n                            \n                                SDE Sex\n                            \n                        \n                    \n                </td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Libraries: </b></th>\n                <td style=\"padding-left: 4px;\">\n                    <table class=\"grid-dict\">\n                        \n                            <tr>\n                                <td><a href=\"Library-ControllingHighBloodPressureFHIR.html\">ControllingHighBloodPressureFHIR</a></td>\n                            </tr>\n                        \n                    </table>\n                </td>\n            </tr>\n        \n\n        \n\n        \n            \n                <tr>\n                    <th scope=\"row\"><b>Related Artifact Dependencies: </b></th>\n                    <td style=\"padding-left: 4px;\">\n                        \n                            <li><a href=\"Library-SupplementalDataElements.html\">SupplementalDataElements</a> version: 3.4.000</li>\n                        \n                            <li><a href=\"Library-Status.html\">Status</a> version: 1.6.000</li>\n                        \n                            <li><a href=\"Library-FHIRHelpers.html\">FHIRHelpers</a> version: 4.3.000</li>\n                        \n                            <li><a href=\"Library-QICoreCommon.html\">QICoreCommon</a> version: 1.5.000</li>\n                        \n                            <li><a href=\"Library-AdultOutpatientEncounters.html\">AdultOutpatientEncounters</a> version: 4.6.000</li>\n                        \n                            <li><a href=\"Library-Hospice.html\">Hospice</a> version: 6.7.000</li>\n                        \n                            <li><a href=\"Library-AdvancedIllnessandFrailty.html\">AdvancedIllnessandFrailty</a> version: 1.6.000</li>\n                        \n                            <li><a href=\"Library-CQMCommon.html\">CQMCommon</a> version: 1.4.000</li>\n                        \n                            <li><a href=\"Library-CumulativeMedicationDuration.html\">CumulativeMedicationDuration</a> version: 3.3.000</li>\n                        \n                            <li><a href=\"Library-PalliativeCare.html\">PalliativeCare</a> version: 1.7.000</li>\n                        \n                            <li><a href=\"http://tx.fhir.org/r4/ValueSet/x-loinc2.82\">LOINC</a></li>\n                        \n                            <li><a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></li>\n                        \n                            <li><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.104.12.1011/expansion\">Essential Hypertension</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1001/expansion\">Office Visit</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1240/expansion\">Annual Wellness Visit</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1025/expansion\">Preventive Care Services - Established Office Visit, 18 and Up</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1023/expansion\">Preventive Care Services-Initial Office Visit, 18 and Up</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1016/expansion\">Home Healthcare Services</a></li>\n                        \n                            <li><a href=\"https://tx.fhir.org/r4/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1089-20210224\">Virtual Encounter</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1080/expansion\">Telephone Visits</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion\">Payer</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.5.307/expansion\">Encounter Inpatient</a></li>\n                        \n                            <li><a href=\"https://tx.fhir.org/r4/ValueSet/2.16.840.1.113883.3.464.1003.1003-20210820\">Hospice Encounter</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1584/expansion\">Hospice Care Ambulatory</a></li>\n                        \n                            <li><a href=\"https://tx.fhir.org/r4/ValueSet/2.16.840.1.113883.3.464.1003.1165-20220818\">Hospice Diagnosis</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.378/expansion\">Pregnancy</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.353/expansion\">End Stage Renal Disease</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.109.12.1029/expansion\">Kidney Transplant Recipient</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1002/expansion\">Chronic Kidney Disease, Stage 5</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.109.12.1012/expansion\">Kidney Transplant</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.109.12.1013/expansion\">Dialysis Services</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.109.12.1014/expansion\">ESRD Monthly Outpatient Services</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.118.12.1300/expansion\">Frailty Device</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.113.12.1074/expansion\">Frailty Diagnosis</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1088/expansion\">Frailty Encounter</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.113.12.1075/expansion\">Frailty Symptom</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1087/expansion\">Outpatient</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1086/expansion\">Observation</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1010/expansion\">Emergency Department Visit</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1084/expansion\">Nonacute Inpatient</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1082/expansion\">Advanced Illness</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1083/expansion\">Acute Inpatient</a></li>\n                        \n                            <li><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.196.12.1510/expansion\">Dementia Medications</a></li>\n                        \n                            <li><a href=\"https://tx.fhir.org/r4/ValueSet/2.16.840.1.113883.3.464.1003.1167-20220820\">Palliative Care Diagnosis</a></li>\n                        \n                            <li><a href=\"https://tx.fhir.org/r4/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090-20210224\">Palliative Care Encounter</a></li>\n                        \n                            <li><a href=\"https://tx.fhir.org/r4/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135-20210224\">Palliative Care Intervention</a></li>\n                        \n                    </td>\n                </tr>\n                <tr>\n                    <th scope=\"row\"><b>Parameters:</b></th>\n                    <td style=\"padding-left: 4px;\">\n                        <table class=\"grid-dict\">\n                            <tr>\n                                <th><b>name</b></th>\n                                <th><b>use</b></th>\n                                <th><b>min</b></th>\n                                <th><b>max</b></th>\n                                <th><b>type</b></th>\n                            </tr>\n                            \n                                <tr>\n                                    <td>Measurement Period</td>\n                                    <td>In</td>\n                                    <td>0</td>\n                                    <td>1</td>\n                                    <td>Period</td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>ErrorLevel</td>\n                                    <td>In</td>\n                                    <td>0</td>\n                                    <td>1</td>\n                                    <td>string</td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>SDE Sex</td>\n                                    <td>Out</td>\n                                    <td>0</td>\n                                    <td>1</td>\n                                    <td>Coding</td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Numerator</td>\n                                    <td>Out</td>\n                                    <td>0</td>\n                                    <td>1</td>\n                                    <td>boolean</td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Denominator</td>\n                                    <td>Out</td>\n                                    <td>0</td>\n                                    <td>1</td>\n                                    <td>boolean</td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>SDE Payer</td>\n                                    <td>Out</td>\n                                    <td>0</td>\n                                    <td>*</td>\n                                    <td>Resource</td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Initial Population</td>\n                                    <td>Out</td>\n                                    <td>0</td>\n                                    <td>1</td>\n                                    <td>boolean</td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>SDE Ethnicity</td>\n                                    <td>Out</td>\n                                    <td>0</td>\n                                    <td>1</td>\n                                    <td>Resource</td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Denominator Exclusions</td>\n                                    <td>Out</td>\n                                    <td>0</td>\n                                    <td>1</td>\n                                    <td>boolean</td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>SDE Race</td>\n                                    <td>Out</td>\n                                    <td>0</td>\n                                    <td>1</td>\n                                    <td>Resource</td>\n                                </tr>\n                            \n                        </table>\n                    </td>\n                </tr>\n\n                <tr>\n                    <th scope=\"row\"><b>DataRequirements:</b></th>\n                    <td style=\"padding-left: 4px;\">\n                        <table class=\"grid-dict\">\n                            <tr>\n                                <th><b>Type</b></th>\n                                <th><b>Elements</b></th>\n                                <th><b>Valueset Name</b></th>\n                                <th><b>Valueset</b></th>\n                            </tr>\n                            \n                                <tr>\n                                    <td>Patient(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-patient.html\">QICorePatient</a>)</td>\n                                    <td>\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                    </td>\n                                    <td/>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Patient(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-patient.html\">QICorePatient</a>)</td>\n                                    <td>\n                                        \n                                            url\n                                        \n                                            extension\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                    </td>\n                                    <td/>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Patient(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-patient.html\">QICorePatient</a>)</td>\n                                    <td>\n                                        \n                                            url\n                                        \n                                            extension\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                    </td>\n                                    <td/>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n                                    <td>\n                                        \n                                            id\n                                        \n                                            id.value\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                    </td>\n                                    <td/>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n                                    <td>\n                                        \n                                            type\n                                        \n                                            hospitalization\n                                        \n                                            hospitalization.dischargeDisposition\n                                        \n                                            period\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Encounter Inpatient\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.666.5.307/expansion\">Encounter Inpatient</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n                                    <td>\n                                        \n                                            type\n                                        \n                                            period\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Hospice Encounter\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://tx.fhir.org/r4/ValueSet/2.16.840.1.113883.3.464.1003.1003-20210820\">Hospice Encounter</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n                                    <td>\n                                        \n                                            type\n                                        \n                                            period\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 ESRD Monthly Outpatient Services\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.109.12.1014/expansion\">ESRD Monthly Outpatient Services</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n                                    <td>\n                                        \n                                            type\n                                        \n                                            period\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Frailty Encounter\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1088/expansion\">Frailty Encounter</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n                                    <td>\n                                        \n                                            type\n                                        \n                                            period\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Acute Inpatient\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1083/expansion\">Acute Inpatient</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Encounter(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-encounter.html\">QICoreEncounter</a>)</td>\n                                    <td>\n                                        \n                                            type\n                                        \n                                            period\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Palliative Care Encounter\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://tx.fhir.org/r4/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090-20210224\">Palliative Care Encounter</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Observation(<a href=\"http://hl7.org/fhir/R4/bp.html\">Observation Blood Pressure Profile</a>)</td>\n                                    <td>\n                                        \n                                            encounter\n                                        \n                                            encounter.class\n                                        \n                                            encounter.class.code\n                                        \n                                            effective\n                                        \n                                            component\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                    </td>\n                                    <td/>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n                                    <td>\n                                        \n                                            code\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Essential Hypertension\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.104.12.1011/expansion\">Essential Hypertension</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n                                    <td>\n                                        \n                                            code\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Hospice Diagnosis\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://tx.fhir.org/r4/ValueSet/2.16.840.1.113883.3.464.1003.1165-20220818\">Hospice Diagnosis</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n                                    <td>\n                                        \n                                            code\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Frailty Diagnosis\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.113.12.1074/expansion\">Frailty Diagnosis</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n                                    <td>\n                                        \n                                            id\n                                        \n                                            id.value\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                    </td>\n                                    <td/>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Condition(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-condition.html\">QICoreCondition</a>)</td>\n                                    <td>\n                                        \n                                            code\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Palliative Care Diagnosis\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://tx.fhir.org/r4/ValueSet/2.16.840.1.113883.3.464.1003.1167-20220820\">Palliative Care Diagnosis</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Coverage(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-coverage.html\">QICoreCoverage</a>)</td>\n                                    <td>\n                                        \n                                            type\n                                        \n                                            period\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Payer Type\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.114222.4.11.3591/expansion\">Payer</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Observation(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>)</td>\n                                    <td>\n                                        \n                                            code\n                                        \n                                            value\n                                        \n                                            effective\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                    </td>\n                                    <td/>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Observation(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>)</td>\n                                    <td>\n                                        \n                                            code\n                                        \n                                            value\n                                        \n                                            effective\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                    </td>\n                                    <td/>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Observation(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>)</td>\n                                    <td>\n                                        \n                                            code\n                                        \n                                            effective\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Frailty Symptom\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.113.12.1075/expansion\">Frailty Symptom</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Observation(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>)</td>\n                                    <td>\n                                        \n                                            code\n                                        \n                                            effective\n                                        \n                                            value\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                    </td>\n                                    <td/>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Observation(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>)</td>\n                                    <td>\n                                        \n                                            code\n                                        \n                                            effective\n                                        \n                                            value\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                    </td>\n                                    <td/>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Observation(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-observation.html\">QICoreObservation</a>)</td>\n                                    <td>\n                                        \n                                            code\n                                        \n                                            effective\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                    </td>\n                                    <td/>\n                                </tr>\n                            \n                                <tr>\n                                    <td>ServiceRequest(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-servicerequest.html\">QICoreServiceRequest</a>)</td>\n                                    <td>\n                                        \n                                            code\n                                        \n                                            authoredOn\n                                        \n                                            authoredOn.value\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Hospice Care Ambulatory\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1584/expansion\">Hospice Care Ambulatory</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n                                    <td>\n                                        \n                                            code\n                                        \n                                            performed\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Hospice Care Ambulatory\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.526.3.1584/expansion\">Hospice Care Ambulatory</a></td>\n                                </tr>\n                            \n                                <tr>\n                                    <td>Procedure(<a href=\"http://hl7.org/fhir/us/qicore/STU4.1.1/StructureDefinition-qicore-procedure.html\">QICoreProcedure</a>)</td>\n                                    <td>\n                                        \n                                            code\n                                        \n                                            performed\n                                        \n                                    </td>\n                                    <td>\n                                        \n                                            \n                                                 Palliative Care Intervention\n                                            \n                                        \n                                    </td>\n                                    <td><a href=\"https://tx.fhir.org/r4/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135-20210224\">Palliative Care Intervention</a></td>\n                                </tr>\n                            \n                        </table>\n                    </td>\n                </tr>\n\n                \n                    <tr>\n                        <th scope=\"row\"><b>Direct Reference Codes:</b></th>\n                        <td style=\"padding-left: 4px;\">\n                            <table class=\"grid-dict\">\n                                <tr>\n                                    <th><b>display</b></th>\n                                    <th><b>code</b></th>\n                                    <th><b>system</b></th>\n                                </tr>\n                                \n                                    <tr>\n                                        <td>Systolic blood pressure</td>\n                                        <td>8480-6</td>\n                                        <td><a href=\"https://loinc.org/\">http://loinc.org</a></td>\n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Diastolic blood pressure</td>\n                                        <td>8462-4</td>\n                                        <td><a href=\"https://loinc.org/\">http://loinc.org</a></td>\n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Discharge to home for hospice care (procedure)</td>\n                                        <td>428361000124107</td>\n                                        <td><a href=\"https://browser.ihtsdotools.org/\">http://snomed.info/sct</a></td>\n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Discharge to healthcare facility for hospice care (procedure)</td>\n                                        <td>428371000124100</td>\n                                        <td><a href=\"https://browser.ihtsdotools.org/\">http://snomed.info/sct</a></td>\n                                    </tr>\n                                \n                                    <tr>\n                                        <td>survey</td>\n                                        <td>survey</td>\n                                        <td><a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-observation-category.html\">http://terminology.hl7.org/CodeSystem/observation-category</a></td>\n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Hospice care [Minimum Data Set]</td>\n                                        <td>45755-6</td>\n                                        <td><a href=\"https://loinc.org/\">http://loinc.org</a></td>\n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Yes (qualifier value)</td>\n                                        <td>373066001</td>\n                                        <td><a href=\"https://browser.ihtsdotools.org/\">http://snomed.info/sct</a></td>\n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Medical equipment used</td>\n                                        <td>98181-1</td>\n                                        <td><a href=\"https://loinc.org/\">http://loinc.org</a></td>\n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Housing status</td>\n                                        <td>71802-3</td>\n                                        <td><a href=\"https://loinc.org/\">http://loinc.org</a></td>\n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Lives in a nursing home (finding)</td>\n                                        <td>160734000</td>\n                                        <td><a href=\"https://browser.ihtsdotools.org/\">http://snomed.info/sct</a></td>\n                                    </tr>\n                                \n                                    <tr>\n                                        <td>Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)</td>\n                                        <td>71007-9</td>\n                                        <td><a href=\"https://loinc.org/\">http://loinc.org</a></td>\n                                    </tr>\n                                \n                            </table>\n                        </td>\n                    </tr>\n                \n\n                \n                <tr>\n                    <th scope=\"row\"><b>Logic Definitions:</b></th>\n                    <td style=\"padding-left: 4px;\">\n                        \n                        <table class=\"grid-dict\">\n                            <tr>\n                                <th><b>Group</b></th>\n                                <th><b>Scoring</b></th>\n                                <th><b>Population Criteria</b></th>\n                                <th><b>Expression</b></th>\n                            </tr>\n                            <tr>\n                                \n                                <td> 643716e4d4d7050edabb0444 </td>\n                                <td>\n                                    \n                                        <b>Group scoring:</b>\n                                        \n                                            <span>  proportion </span>\n                                        \n                                    \n\n                                    \n\n                                    \n\n                                    \n\n                                    \n\n                                    \n\n                                    \n\n                                    \n\n                                </td>\n                                \n                                <tr>\n                                    <td/>\n                                    <td/>\n                                    <td>Initial Population</td>\n                                    <td>\n                                        \n                                            <pre><code class=\"language-cql\">define \"Initial Population\":\n  AgeInYearsAt(date from \n    end of \"Measurement Period\"\n  ) in Interval[18, 85]\n    and exists \"Essential Hypertension Diagnosis\"\n    and exists AdultOutpatientEncounters.\"Qualifying Encounters\"</code></pre>\n                                        \n                                    </td>\n                                </tr>\n                                \n                                <tr>\n                                    <td/>\n                                    <td/>\n                                    <td>Denominator</td>\n                                    <td>\n                                        \n                                            <pre><code class=\"language-cql\">define \"Denominator\":\n  \"Initial Population\"</code></pre>\n                                        \n                                    </td>\n                                </tr>\n                                \n                                <tr>\n                                    <td/>\n                                    <td/>\n                                    <td>Denominator Exclusion</td>\n                                    <td>\n                                        \n                                            <pre><code class=\"language-cql\">define \"Denominator Exclusions\":\n  Hospice.\"Has Hospice Services\"\n    or exists ( \"Pregnancy or Renal Diagnosis\" )\n    or exists ( \"End Stage Renal Disease Procedures\" )\n    or exists ( \"End Stage Renal Disease Encounter\" )\n    or AIFrailLTCF.\"Is Age 66 to 80 with Advanced Illness and Frailty or Is Age 81 or Older with Frailty\"\n    or AIFrailLTCF.\"Is Age 66 or Older Living Long Term in a Nursing Home\"\n    or PalliativeCare.\"Has Palliative Care in the Measurement Period\"</code></pre>\n                                        \n                                    </td>\n                                </tr>\n                                \n                                <tr>\n                                    <td/>\n                                    <td/>\n                                    <td>Denominator Exception</td>\n                                    <td>\n                                        \n                                            None\n                                        \n                                    </td>\n                                </tr>\n                                \n                                <tr>\n                                    <td/>\n                                    <td/>\n                                    <td>Numerator</td>\n                                    <td>\n                                        \n                                            <pre><code class=\"language-cql\">define \"Numerator\":\n  \"Has Systolic Blood Pressure Less Than 140\"\n    and \"Has Diastolic Blood Pressure Less Than 90\"</code></pre>\n                                        \n                                    </td>\n                                </tr>\n                                \n                                <tr>\n                                    <td/>\n                                    <td/>\n                                    <td>Numerator Exclusion</td>\n                                    <td>\n                                        \n                                            None\n                                        \n                                    </td>\n                                </tr>\n                                \n                                \n                            \n                            </tr>\n                        </table>\n                \n\n                <table class=\"grid-dict\">\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>SupplementalDataElements</td>\n                            \n                            \n                                <td>SDE Sex</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">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</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>SDE Sex</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"SDE Sex\":\n  SDE.\"SDE Sex\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Qualifying Systolic Blood Pressure Reading</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Qualifying Systolic Blood Pressure Reading\":\n  ( ( [\"observation-bp\"] ).isObservationBP ( ) ) BloodPressure\n    where ( not ( ( BloodPressure.encounter.getEncounter ( ) ).class.code in { 'EMER', 'IMP', 'ACUTE', 'NONAC', 'PRENC', 'SS' } ) )\n      and BloodPressure.effective.latest ( ) during day of \"Measurement Period\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Qualifying Diastolic Blood Pressure Reading</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Qualifying Diastolic Blood Pressure Reading\":\n  ( ( [\"observation-bp\"] ).isObservationBP ( ) ) BloodPressure\n    where ( not ( ( BloodPressure.encounter.getEncounter ( ) ).class.code in { 'EMER', 'IMP', 'ACUTE', 'NONAC', 'PRENC', 'SS' } ) )\n      and BloodPressure.effective.latest ( ) during day of \"Measurement Period\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Blood Pressure Days</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Blood Pressure Days\":\n  ( \"Qualifying Diastolic Blood Pressure Reading\" DBPExam\n      return date from DBPExam.effective.latest ( )\n  )\n    intersect ( \"Qualifying Systolic Blood Pressure Reading\" SBPExam\n        return date from SBPExam.effective.latest ( )\n    )</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Most Recent Blood Pressure Day</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Most Recent Blood Pressure Day\":\n  Last(\"Blood Pressure Days\" BPDays\n      sort asc\n  )</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Lowest Systolic Reading on Most Recent Blood Pressure Day</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Lowest Systolic Reading on Most Recent Blood Pressure Day\":\n  First(\"Qualifying Systolic Blood Pressure Reading\" SBPReading\n      where SBPReading.effective.latest() same day as \"Most Recent Blood Pressure Day\"\n      return singleton from(SBPReading.component SBPComponent\n          where SBPComponent.code ~ \"Systolic blood pressure\"\n          return SBPComponent.value as Quantity\n      )\n      sort asc\n  )</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Has Systolic Blood Pressure Less Than 140</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Has Systolic Blood Pressure Less Than 140\":\n  \"Lowest Systolic Reading on Most Recent Blood Pressure Day\" &lt; 140 'mm[Hg]'</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Lowest Diastolic Reading on Most Recent Blood Pressure Day</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Lowest Diastolic Reading on Most Recent Blood Pressure Day\":\n  First(\"Qualifying Diastolic Blood Pressure Reading\" DBPReading\n      where DBPReading.effective.latest() same day as \"Most Recent Blood Pressure Day\"\n      return singleton from(DBPReading.component DBPComponent\n          where DBPComponent.code ~ \"Diastolic blood pressure\"\n          return DBPComponent.value as Quantity\n      )\n      sort asc\n  )</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Has Diastolic Blood Pressure Less Than 90</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Has Diastolic Blood Pressure Less Than 90\":\n  \"Lowest Diastolic Reading on Most Recent Blood Pressure Day\" &lt; 90 'mm[Hg]'</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Numerator</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Numerator\":\n  \"Has Systolic Blood Pressure Less Than 140\"\n    and \"Has Diastolic Blood Pressure Less Than 90\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Essential Hypertension Diagnosis</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Essential Hypertension Diagnosis\":\n  ( [Condition: \"Essential Hypertension\"] ) Hypertension\n    where Hypertension.prevalenceInterval ( ) overlaps Interval[start of \"Measurement Period\", start of \"Measurement Period\" + 6 months )</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>AdultOutpatientEncounters</td>\n                            \n                            \n                                <td>Qualifying Encounters</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Qualifying Encounters\":\n  ( ( [Encounter: \"Office Visit\"]\n    union [Encounter: \"Annual Wellness Visit\"]\n    union [Encounter: \"Preventive Care Services Established Office Visit, 18 and Up\"]\n    union [Encounter: \"Preventive Care Services Initial Office Visit, 18 and Up\"]\n    union [Encounter: \"Home Healthcare Services\"]\n    union [Encounter: \"Online Assessments\"]\n    union [Encounter: \"Telephone Visits\"] ).isEncounterPerformed() ) ValidEncounter\n    where ValidEncounter.period.toInterval() during day of \"Measurement Period\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Initial Population</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Initial Population\":\n  AgeInYearsAt(date from \n    end of \"Measurement Period\"\n  ) in Interval[18, 85]\n    and exists \"Essential Hypertension Diagnosis\"\n    and exists AdultOutpatientEncounters.\"Qualifying Encounters\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Denominator</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Denominator\":\n  \"Initial Population\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>SupplementalDataElements</td>\n                            \n                            \n                                <td>SDE Payer</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"SDE Payer\":\n  [Coverage: type in \"Payer Type\"] Payer\n    return {\n      code: Payer.type,\n      period: Payer.period\n    }</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>SDE Payer</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"SDE Payer\":\n  SDE.\"SDE Payer\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>SupplementalDataElements</td>\n                            \n                            \n                                <td>SDE Ethnicity</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"SDE Ethnicity\":\n  Patient.ethnicity E\n    return Tuple {\n      codes: { E.ombCategory } union E.detailed,\n      display: E.text\n    }</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>SDE Ethnicity</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"SDE Ethnicity\":\n  SDE.\"SDE Ethnicity\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>Hospice</td>\n                            \n                            \n                                <td>Has Hospice Services</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Has Hospice Services\":\n  exists ((([Encounter: \"Encounter Inpatient\"]).isEncounterPerformed()) InpatientEncounter\n      where (InpatientEncounter.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"\n          or InpatientEncounter.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"\n      )\n        and InpatientEncounter.period.toInterval() ends during day of \"Measurement Period\"\n  )\n    or exists ((([Encounter: \"Hospice Encounter\"]).isEncounterPerformed()) HospiceEncounter\n        where HospiceEncounter.period.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([Observation: \"Hospice care [Minimum Data Set]\"]).isAssessmentPerformed()) HospiceAssessment\n        where HospiceAssessment.value ~ \"Yes (qualifier value)\"\n          and HospiceAssessment.effective.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([ServiceRequest: \"Hospice Care Ambulatory\"]).isInterventionOrder()) HospiceOrder\n        where HospiceOrder.authoredOn.toInterval() during day of \"Measurement Period\"\n    )\n    or exists ((([Procedure: \"Hospice Care Ambulatory\"]).isInterventionPerformed()) HospicePerformed\n        where HospicePerformed.performed.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists (([Condition: \"Hospice Diagnosis\"]) HospiceCareDiagnosis\n        where HospiceCareDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Pregnancy or Renal Diagnosis</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Pregnancy or Renal Diagnosis\":\n  ( [Condition: \"Pregnancy\"]\n    union [Condition: \"End Stage Renal Disease\"]\n    union [Condition: \"Kidney Transplant Recipient\"]\n    union [Condition: \"Chronic Kidney Disease, Stage 5\"] ) PregnancyESRDDiagnosis\n    where PregnancyESRDDiagnosis.prevalenceInterval ( ) overlaps \"Measurement Period\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>End Stage Renal Disease Procedures</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"End Stage Renal Disease Procedures\":\n  ( ( [Procedure: \"Kidney Transplant\"]\n      union [Procedure: \"Dialysis Services\"]\n  ).isProcedurePerformed ( ) ) ESRDProcedure\n    where ESRDProcedure.performed.toInterval ( ) ends on or before end of \"Measurement Period\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>End Stage Renal Disease Encounter</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"End Stage Renal Disease Encounter\":\n  ( ( [Encounter: \"ESRD Monthly Outpatient Services\"] ).isEncounterPerformed ( ) ) ESRDEncounter\n    where ESRDEncounter.period.toInterval ( ) starts on or before end of \"Measurement Period\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>AdvancedIllnessandFrailty</td>\n                            \n                            \n                                <td>Has Criteria Indicating Frailty</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Has Criteria Indicating Frailty\":\n  exists ( (([DeviceRequest: \"Frailty Device\"]).isDeviceOrder()) FrailtyDeviceOrder\n      where FrailtyDeviceOrder.doNotPerform() is not true\n      and FrailtyDeviceOrder.authoredOn.toInterval() during day of \"Measurement Period\"\n  )\n    or exists ( (([Observation: \"Medical equipment used\"]).isAssessmentPerformed()) EquipmentUsed\n        where EquipmentUsed.value as Concept in \"Frailty Device\" \n        and EquipmentUsed.effective.toInterval() ends during day of \"Measurement Period\"\n    )\n    or exists ( ([Condition: \"Frailty Diagnosis\"]) FrailtyDiagnosis\n        where FrailtyDiagnosis.prevalenceInterval() overlaps \"Measurement Period\"\n    )\n    or exists ( (([Encounter: \"Frailty Encounter\"]).isEncounterPerformed()) FrailtyEncounter\n        where FrailtyEncounter.period.toInterval() overlaps \"Measurement Period\"\n    )\n    or exists ( (([Observation: \"Frailty Symptom\"]).isSymptom()) FrailtySymptom\n        where FrailtySymptom.effective.toInterval() overlaps \"Measurement Period\"\n    )</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>AdvancedIllnessandFrailty</td>\n                            \n                            \n                                <td>Outpatient Encounters with Advanced Illness</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Outpatient Encounters with Advanced Illness\":\n   (( [Encounter: \"Outpatient\"]\n    union [Encounter: \"Observation\"]\n    union [Encounter: \"Emergency Department Evaluation and Management Visit\"]\n    union [Encounter: \"Nonacute Inpatient\"] ).isEncounterPerformed()) OutpatientEncounter\n      where exists ((OutpatientEncounter.encounterDiagnosis()) Diagnosis where Diagnosis.code in \"Advanced Illness\")\n        and OutpatientEncounter.period.toInterval() starts during day of Interval[start of \"Measurement Period\" - 1 year, \n        end of \"Measurement Period\"]</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>AdvancedIllnessandFrailty</td>\n                            \n                            \n                                <td>Has Two Outpatient Encounters with Advanced Illness on Different Dates of Service</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Has Two Outpatient Encounters with Advanced Illness on Different Dates of Service\":\n  exists ( from\n      \"Outpatient Encounters with Advanced Illness\" OutpatientEncounter1,\n      \"Outpatient Encounters with Advanced Illness\" OutpatientEncounter2\n      where OutpatientEncounter2.period ends 1 day or more after day of \n      end of OutpatientEncounter1.period\n      return OutpatientEncounter1\n  )</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>AdvancedIllnessandFrailty</td>\n                            \n                            \n                                <td>Has Inpatient Encounter with Advanced Illness</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Has Inpatient Encounter with Advanced Illness\":\n  exists ( ( ([Encounter: \"Acute Inpatient\"]).isEncounterPerformed()) InpatientEncounter\n      where exists ((InpatientEncounter.encounterDiagnosis()) Diagnosis where Diagnosis.code in \"Advanced Illness\")\n        and InpatientEncounter.period.toInterval() starts during day of Interval[start of \"Measurement Period\" - 1 year, \n          end of \"Measurement Period\"]\n  )</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>AdvancedIllnessandFrailty</td>\n                            \n                            \n                                <td>Has Dementia Medications in Year Before or During Measurement Period</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Has Dementia Medications in Year Before or During Measurement Period\":\n  exists (( ([MedicationRequest: \"Dementia Medications\"]).isMedicationActive()) DementiaMedication\n      where DementiaMedication.doNotPerform is not true and\n      CMD.\"MedicationRequestPeriod\" ( DementiaMedication ) overlaps Interval[start of \"Measurement Period\" - 1 year, \n        end of \"Measurement Period\"]\n  )</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>AdvancedIllnessandFrailty</td>\n                            \n                            \n                                <td>Is Age 66 to 80 with Advanced Illness and Frailty or Is Age 81 or Older with Frailty</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Is Age 66 to 80 with Advanced Illness and Frailty or Is Age 81 or Older with Frailty\":\n  ( AgeInYearsAt(date from end of \"Measurement Period\")in Interval[66, 80]\n      and \"Has Criteria Indicating Frailty\"\n      and ( \"Has Two Outpatient Encounters with Advanced Illness on Different Dates of Service\"\n          or \"Has Inpatient Encounter with Advanced Illness\"\n          or \"Has Dementia Medications in Year Before or During Measurement Period\"\n      )\n  )\n    or ( AgeInYearsAt(date from end of \"Measurement Period\")&gt;= 81\n        and \"Has Criteria Indicating Frailty\"\n    )</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>AdvancedIllnessandFrailty</td>\n                            \n                            \n                                <td>Is Age 66 or Older Living Long Term in a Nursing Home</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Is Age 66 or Older Living Long Term in a Nursing Home\":\n  AgeInYearsAt(date from \n     end of \"Measurement Period\"\n  )&gt;= 66\n    and ( ( Last( (([Observation: \"Housing status\"]).isAssessmentPerformed()) HousingStatus    \n          where HousingStatus.effective.toInterval() ends on or before \n          end of \"Measurement Period\"\n          sort by \n          end of effective.toInterval() asc\n      )) LastHousingStatus\n        where LastHousingStatus.value ~ \"Lives in a nursing home (finding)\"\n    ) is not null</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>PalliativeCare</td>\n                            \n                            \n                                <td>Has Palliative Care in the Measurement Period</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Has Palliative Care in the Measurement Period\":\n  exists ((([Observation: \"Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)\"]).isAssessmentPerformed()) PalliativeAssessment\n      where PalliativeAssessment.effective.toInterval() overlaps day of \"Measurement Period\"\n  )\n    or exists ([Condition: \"Palliative Care Diagnosis\"] PalliativeDiagnosis\n        where PalliativeDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([Encounter: \"Palliative Care Encounter\"]).isEncounterPerformed()) PalliativeEncounter\n        where PalliativeEncounter.period.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([Procedure: \"Palliative Care Intervention\"]).isInterventionPerformed()) PalliativeIntervention\n        where PalliativeIntervention.performed.toInterval() overlaps day of \"Measurement Period\"\n    )</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>Denominator Exclusions</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"Denominator Exclusions\":\n  Hospice.\"Has Hospice Services\"\n    or exists ( \"Pregnancy or Renal Diagnosis\" )\n    or exists ( \"End Stage Renal Disease Procedures\" )\n    or exists ( \"End Stage Renal Disease Encounter\" )\n    or AIFrailLTCF.\"Is Age 66 to 80 with Advanced Illness and Frailty or Is Age 81 or Older with Frailty\"\n    or AIFrailLTCF.\"Is Age 66 or Older Living Long Term in a Nursing Home\"\n    or PalliativeCare.\"Has Palliative Care in the Measurement Period\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>SupplementalDataElements</td>\n                            \n                            \n                                <td>SDE Race</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"SDE Race\":\n  Patient.race R\n    return Tuple {\n      codes: R.ombCategory union R.detailed,\n      display: R.text\n    }</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                        <tr>\n                            <th><b>Library Name</b></th>\n                            <th><b>Name</b></th>\n                        </tr>\n                        <tr>\n                            \n                                <td>ControllingHighBloodPressureFHIR</td>\n                            \n                            \n                                <td>SDE Race</td>\n                            \n                        </tr>\n                        <tr>\n                            \n                                <td/>\n                                <td>\n                                    <pre class=\"highlight language-cql\"><code class=\"language-cql\">define \"SDE Race\":\n  SDE.\"SDE Race\"</code></pre>\n                                </td>\n                            \n                        </tr>\n                    \n                    </table>\n                </td>\n            </tr>\n            \n        \n    \n\n    </table>\n</div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:contained ( [
    a fhir:Library ;
    fhir:id [ fhir:v "effective-data-requirements" ] ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode>       ] ;
    fhir:value [
    a fhir:Coding, loinc:8480-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "8480-6" ] ;
    fhir:display [ fhir:v "Systolic blood pressure" ]       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode>       ] ;
    fhir:value [
    a fhir:Coding, loinc:8462-4 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "8462-4" ] ;
    fhir:display [ fhir:v "Diastolic blood pressure" ]       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode>       ] ;
    fhir:value [
    a fhir:Coding, sct:428361000124107 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "428361000124107" ] ;
    fhir:display [ fhir:v "Discharge to home for hospice care (procedure)" ]       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode>       ] ;
    fhir:value [
    a fhir:Coding, sct:428371000124100 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "428371000124100" ] ;
    fhir:display [ fhir:v "Discharge to healthcare facility for hospice care (procedure)" ]       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode>       ] ;
    fhir:value [
    a fhir:Coding ;
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>         ] ;
    fhir:code [ fhir:v "survey" ] ;
    fhir:display [ fhir:v "survey" ]       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode>       ] ;
    fhir:value [
    a fhir:Coding, loinc:45755-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "45755-6" ] ;
    fhir:display [ fhir:v "Hospice care [Minimum Data Set]" ]       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode>       ] ;
    fhir:value [
    a fhir:Coding, sct:373066001 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "373066001" ] ;
    fhir:display [ fhir:v "Yes (qualifier value)" ]       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode>       ] ;
    fhir:value [
    a fhir:Coding, loinc:98181-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "98181-1" ] ;
    fhir:display [ fhir:v "Medical equipment used" ]       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode>       ] ;
    fhir:value [
    a fhir:Coding, loinc:71802-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "71802-3" ] ;
    fhir:display [ fhir:v "Housing status" ]       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode>       ] ;
    fhir:value [
    a fhir:Coding, sct:160734000 ;
    fhir:system [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>         ] ;
    fhir:code [ fhir:v "160734000" ] ;
    fhir:display [ fhir:v "Lives in a nursing home (finding)" ]       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode>       ] ;
    fhir:value [
    a fhir:Coding, loinc:71007-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>         ] ;
    fhir:code [ fhir:v "71007-9" ] ;
    fhir:display [ fhir:v "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)" ]       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "SupplementalDataElements"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "SDE Sex"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "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"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 0         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "SDE Sex"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"SDE Sex\":\n  SDE.\"SDE Sex\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 1         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Qualifying Systolic Blood Pressure Reading"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Qualifying Systolic Blood Pressure Reading\":\n  ( ( [\"observation-bp\"] ).isObservationBP ( ) ) BloodPressure\n    where ( not ( ( BloodPressure.encounter.getEncounter ( ) ).class.code in { 'EMER', 'IMP', 'ACUTE', 'NONAC', 'PRENC', 'SS' } ) )\n      and BloodPressure.effective.latest ( ) during day of \"Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 2         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Qualifying Diastolic Blood Pressure Reading"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Qualifying Diastolic Blood Pressure Reading\":\n  ( ( [\"observation-bp\"] ).isObservationBP ( ) ) BloodPressure\n    where ( not ( ( BloodPressure.encounter.getEncounter ( ) ).class.code in { 'EMER', 'IMP', 'ACUTE', 'NONAC', 'PRENC', 'SS' } ) )\n      and BloodPressure.effective.latest ( ) during day of \"Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 3         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Blood Pressure Days"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Blood Pressure Days\":\n  ( \"Qualifying Diastolic Blood Pressure Reading\" DBPExam\n      return date from DBPExam.effective.latest ( )\n  )\n    intersect ( \"Qualifying Systolic Blood Pressure Reading\" SBPExam\n        return date from SBPExam.effective.latest ( )\n    )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 4         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Most Recent Blood Pressure Day"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Most Recent Blood Pressure Day\":\n  Last(\"Blood Pressure Days\" BPDays\n      sort asc\n  )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 5         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Lowest Systolic Reading on Most Recent Blood Pressure Day"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Lowest Systolic Reading on Most Recent Blood Pressure Day\":\n  First(\"Qualifying Systolic Blood Pressure Reading\" SBPReading\n      where SBPReading.effective.latest() same day as \"Most Recent Blood Pressure Day\"\n      return singleton from(SBPReading.component SBPComponent\n          where SBPComponent.code ~ \"Systolic blood pressure\"\n          return SBPComponent.value as Quantity\n      )\n      sort asc\n  )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 6         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Has Systolic Blood Pressure Less Than 140"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Has Systolic Blood Pressure Less Than 140\":\n  \"Lowest Systolic Reading on Most Recent Blood Pressure Day\" < 140 'mm[Hg]'"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 7         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Lowest Diastolic Reading on Most Recent Blood Pressure Day"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Lowest Diastolic Reading on Most Recent Blood Pressure Day\":\n  First(\"Qualifying Diastolic Blood Pressure Reading\" DBPReading\n      where DBPReading.effective.latest() same day as \"Most Recent Blood Pressure Day\"\n      return singleton from(DBPReading.component DBPComponent\n          where DBPComponent.code ~ \"Diastolic blood pressure\"\n          return DBPComponent.value as Quantity\n      )\n      sort asc\n  )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 8         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Has Diastolic Blood Pressure Less Than 90"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Has Diastolic Blood Pressure Less Than 90\":\n  \"Lowest Diastolic Reading on Most Recent Blood Pressure Day\" < 90 'mm[Hg]'"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 9         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Numerator"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Numerator\":\n  \"Has Systolic Blood Pressure Less Than 140\"\n    and \"Has Diastolic Blood Pressure Less Than 90\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 10         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Essential Hypertension Diagnosis"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Essential Hypertension Diagnosis\":\n  ( [Condition: \"Essential Hypertension\"] ) Hypertension\n    where Hypertension.prevalenceInterval ( ) overlaps Interval[start of \"Measurement Period\", start of \"Measurement Period\" + 6 months )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 11         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdultOutpatientEncounters"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Qualifying Encounters"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Qualifying Encounters\":\n  ( ( [Encounter: \"Office Visit\"]\n    union [Encounter: \"Annual Wellness Visit\"]\n    union [Encounter: \"Preventive Care Services Established Office Visit, 18 and Up\"]\n    union [Encounter: \"Preventive Care Services Initial Office Visit, 18 and Up\"]\n    union [Encounter: \"Home Healthcare Services\"]\n    union [Encounter: \"Online Assessments\"]\n    union [Encounter: \"Telephone Visits\"] ).isEncounterPerformed() ) ValidEncounter\n    where ValidEncounter.period.toInterval() during day of \"Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 12         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Initial Population"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Initial Population\":\n  AgeInYearsAt(date from \n    end of \"Measurement Period\"\n  ) in Interval[18, 85]\n    and exists \"Essential Hypertension Diagnosis\"\n    and exists AdultOutpatientEncounters.\"Qualifying Encounters\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 13         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Denominator"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Denominator\":\n  \"Initial Population\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 14         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "SupplementalDataElements"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "SDE Payer"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"SDE Payer\":\n  [Coverage: type in \"Payer Type\"] Payer\n    return {\n      code: Payer.type,\n      period: Payer.period\n    }"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 15         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "SDE Payer"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"SDE Payer\":\n  SDE.\"SDE Payer\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 16         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "SupplementalDataElements"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "SDE Ethnicity"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"SDE Ethnicity\":\n  Patient.ethnicity E\n    return Tuple {\n      codes: { E.ombCategory } union E.detailed,\n      display: E.text\n    }"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 17         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "SDE Ethnicity"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"SDE Ethnicity\":\n  SDE.\"SDE Ethnicity\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 18         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Hospice"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Has Hospice Services"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Has Hospice Services\":\n  exists ((([Encounter: \"Encounter Inpatient\"]).isEncounterPerformed()) InpatientEncounter\n      where (InpatientEncounter.hospitalization.dischargeDisposition ~ \"Discharge to home for hospice care (procedure)\"\n          or InpatientEncounter.hospitalization.dischargeDisposition ~ \"Discharge to healthcare facility for hospice care (procedure)\"\n      )\n        and InpatientEncounter.period.toInterval() ends during day of \"Measurement Period\"\n  )\n    or exists ((([Encounter: \"Hospice Encounter\"]).isEncounterPerformed()) HospiceEncounter\n        where HospiceEncounter.period.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([Observation: \"Hospice care [Minimum Data Set]\"]).isAssessmentPerformed()) HospiceAssessment\n        where HospiceAssessment.value ~ \"Yes (qualifier value)\"\n          and HospiceAssessment.effective.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([ServiceRequest: \"Hospice Care Ambulatory\"]).isInterventionOrder()) HospiceOrder\n        where HospiceOrder.authoredOn.toInterval() during day of \"Measurement Period\"\n    )\n    or exists ((([Procedure: \"Hospice Care Ambulatory\"]).isInterventionPerformed()) HospicePerformed\n        where HospicePerformed.performed.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists (([Condition: \"Hospice Diagnosis\"]) HospiceCareDiagnosis\n        where HospiceCareDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 19         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Pregnancy or Renal Diagnosis"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Pregnancy or Renal Diagnosis\":\n  ( [Condition: \"Pregnancy\"]\n    union [Condition: \"End Stage Renal Disease\"]\n    union [Condition: \"Kidney Transplant Recipient\"]\n    union [Condition: \"Chronic Kidney Disease, Stage 5\"] ) PregnancyESRDDiagnosis\n    where PregnancyESRDDiagnosis.prevalenceInterval ( ) overlaps \"Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 20         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "End Stage Renal Disease Procedures"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"End Stage Renal Disease Procedures\":\n  ( ( [Procedure: \"Kidney Transplant\"]\n      union [Procedure: \"Dialysis Services\"]\n  ).isProcedurePerformed ( ) ) ESRDProcedure\n    where ESRDProcedure.performed.toInterval ( ) ends on or before end of \"Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 21         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "End Stage Renal Disease Encounter"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"End Stage Renal Disease Encounter\":\n  ( ( [Encounter: \"ESRD Monthly Outpatient Services\"] ).isEncounterPerformed ( ) ) ESRDEncounter\n    where ESRDEncounter.period.toInterval ( ) starts on or before end of \"Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 22         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdvancedIllnessandFrailty"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Has Criteria Indicating Frailty"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Has Criteria Indicating Frailty\":\n  exists ( (([DeviceRequest: \"Frailty Device\"]).isDeviceOrder()) FrailtyDeviceOrder\n      where FrailtyDeviceOrder.doNotPerform() is not true\n      and FrailtyDeviceOrder.authoredOn.toInterval() during day of \"Measurement Period\"\n  )\n    or exists ( (([Observation: \"Medical equipment used\"]).isAssessmentPerformed()) EquipmentUsed\n        where EquipmentUsed.value as Concept in \"Frailty Device\" \n        and EquipmentUsed.effective.toInterval() ends during day of \"Measurement Period\"\n    )\n    or exists ( ([Condition: \"Frailty Diagnosis\"]) FrailtyDiagnosis\n        where FrailtyDiagnosis.prevalenceInterval() overlaps \"Measurement Period\"\n    )\n    or exists ( (([Encounter: \"Frailty Encounter\"]).isEncounterPerformed()) FrailtyEncounter\n        where FrailtyEncounter.period.toInterval() overlaps \"Measurement Period\"\n    )\n    or exists ( (([Observation: \"Frailty Symptom\"]).isSymptom()) FrailtySymptom\n        where FrailtySymptom.effective.toInterval() overlaps \"Measurement Period\"\n    )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 23         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdvancedIllnessandFrailty"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Outpatient Encounters with Advanced Illness"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Outpatient Encounters with Advanced Illness\":\n   (( [Encounter: \"Outpatient\"]\n    union [Encounter: \"Observation\"]\n    union [Encounter: \"Emergency Department Evaluation and Management Visit\"]\n    union [Encounter: \"Nonacute Inpatient\"] ).isEncounterPerformed()) OutpatientEncounter\n      where exists ((OutpatientEncounter.encounterDiagnosis()) Diagnosis where Diagnosis.code in \"Advanced Illness\")\n        and OutpatientEncounter.period.toInterval() starts during day of Interval[start of \"Measurement Period\" - 1 year, \n        end of \"Measurement Period\"]"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 24         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdvancedIllnessandFrailty"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Has Two Outpatient Encounters with Advanced Illness on Different Dates of Service"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Has Two Outpatient Encounters with Advanced Illness on Different Dates of Service\":\n  exists ( from\n      \"Outpatient Encounters with Advanced Illness\" OutpatientEncounter1,\n      \"Outpatient Encounters with Advanced Illness\" OutpatientEncounter2\n      where OutpatientEncounter2.period ends 1 day or more after day of \n      end of OutpatientEncounter1.period\n      return OutpatientEncounter1\n  )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 25         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdvancedIllnessandFrailty"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Has Inpatient Encounter with Advanced Illness"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Has Inpatient Encounter with Advanced Illness\":\n  exists ( ( ([Encounter: \"Acute Inpatient\"]).isEncounterPerformed()) InpatientEncounter\n      where exists ((InpatientEncounter.encounterDiagnosis()) Diagnosis where Diagnosis.code in \"Advanced Illness\")\n        and InpatientEncounter.period.toInterval() starts during day of Interval[start of \"Measurement Period\" - 1 year, \n          end of \"Measurement Period\"]\n  )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 26         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdvancedIllnessandFrailty"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Has Dementia Medications in Year Before or During Measurement Period"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Has Dementia Medications in Year Before or During Measurement Period\":\n  exists (( ([MedicationRequest: \"Dementia Medications\"]).isMedicationActive()) DementiaMedication\n      where DementiaMedication.doNotPerform is not true and\n      CMD.\"MedicationRequestPeriod\" ( DementiaMedication ) overlaps Interval[start of \"Measurement Period\" - 1 year, \n        end of \"Measurement Period\"]\n  )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 27         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdvancedIllnessandFrailty"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Is Age 66 to 80 with Advanced Illness and Frailty or Is Age 81 or Older with Frailty"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Is Age 66 to 80 with Advanced Illness and Frailty or Is Age 81 or Older with Frailty\":\n  ( AgeInYearsAt(date from end of \"Measurement Period\")in Interval[66, 80]\n      and \"Has Criteria Indicating Frailty\"\n      and ( \"Has Two Outpatient Encounters with Advanced Illness on Different Dates of Service\"\n          or \"Has Inpatient Encounter with Advanced Illness\"\n          or \"Has Dementia Medications in Year Before or During Measurement Period\"\n      )\n  )\n    or ( AgeInYearsAt(date from end of \"Measurement Period\")>= 81\n        and \"Has Criteria Indicating Frailty\"\n    )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 28         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "AdvancedIllnessandFrailty"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Is Age 66 or Older Living Long Term in a Nursing Home"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Is Age 66 or Older Living Long Term in a Nursing Home\":\n  AgeInYearsAt(date from \n     end of \"Measurement Period\"\n  )>= 66\n    and ( ( Last( (([Observation: \"Housing status\"]).isAssessmentPerformed()) HousingStatus    \n          where HousingStatus.effective.toInterval() ends on or before \n          end of \"Measurement Period\"\n          sort by \n          end of effective.toInterval() asc\n      )) LastHousingStatus\n        where LastHousingStatus.value ~ \"Lives in a nursing home (finding)\"\n    ) is not null"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 29         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "PalliativeCare"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Has Palliative Care in the Measurement Period"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Has Palliative Care in the Measurement Period\":\n  exists ((([Observation: \"Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)\"]).isAssessmentPerformed()) PalliativeAssessment\n      where PalliativeAssessment.effective.toInterval() overlaps day of \"Measurement Period\"\n  )\n    or exists ([Condition: \"Palliative Care Diagnosis\"] PalliativeDiagnosis\n        where PalliativeDiagnosis.prevalenceInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([Encounter: \"Palliative Care Encounter\"]).isEncounterPerformed()) PalliativeEncounter\n        where PalliativeEncounter.period.toInterval() overlaps day of \"Measurement Period\"\n    )\n    or exists ((([Procedure: \"Palliative Care Intervention\"]).isInterventionPerformed()) PalliativeIntervention\n        where PalliativeIntervention.performed.toInterval() overlaps day of \"Measurement Period\"\n    )"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 30         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Denominator Exclusions"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"Denominator Exclusions\":\n  Hospice.\"Has Hospice Services\"\n    or exists ( \"Pregnancy or Renal Diagnosis\" )\n    or exists ( \"End Stage Renal Disease Procedures\" )\n    or exists ( \"End Stage Renal Disease Encounter\" )\n    or AIFrailLTCF.\"Is Age 66 to 80 with Advanced Illness and Frailty or Is Age 81 or Older with Frailty\"\n    or AIFrailLTCF.\"Is Age 66 or Older Living Long Term in a Nursing Home\"\n    or PalliativeCare.\"Has Palliative Care in the Measurement Period\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 31         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "SupplementalDataElements"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "SDE Race"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"SDE Race\":\n  Patient.race R\n    return Tuple {\n      codes: R.ombCategory union R.detailed,\n      display: R.text\n    }"         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 32         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "libraryName"^^xsd:anyURI ;
    fhir:l fhir:libraryName         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "ControllingHighBloodPressureFHIR"         ]       ] [
    fhir:url [
    fhir:v "name"^^xsd:anyURI ;
    fhir:l fhir:name         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "SDE Race"         ]       ] [
    fhir:url [
    fhir:v "statement"^^xsd:anyURI ;
    fhir:l fhir:statement         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "define \"SDE Race\":\n  SDE.\"SDE Race\""         ]       ] [
    fhir:url [
    fhir:v "displaySequence"^^xsd:anyURI ;
    fhir:l fhir:displaySequence         ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 33         ]       ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition>       ]     ] ) ;
    fhir:status [ fhir:v "active" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/library-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/library-type>         ] ;
    fhir:code [ fhir:v "module-definition" ]       ] )     ] ;
        ( fhir:relatedArtifact [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library SDE" ] ;
    fhir:resource [
    fhir:v "http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements|3.4.000"^^xsd:anyURI ;
    fhir:l <http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements?version=3.4.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library Status" ] ;
    fhir:resource [
    fhir:v "http://ecqi.healthit.gov/ecqms/Library/Status|1.6.000"^^xsd:anyURI ;
    fhir:l <http://ecqi.healthit.gov/ecqms/Library/Status?version=1.6.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library FHIRHelpers" ] ;
    fhir:resource [
    fhir:v "http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers|4.3.000"^^xsd:anyURI ;
    fhir:l <http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers?version=4.3.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library QICoreCommon" ] ;
    fhir:resource [
    fhir:v "http://ecqi.healthit.gov/ecqms/Library/QICoreCommon|1.5.000"^^xsd:anyURI ;
    fhir:l <http://ecqi.healthit.gov/ecqms/Library/QICoreCommon?version=1.5.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library AdultOutpatientEncounters" ] ;
    fhir:resource [
    fhir:v "http://ecqi.healthit.gov/ecqms/Library/AdultOutpatientEncounters|4.6.000"^^xsd:anyURI ;
    fhir:l <http://ecqi.healthit.gov/ecqms/Library/AdultOutpatientEncounters?version=4.6.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library Hospice" ] ;
    fhir:resource [
    fhir:v "http://ecqi.healthit.gov/ecqms/Library/Hospice|6.7.000"^^xsd:anyURI ;
    fhir:l <http://ecqi.healthit.gov/ecqms/Library/Hospice?version=6.7.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library AIFrailLTCF" ] ;
    fhir:resource [
    fhir:v "http://ecqi.healthit.gov/ecqms/Library/AdvancedIllnessandFrailty|1.6.000"^^xsd:anyURI ;
    fhir:l <http://ecqi.healthit.gov/ecqms/Library/AdvancedIllnessandFrailty?version=1.6.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library Global" ] ;
    fhir:resource [
    fhir:v "http://ecqi.healthit.gov/ecqms/Library/CQMCommon|1.4.000"^^xsd:anyURI ;
    fhir:l <http://ecqi.healthit.gov/ecqms/Library/CQMCommon?version=1.4.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library CMD" ] ;
    fhir:resource [
    fhir:v "http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration|3.3.000"^^xsd:anyURI ;
    fhir:l <http://ecqi.healthit.gov/ecqms/Library/CumulativeMedicationDuration?version=3.3.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Library PalliativeCare" ] ;
    fhir:resource [
    fhir:v "http://ecqi.healthit.gov/ecqms/Library/PalliativeCare|1.7.000"^^xsd:anyURI ;
    fhir:l <http://ecqi.healthit.gov/ecqms/Library/PalliativeCare?version=1.7.000>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Code system LOINC" ] ;
    fhir:resource [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Code system SNOMEDCT" ] ;
    fhir:resource [
    fhir:v "http://snomed.info/sct"^^xsd:anyURI ;
    fhir:l <http://snomed.info/sct>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Code system ObservationCategoryCodes" ] ;
    fhir:resource [
    fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/observation-category>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Essential Hypertension" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.104.12.1011"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.104.12.1011>       ]     ] [
    fhir:type [ fhir:v "depends-on" ] ;
    fhir:display [ fhir:v "Value set Office Visit" ] ;
    fhir:resource [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001>       ]     ] [
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    fhir:display [ fhir:v "Value set Emergency Department Evaluation and Management Visit" ] ;
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    fhir:display [ fhir:v "Value set Advanced Illness" ] ;
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    fhir:display [ fhir:v "Value set Acute Inpatient" ] ;
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    fhir:display [ fhir:v "Value set Dementia Medications" ] ;
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    fhir:display [ fhir:v "Value set Palliative Care Diagnosis" ] ;
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    fhir:display [ fhir:v "Value set Palliative Care Intervention" ] ;
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    fhir:use [ fhir:v "in" ] ;
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    fhir:max [ fhir:v "1" ] ;
    fhir:type [ fhir:v "Period" ]     ] [
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    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:type [ fhir:v "string" ]     ] [
    fhir:name [ fhir:v "SDE Sex" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:type [ fhir:v "Coding" ]     ] [
    fhir:name [ fhir:v "Numerator" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:type [ fhir:v "boolean" ]     ] [
    fhir:name [ fhir:v "Denominator" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:type [ fhir:v "boolean" ]     ] [
    fhir:name [ fhir:v "SDE Payer" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:type [ fhir:v "Resource" ]     ] [
    fhir:name [ fhir:v "Initial Population" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:type [ fhir:v "boolean" ]     ] [
    fhir:name [ fhir:v "SDE Ethnicity" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:type [ fhir:v "Resource" ]     ] [
    fhir:name [ fhir:v "Denominator Exclusions" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:type [ fhir:v "boolean" ]     ] [
    fhir:name [ fhir:v "SDE Race" ] ;
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    fhir:max [ fhir:v "1" ] ;
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          ( fhir:profile [
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          ( fhir:mustSupport [ fhir:v "url" ] [ fhir:v "extension" ] ) ;
          ( fhir:codeFilter [
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            ( fhir:code [
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          ( fhir:profile [
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          ( fhir:mustSupport [ fhir:v "url" ] [ fhir:v "extension" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "url" ] ;
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          ( fhir:profile [
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    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>       ] ) ;
          ( fhir:mustSupport [ fhir:v "id" ] [ fhir:v "id.value" ] )     ] [
    fhir:type [ fhir:v "Encounter" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>       ] ) ;
          ( fhir:mustSupport [ fhir:v "type" ] [ fhir:v "hospitalization" ] [ fhir:v "hospitalization.dischargeDisposition" ] [ fhir:v "period" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "type" ] ;
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    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307>         ]       ] )     ] [
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          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>       ] ) ;
          ( fhir:mustSupport [ fhir:v "type" ] [ fhir:v "period" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "type" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003>         ]       ] )     ] [
    fhir:type [ fhir:v "Encounter" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>       ] ) ;
          ( fhir:mustSupport [ fhir:v "type" ] [ fhir:v "period" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "type" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.109.12.1014"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.109.12.1014>         ]       ] ) ;
          ( fhir:dateFilter [
    fhir:path [ fhir:v "period" ]       ] )     ] [
    fhir:type [ fhir:v "Encounter" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>       ] ) ;
          ( fhir:mustSupport [ fhir:v "type" ] [ fhir:v "period" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "type" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1088>         ]       ] )     ] [
    fhir:type [ fhir:v "Encounter" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>       ] ) ;
          ( fhir:mustSupport [ fhir:v "type" ] [ fhir:v "period" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "type" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1083>         ]       ] )     ] [
    fhir:type [ fhir:v "Encounter" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter>       ] ) ;
          ( fhir:mustSupport [ fhir:v "type" ] [ fhir:v "period" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "type" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090>         ]       ] )     ] [
    fhir:type [ fhir:v "Observation" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/StructureDefinition/bp"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/bp>       ] ) ;
          ( fhir:mustSupport [ fhir:v "encounter" ] [ fhir:v "encounter.class" ] [ fhir:v "encounter.class.code" ] [ fhir:v "effective" ] [ fhir:v "component" ] ) ;
          ( fhir:dateFilter [
    fhir:path [ fhir:v "effective" ] ;
    fhir:value [
    a fhir:Period ;
              ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/cqf-expression"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/cqf-expression>             ] ;
    fhir:value [
    a fhir:Expression ;
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "Measurement Period" ]             ]           ] )         ]       ] )     ] [
    fhir:type [ fhir:v "Condition" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.104.12.1011"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.104.12.1011>         ]       ] )     ] [
    fhir:type [ fhir:v "Condition" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165>         ]       ] )     ] [
    fhir:type [ fhir:v "Condition" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1074>         ]       ] )     ] [
    fhir:type [ fhir:v "Condition" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition>       ] ) ;
          ( fhir:mustSupport [ fhir:v "id" ] [ fhir:v "id.value" ] )     ] [
    fhir:type [ fhir:v "Condition" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167>         ]       ] )     ] [
    fhir:type [ fhir:v "Coverage" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage>       ] ) ;
          ( fhir:mustSupport [ fhir:v "type" ] [ fhir:v "period" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "type" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591>         ]       ] )     ] [
    fhir:type [ fhir:v "Observation" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "value" ] [ fhir:v "effective" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
            ( fhir:code [
    a loinc:45755-6 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>           ] ;
    fhir:code [ fhir:v "45755-6" ] ;
    fhir:display [ fhir:v "Hospice care [Minimum Data Set]" ]         ] )       ] [
    fhir:path [ fhir:v "value" ]       ] )     ] [
    fhir:type [ fhir:v "Observation" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "value" ] [ fhir:v "effective" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
            ( fhir:code [
    a loinc:98181-1 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>           ] ;
    fhir:code [ fhir:v "98181-1" ] ;
    fhir:display [ fhir:v "Medical equipment used" ]         ] )       ] [
    fhir:path [ fhir:v "value" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.118.12.1300>         ]       ] )     ] [
    fhir:type [ fhir:v "Observation" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "effective" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.113.12.1075>         ]       ] )     ] [
    fhir:type [ fhir:v "Observation" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "effective" ] [ fhir:v "value" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
            ( fhir:code [
    a loinc:71802-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>           ] ;
    fhir:code [ fhir:v "71802-3" ] ;
    fhir:display [ fhir:v "Housing status" ]         ] )       ] )     ] [
    fhir:type [ fhir:v "Observation" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "effective" ] [ fhir:v "value" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
            ( fhir:code [
    a loinc:71802-3 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>           ] ;
    fhir:code [ fhir:v "71802-3" ] ;
    fhir:display [ fhir:v "Housing status" ]         ] )       ] [
    fhir:path [ fhir:v "value" ]       ] )     ] [
    fhir:type [ fhir:v "Observation" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "effective" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
            ( fhir:code [
    a loinc:71007-9 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>           ] ;
    fhir:code [ fhir:v "71007-9" ] ;
    fhir:display [ fhir:v "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)" ]         ] )       ] )     ] [
    fhir:type [ fhir:v "ServiceRequest" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "authoredOn" ] [ fhir:v "authoredOn.value" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584>         ]       ] )     ] [
    fhir:type [ fhir:v "Procedure" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "performed" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584>         ]       ] )     ] [
    fhir:type [ fhir:v "Procedure" ] ;
          ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure>       ] ) ;
          ( fhir:mustSupport [ fhir:v "code" ] [ fhir:v "performed" ] ) ;
          ( fhir:codeFilter [
    fhir:path [ fhir:v "code" ] ;
    fhir:valueSet [
    fhir:v "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135"^^xsd:anyURI ;
    fhir:l <http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135>         ]       ] )     ] )
      ] ) ; #
      fhir:extension ( [
    fhir:id [ fhir:v "supplementalDataGuidance" ] ;
        ( fhir:extension [
    fhir:url [
    fhir:v "guidance"^^xsd:anyURI ;
    fhir:l fhir:guidance       ]     ] [
    fhir:url [
    fhir:v "usage"^^xsd:anyURI ;
    fhir:l fhir:usage       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-data-usage>           ] ;
    fhir:code [ fhir:v "supplemental-data" ] ;
    fhir:display [ fhir:v "Supplemental Data" ]         ] ) ;
    fhir:text [ fhir:v "Supplemental Data Guidance" ]       ]     ] ) ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance>     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem>     ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:l fhir:Device/cqf-tooling ;
    fhir:reference [ fhir:v "Device/cqf-tooling" ]     ]
      ] [
    fhir:id [ fhir:v "effective-data-requirements" ] ;
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements>     ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:l <#effective-data-requirements> ;
    fhir:reference [ fhir:v "#effective-data-requirements" ]     ]
      ] ) ; #
      fhir:url [
    fhir:v "http://ecqi.healthit.gov/ecqms/Measure/ControllingHighBloodPressureFHIR"^^xsd:anyURI ;
    fhir:l <http://ecqi.healthit.gov/ecqms/Measure/ControllingHighBloodPressureFHIR>
      ] ; #
      fhir:identifier ( [
    fhir:use [ fhir:v "usual" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type>         ] ;
    fhir:code [ fhir:v "short-name" ]       ] )     ] ;
    fhir:system [
    fhir:v "https://madie.cms.gov/measure/shortName"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/measure/shortName>     ] ;
    fhir:value [ fhir:v "CMS165FHIR" ]
      ] [
    fhir:use [ fhir:v "official" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type>         ] ;
    fhir:code [ fhir:v "version-independent" ]       ] )     ] ;
    fhir:system [
    fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
    fhir:l <urn:ietf:rfc:3986>     ] ;
    fhir:value [ fhir:v "urn:uuid:9017d914-6748-45a9-bff1-8392ed644a7b" ]
      ] [
    fhir:use [ fhir:v "official" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type>         ] ;
    fhir:code [ fhir:v "version-specific" ]       ] )     ] ;
    fhir:system [
    fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
    fhir:l <urn:ietf:rfc:3986>     ] ;
    fhir:value [ fhir:v "urn:uuid:e254a6be-bec3-4304-87bc-d85ad3d8fa39" ]
      ] [
    fhir:use [ fhir:v "official" ] ;
    fhir:type [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/CodeSystem/identifier-type>         ] ;
    fhir:code [ fhir:v "publisher" ]       ] )     ] ;
    fhir:system [
    fhir:v "https://madie.cms.gov/measure/cmsId"^^xsd:anyURI ;
    fhir:l <https://madie.cms.gov/measure/cmsId>     ] ;
    fhir:value [ fhir:v "165FHIR" ] ;
    fhir:assigner [
    fhir:display [ fhir:v "CMS" ]     ]
      ] ) ; #
      fhir:version [ fhir:v "0.0.001"] ; #
      fhir:name [ fhir:v "ControllingHighBloodPressureFHIR"] ; #
      fhir:title [ fhir:v "Controlling High Blood PressureFHIR"] ; #
      fhir:status [ fhir:v "draft"] ; #
      fhir:experimental [ fhir:v false] ; #
      fhir:date [ fhir:v "2023-09-07T19:36:39+00:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "National Committee for Quality Assurance"] ; #
      fhir:contact ( [
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.ncqa.org/" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "Percentage of patients 18-85 years of age who had a diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period, and whose most recent blood pressure was adequately controlled (<140/90 mmHg) during the measurement period"] ; #
      fhir:useContext ( [
    fhir:code [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/usage-context-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/usage-context-type>       ] ;
    fhir:code [ fhir:v "program" ]     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/CodeSystem/quality-programs>         ] ;
    fhir:code [ fhir:v "ep-ec" ] ;
    fhir:display [ fhir:v "EP/EC" ]       ] )     ]
      ] ) ; #
      fhir:purpose [ fhir:v "UNKNOWN"] ; #
      fhir:usage [ fhir:v "In reference to the numerator element, only blood pressure readings performed by a clinician or an automated blood pressure monitor or device are acceptable for numerator compliance with this measure. This includes blood pressures taken in person by a clinician and blood pressures measured remotely by electronic monitoring devices capable of transmitting the blood pressure data to the clinician. Blood pressure readings taken by an automated blood pressure monitor or device and conveyed by the patient to the clinician are also acceptable. It is the clinician’s responsibility and discretion to confirm the automated blood pressure monitor or device used to obtain the blood pressure is considered acceptable and reliable and whether the blood pressure reading is considered accurate before documenting it in the patient’s medical record.\n\nDo not include BP readings taken during an acute inpatient stay or an ED visit.\n\nIf no blood pressure is recorded during the measurement period, the patient's blood pressure is assumed \"not controlled\".\n\nIf there are multiple blood pressure readings on the same day, use the lowest systolic and the lowest diastolic reading as the most recent blood pressure reading. Ranges and thresholds do not meet criteria for this measure. A distinct numeric result for both the systolic and diastolic BP reading is required for numerator compliance.\n\nThis eCQM is a patient-based measure.\n\nThis FHIR-based measure has been derived from the QDM-based measure: CMS165v12.\n\nPlease refer to the HL7 QI-Core Implementation Guide (http://hl7.org/fhir/us/qicore/index.html) for more information on QI-Core and mapping recommendations from QDM to QI-Core 4.1.1 (http://hl7.org/fhir/us/qicore/qdm-to-qicore.html)."] ; #
      fhir:copyright [ fhir:v "This Physician Performance Measure (Measure) and related data specifications are owned and were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure can be reproduced and distributed, without modification, for noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. Commercial use is defined as the sale, licensing, or distribution of the Measure for commercial gain, or incorporation of the Measure into a product or service that is sold, licensed or distributed for commercial gain. All commercial uses or requests for modification must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2022 National Committee for Quality Assurance. All Rights Reserved.\n\nLimited proprietary coding is contained in the Measure specifications for user convenience. Users of proprietary code sets should obtain all necessary licenses from the owners of the code sets. NCQA disclaims all liability for use or accuracy of any third-party codes contained in the specifications.\n\nCPT(R) codes, descriptions and other data are copyright 2022. American Medical Association. All rights reserved. CPT is a trademark of the American Medical Association. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.\n\nLOINC(R) copyright 2004-2022 Regenstrief Institute, Inc. \n\nThis material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2022 International Health Terminology Standards Development Organisation. \n\nICD-10 copyright 2022 World Health Organization. All Rights Reserved."] ; #
      fhir:approvalDate [ fhir:v "2023-08-28"^^xsd:date] ; #
      fhir:lastReviewDate [ fhir:v "2023-08-28"^^xsd:date] ; #
      fhir:effectivePeriod [
    fhir:start [ fhir:v "2024-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2024-12-31"^^xsd:date ]
      ] ; #
      fhir:author ( [
    fhir:name [ fhir:v "National Committee for Quality Assurance" ] ;
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "https://www.ncqa.org/" ]     ] )
      ] ) ; #
      fhir:library ( [
    fhir:v "http://ecqi.healthit.gov/ecqms/Library/ControllingHighBloodPressureFHIR"^^xsd:anyURI ;
    fhir:l <http://ecqi.healthit.gov/ecqms/Library/ControllingHighBloodPressureFHIR>
      ] ) ; #
      fhir:disclaimer [ fhir:v "The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED \"AS IS\" WITHOUT WARRANTY OF ANY KIND. \n\nDue to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM]."] ; #
      fhir:rationale [ fhir:v "High blood pressure (HBP), also known as hypertension, is when the pressure in blood vessels is higher than normal (Centers for Disease Control and Prevention [CDC], 2021). The causes of hypertension are multiple and multifaceted and can be based on genetic predisposition, environmental risk factors, being overweight and obese, sodium intake, potassium intake, physical activity, and alcohol use. High blood pressure is common; according to the American Heart Association, between 2013-2016, approximately 121.5 million US adults >= 20 years of age had HBP and the prevalence of hypertension among US adults 65 and older was 77.0 percent (Virani et al., 2021). In an analysis of adults with hypertension in NHANES, the estimated age-adjusted proportion with controlled BP increased from 31.8 percent in 1999 to 53.8 percent in 2014. However, that proportion declined to 43.7 percent in 2017 to 2018 (Tsao et al., 2022).\n\nHBP, known as the “silent killer,” increases risks of heart disease and stroke which are two of the leading causes of death in the US; a person who has HBP is four times more likely to die from a stroke and three times more likely to die from heart disease (CDC, 2012). The National Center for Health Statistics reported that in 2020 there were over 670,000 deaths with HBP as a primary or contributing cause (CDC, 2022). Between 2009 and 2019 the number of deaths due to HBP rose by 65.3 percent (Tsao et al., 2022). Managing and treating HBP would reduce cardiovascular disease mortality for males and females by 30.4 percent and 38.0 percent, respectively (Patel et al., 2015). Age-adjusted death rates attributable to HBP in 2019 were more than twice as high in non-Hispanic Black males (56.7 percent) when compared to rates for non-Hispanic White males (25.7 percent) (Tsao et al., 2022).\n\nHBP costs the U.S. approximately 131 billion dollars each year, averaged over 12 years from 2003 to 2014 (Kirkland et al., 2018). A study on cost-effectiveness on treating hypertension found that controlling HBP in patients with cardiovascular disease and systolic blood pressures (SBP) of >= 160 mmHg could be effective and cost-saving (Moran, 2015).\n\nMany studies have shown that controlling high blood pressure reduces cardiovascular events and mortality. The Systolic Blood Pressure Intervention Trial (SPRINT) investigated the impact of obtaining a SBP goal of <120 mmHg compared to a SBP goal of <140 mmHg among patients 50 and older with established cardiovascular disease and found that the patients with the former goal had reduced cardiovascular events and mortality (SPRINT Research Group et al., 2015). \n\nControlling HBP will significantly reduce the risks of cardiovascular disease mortality and lead to better health outcomes like reduction of heart attacks, stroke, and kidney disease (James et al., 2014). Thus, the relationship between the measure (control of hypertension) and the long-term clinical outcomes listed is well established."] ; #
      fhir:clinicalRecommendationStatement [ fhir:v "U.S. Preventive Services Task Force (USPSTF) (2021):\n\n- The USPSTF recommends screening for hypertension in adults 18 years or older with office blood pressure measurement (OBPM). The USPSTF recommends obtaining blood pressure measurements outside of the clinical setting for diagnostic confirmation before starting treatment. This is a grade A recommendation.  \n\nAmerican College of Cardiology/American Heart Association (2017):\n\n- For adults with confirmed hypertension and known CVD or 10-year ASCVD event risk of 10 percent or higher, a blood pressure target of less than 130/80 mmHg is recommended (Level of evidence: B-R (for systolic blood pressures), Level of evidence: C-EO (for diastolic blood pressure)) \n\n- For adults with confirmed hypertension, without additional markers of increased CVD risk, a blood pressure target of less than 130/80 mmHg may be reasonable (Note: clinical trial evidence is strongest for a target blood pressure of 140/90 mmHg in this population. However, observational studies suggest that these individuals often have a high lifetime risk and would benefit from blood pressure control earlier in life) (Level of evidence: B-NR (for systolic blood pressure), Level of evidence: C-EO (for diastolic blood pressure)).\n\nAmerican College of Physicians and the American Academy of Family Physicians (2017):   \n\n- Initiate or intensify pharmacologic treatment in some adults aged 60 years or older at high cardiovascular risk, based on individualized assessment, to achieve a target systolic blood pressure of less than 140 mmHg (Grade: weak recommendation, Quality of evidence: low) \n\n- Initiate or intensify pharmacologic treatment in adults aged 60 years or older with a history of stroke or transient ischemic attack to achieve a target systolic blood pressure of less than 140 mmHg to reduce the risk of recurrent stroke (Grade: weak recommendation, Quality of evidence: moderate) \n\nAmerican Diabetes Association (2021): \n\n- For individuals with diabetes and hypertension at higher cardiovascular risk (existing atherosclerotic cardiovascular disease or 10-year atherosclerotic cardiovascular disease risk >=15 percent), a blood pressure target of <130/80 mmHg may be appropriate, if it can be safely attained (Level of evidence: C)\n\n- For individuals with diabetes and hypertension at lower risk for cardiovascular disease (10-year atherosclerotic cardiovascular disease risk <15 percent), treat to a blood pressure target of <140/90 mmHg (Level of evidence: A)"] ; #
      fhir:group ( [
    fhir:id [ fhir:v "643716e4d4d7050edabb0444" ] ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-scoring>           ] ;
    fhir:code [ fhir:v "proportion" ] ;
    fhir:display [ fhir:v "Proportion" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis>       ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "boolean"       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-type>           ] ;
    fhir:code [ fhir:v "outcome" ] ;
    fhir:display [ fhir:v "Outcome" ]         ] )       ]     ] ) ;
        ( fhir:population [
    fhir:id [ fhir:v "DB8494F3-F2F2-4493-A9F6-8793D5F77F41" ] ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    fhir:code [ fhir:v "initial-population" ] ;
    fhir:display [ fhir:v "Initial Population" ]         ] )       ] ;
    fhir:description [ fhir:v "Patients 18-85 years of age by the end of the measurement period who had a visit during the meaurement period and diagnosis of essential hypertension starting before and continuing into, or starting during the first six months of the measurement period" ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "Initial Population" ]       ]     ] [
    fhir:id [ fhir:v "47151B22-36FA-413F-8F3A-665071CB2E83" ] ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    fhir:code [ fhir:v "denominator" ] ;
    fhir:display [ fhir:v "Denominator" ]         ] )       ] ;
    fhir:description [ fhir:v "Equals Initial Population" ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "Denominator" ]       ]     ] [
    fhir:id [ fhir:v "cc61a60b-d556-4368-9651-a1577003ae68" ] ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    fhir:code [ fhir:v "denominator-exclusion" ] ;
    fhir:display [ fhir:v "Denominator Exclusion" ]         ] )       ] ;
    fhir:description [ fhir:v "Patients with evidence of end stage renal disease (ESRD), dialysis or renal transplant before or during the measurement period. Also exclude patients with a diagnosis of pregnancy during the measurement period.\n\nExclude patients who are in hospice care for any part of the measurement period.\n\nExclude patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period. \n\nExclude patients 66-80 by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria:\n- Advanced illness with two outpatient encounters during the measurement period or the year prior\n- OR advanced illness with one inpatient encounter during the measurement period or the year prior\n- OR taking dementia medications during the measurement period or the year prior\n\nExclude patients 81 and older by the end of the measurement period with an indication of frailty for any part of the measurement period.\n\nExclude patients receiving palliative care for any part of the measurement period." ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "Denominator Exclusions" ]       ]     ] [
    fhir:id [ fhir:v "5e313386-443f-4eab-a29f-2d70c0a39e5e" ] ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    fhir:code [ fhir:v "denominator-exception" ] ;
    fhir:display [ fhir:v "Denominator Exception" ]         ] )       ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ]       ]     ] [
    fhir:id [ fhir:v "D4F113F9-F280-45AC-ACDA-88CD87C42EB6" ] ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    fhir:code [ fhir:v "numerator" ] ;
    fhir:display [ fhir:v "Numerator" ]         ] )       ] ;
    fhir:description [ fhir:v "Patients whose most recent blood pressure is adequately controlled (systolic blood pressure < 140 mmHg and diastolic blood pressure < 90 mmHg) during the measurement period" ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "Numerator" ]       ]     ] [
    fhir:id [ fhir:v "9a4ce9df-cfb7-4305-9b9f-6c61c21f1027" ] ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    fhir:code [ fhir:v "numerator-exclusion" ] ;
    fhir:display [ fhir:v "Numerator Exclusion" ]         ] )       ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ]       ]     ] )
      ] ) ; #
      fhir:supplementalData ( [
    fhir:id [ fhir:v "sde-ethnicity" ] ;
        ( fhir:usage [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-data-usage>         ] ;
    fhir:code [ fhir:v "supplemental-data" ]       ] )     ] ) ;
    fhir:description [ fhir:v "SDE Ethnicity" ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "SDE Ethnicity" ]     ]
      ] [
    fhir:id [ fhir:v "sde-payer" ] ;
        ( fhir:usage [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-data-usage>         ] ;
    fhir:code [ fhir:v "supplemental-data" ]       ] )     ] ) ;
    fhir:description [ fhir:v "SDE Payer" ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "SDE Payer" ]     ]
      ] [
    fhir:id [ fhir:v "sde-race" ] ;
        ( fhir:usage [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-data-usage>         ] ;
    fhir:code [ fhir:v "supplemental-data" ]       ] )     ] ) ;
    fhir:description [ fhir:v "SDE Race" ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "SDE Race" ]     ]
      ] [
    fhir:id [ fhir:v "sde-sex" ] ;
        ( fhir:usage [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-data-usage"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-data-usage>         ] ;
    fhir:code [ fhir:v "supplemental-data" ]       ] )     ] ) ;
    fhir:description [ fhir:v "SDE Sex" ] ;
    fhir:criteria [
    fhir:language [ fhir:v "text/cql-identifier" ] ;
    fhir:expression [ fhir:v "SDE Sex" ]     ]
      ] ) . #