FHIRsmith: Measure/Measure-TSCComponent.json

FHIR IG analytics

Package	hl7.fhir.uv.cqm
Resource Type	Measure
Id	Measure-TSCComponent.json
FHIR Version	R4
Source	https://build.fhir.org/ig/HL7/fhir-cqm/Measure-TSCComponent.html
URL	http://hl7.org/fhir/uv/cqm/Measure/TSCComponent
Version	0.0.001
Status	active
Date	2025-08-13T17:14:51-06:00
Name	TSCComponent
Title	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Realm	uv
Authority	hl7
Description	This is an example only.

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Narrative

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Metadata
Title	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Version	0.0.001
Short Name	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
GUID (Version Independent)	http://example.org/fhir/us/cqm/Measure/HBPComponent
GUID (Version Specific)	http://example.org/fhir/us/cqm/Measure/138v12
Identifier	urn:oid:2.16.840.1.113883.4.642.40.61.29.18
Effective Period	2022-01-01 through 2022-12-31
Experimental	true
Use Context	Clinical Venue = EC
Jurisdiction	Global (Whole world)
Steward (Publisher)	HL7 International / Clinical Quality Information
Description	This is an example only.
Measure Basis	boolean
Measure Scoring	Proportion
Measure Type	Process
Improvement Notation	Increased score indicates improvement
Measure Group (Rate) (ID: primary)
Initial Population	ID: primary-tsccomponent-initial-population Description: No description provided Criteria: Initial Population
Denominator	ID: primary-tsccomponent-denominator Description: No description provided Criteria: Denominator 1
Denominator Exception	ID: primary-tsccomponent-denominator-exception Description: No description provided Criteria: Denominator Exceptions 1
Numerator	ID: primary-tsccomponent-numerator Description: No description provided Criteria: Numerator 1
Measure Group (Rate) (ID: group-2)
Initial Population	ID: group-2-tsccomponent-initial-population Description: No description provided Criteria: Initial Population
Denominator	ID: group-2-tsccomponent-denominator Description: No description provided Criteria: Denominator 2
Denominator Exception	ID: group-2-tsccomponent-denominator-exception Description: No description provided Criteria: Denominator Exceptions 2
Numerator	ID: group-2-tsccomponent-numerator Description: No description provided Criteria: Numerator 2
Measure Group (Rate) (ID: group-3)
Initial Population	ID: group-3-tsccomponent-initial-population Description: No description provided Criteria: Initial Population
Denominator	ID: group-3-tsccomponent-denominator Description: No description provided Criteria: Denominator 3
Denominator Exception	ID: group-3-tsccomponent-denominator-exception Description: No description provided Criteria: Denominator Exceptions 3
Numerator	ID: group-3-tsccomponent-numerator Description: No description provided Criteria: Numerator 3
Supplemental Data Elements
Supplemental Data Element	ID: fe7bab72-cc69-44bb-a678-473b24811e67 Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Ethnicity
Supplemental Data Element	ID: 2486f84d-df90-489b-8f5c-e55cdcfb361e Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Payer
Supplemental Data Element	ID: bb0949c4-1f7b-4ce2-a988-c2e60f1a0079 Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Race
Supplemental Data Element	ID: 742028bc-5aa5-4a5b-927d-be1908e10aaf Usage Code: Supplemental Data Description: No description provided Logic Definition: SDE Sex
Measure Logic
Primary Library	TSC Component Library
Contents	Population Criteria Logic Definitions Terminology Dependencies Data Requirements
Population Criteria
Measure Group (Rate) (ID: primary)
Initial Population
Initial Population	`define "Initial Population": exists ( ["Patient"] BirthDate where Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18 ) and ( Count("Office Based Visit During Measurement Period")>= 2 or exists "Preventive Visit During Measurement Period" )` Definition
Denominator
Denominator	`define "Denominator 1": "Initial Population"` Definition
Denominator Exception
Denominator Exception	`define "Denominator Exceptions 1": exists "Medical Reason for Not Screening for Tobacco Use" or "Has Limited Life Expectancy"` Definition
Numerator
Numerator	`define "Numerator 1": "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null or "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null` Definition
Measure Group (Rate) (ID: group-2)
Initial Population
Initial Population	`define "Initial Population": exists ( ["Patient"] BirthDate where Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18 ) and ( Count("Office Based Visit During Measurement Period")>= 2 or exists "Preventive Visit During Measurement Period" )` Definition
Denominator
Denominator	`define "Denominator 2": "Initial Population" and "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null` Definition
Denominator Exception
Denominator Exception	`define "Denominator Exceptions 2": exists "Medical Reason for Not Counseling Tobacco User" or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy" or "Has Limited Life Expectancy"` Definition
Numerator
Numerator	`define "Numerator 2": exists "Tobacco Cessation Counseling Given" or exists "Tobacco Cessation Pharmacotherapy Ordered"` Definition
Measure Group (Rate) (ID: group-3)
Initial Population
Initial Population	`define "Initial Population": exists ( ["Patient"] BirthDate where Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18 ) and ( Count("Office Based Visit During Measurement Period")>= 2 or exists "Preventive Visit During Measurement Period" )` Definition
Denominator
Denominator	`define "Denominator 3": "Initial Population"` Definition
Denominator Exception
Denominator Exception	`define "Denominator Exceptions 3": exists "Medical Reason for Not Screening for Tobacco Use" or exists "Medical Reason for Not Counseling Tobacco User" or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy" or "Has Limited Life Expectancy"` Definition
Numerator
Numerator	`define "Numerator 3": "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null or ( "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null and ( exists "Tobacco Cessation Counseling Given" or exists "Tobacco Cessation Pharmacotherapy Ordered" //or exists "Active Pharmacotherapy for Tobacco Cessation" ) )` Definition
Logic Definitions
Logic Definition	Library Name: SupplementalDataElements
Logic Definition	`define "SDE Race": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding`
Logic Definition	Library Name: SupplementalDataElements
Logic Definition	`define "SDE Sex": case when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' } when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' } else null end`
Logic Definition	Library Name: SupplementalDataElements
Logic Definition	`define "SDE Payer": [Coverage: type in "Payer"] Payer return { code: Payer.type, period: Payer.period }`
Logic Definition	Library Name: SupplementalDataElements
Logic Definition	`define "SDE Ethnicity": (flatten ( Patient.extension Extension where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity' return Extension.extension )) E where E.url = 'ombCategory' or E.url = 'detailed' return E.value as Coding`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Most Recent Tobacco Use Screening Indicates Tobacco Non User": ( Last(["Observation": "Tobacco Use Screening"] TobaccoUseScreening where Global."Normalize Interval"(TobaccoUseScreening.effective)overlaps "Measurement Period" sort by start of Global."Normalize Interval"(effective) )) MostRecentTobaccoUseScreening where MostRecentTobaccoUseScreening.value in "Tobacco Non-User"`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Most Recent Tobacco Use Screening Indicates Tobacco User": ( Last(["Observation": "Tobacco Use Screening"] TobaccoUseScreening where Global."Normalize Interval"(TobaccoUseScreening.effective)overlaps "Measurement Period" sort by start of Global."Normalize Interval"(effective) )) MostRecentTobaccoUseScreening where MostRecentTobaccoUseScreening.value in "Tobacco User"`
Logic Definition	Library Name: TSCComponent
Logic Definition	// MedicationStatement is not available in R5, known publication issue //define "Active Pharmacotherapy for Tobacco Cessation": // ["MedicationStatement": "Tobacco Use Cessation Pharmacotherapy"] TakingCessationPharmacotherapy // where Global."Normalize Interval" ( TakingCessationPharmacotherapy.effective ) overlaps after "Measurement Period" // and TakingCessationPharmacotherapy.status in { 'active', 'completed' } define "Tobacco Cessation Counseling Given": ["Encounter": "Tobacco Use Cessation Counseling"] TobaccoCessationCounseling where TobaccoCessationCounseling.period during "Measurement Period" and TobaccoCessationCounseling.status = 'finished'
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Tobacco Cessation Pharmacotherapy Ordered": ["MedicationRequest": "Tobacco Use Cessation Pharmacotherapy"] CessationPharmacotherapyOrdered where CessationPharmacotherapyOrdered.authoredOn during "Measurement Period" and CessationPharmacotherapyOrdered.status = 'active'`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Numerator 3": "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null or ( "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null and ( exists "Tobacco Cessation Counseling Given" or exists "Tobacco Cessation Pharmacotherapy Ordered" //or exists "Active Pharmacotherapy for Tobacco Cessation" ) )`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Medical Reason for Not Screening for Tobacco Use": ["Observation": "Tobacco Use Screening"] NoTobaccoUseScreening where NoTobaccoUseScreening.issued during "Measurement Period" and "Not Done"(NoTobaccoUseScreening) and "Not Done Reason in Medical Reason"(NoTobaccoUseScreening) and NoTobaccoUseScreening.status = 'final'`
Logic Definition	Library Name: TSCComponent
Logic Definition	`//or exists "Active Pharmacotherapy for Tobacco Cessation" define "Has Limited Life Expectancy": exists ( ["Condition"] LimitedLifeExpectancy where Global."Prevalence Period" ( LimitedLifeExpectancy ) overlaps after "Measurement Period" and LimitedLifeExpectancy.clinicalStatus ~ ToConcept(Global."active") )`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Denominator Exceptions 1": exists "Medical Reason for Not Screening for Tobacco Use" or "Has Limited Life Expectancy"`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Numerator 1": "Most Recent Tobacco Use Screening Indicates Tobacco Non User" is not null or "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Numerator 2": exists "Tobacco Cessation Counseling Given" or exists "Tobacco Cessation Pharmacotherapy Ordered"`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "SDE Race": SDE."SDE Race"`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "SDE Sex": SDE."SDE Sex"`
Logic Definition	Library Name: TSCComponent
Logic Definition	define "Office Based Visit During Measurement Period": ( ["Encounter": "Health behavior intervention, individual, face-to-face; initial 30 minutes"] union ["Encounter": "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"] union ["Encounter": "Home Healthcare Services"] union ["Encounter": "Occupational Therapy Evaluation"] union ["Encounter": "Office Visit"] union ["Encounter": "Ophthalmological Services"] union ["Encounter": "Physical Therapy Evaluation"] union ["Encounter": "Psych Visit - Diagnostic Evaluation"] union ["Encounter": "Psych Visit - Psychotherapy"] union ["Encounter": "Psychoanalysis"] union ["Encounter": "Speech and Hearing Evaluation"] ) OfficeBasedEncounter where OfficeBasedEncounter.period during "Measurement Period" and OfficeBasedEncounter.status = 'finished'
Logic Definition	Library Name: TSCComponent
Logic Definition	define "Preventive Visit During Measurement Period": ( ["Encounter": "Annual Wellness Visit"] union ["Encounter": "Preventive Care Services - Established Office Visit, 18 and Up"] union ["Encounter": "Preventive Care Services - Group Counseling"] union ["Encounter": "Preventive Care Services - Other"] union ["Encounter": "Preventive Care Services-Individual Counseling"] union ["Encounter": "Preventive Care Services-Initial Office Visit, 18 and Up"] ) PreventiveEncounter where PreventiveEncounter.period during "Measurement Period" and PreventiveEncounter.status = 'finished'
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Initial Population": exists ( ["Patient"] BirthDate where Global."CalendarAgeInYearsAt" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of "Measurement Period" ) >= 18 ) and ( Count("Office Based Visit During Measurement Period")>= 2 or exists "Preventive Visit During Measurement Period" )`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Denominator 3": "Initial Population"`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Denominator 2": "Initial Population" and "Most Recent Tobacco Use Screening Indicates Tobacco User" is not null`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "SDE Payer": SDE."SDE Payer"`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "SDE Ethnicity": SDE."SDE Ethnicity"`
Logic Definition	Library Name: TSCComponent
Logic Definition	define "Medical Reason for Not Counseling Tobacco User": ["Procedure": "Tobacco Use Cessation Counseling"] NoTobaccoCessationCounseling where Global."Normalize Interval" ( NoTobaccoCessationCounseling.performed ) starts during "Measurement Period" and ( ( NoTobaccoCessationCounseling.status = 'not-done' and NoTobaccoCessationCounseling.statusReason in "Medical Reason" ) or ( "Not Done"(NoTobaccoCessationCounseling) and "Not Done Reason in Medical Reason"(NoTobaccoCessationCounseling) ) )
Logic Definition	Library Name: TSCComponent
Logic Definition	define "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy": ["MedicationRequest": "Tobacco Use Cessation Pharmacotherapy"] NoCessationPharmacotherapyOrdered where NoCessationPharmacotherapyOrdered.authoredOn during "Measurement Period" and NoCessationPharmacotherapyOrdered.status = 'completed' and ( ( "Not Done"(NoCessationPharmacotherapyOrdered) and "Not Done Reason in Medical Reason"(NoCessationPharmacotherapyOrdered) ) or ( NoCessationPharmacotherapyOrdered.doNotPerform = true and NoCessationPharmacotherapyOrdered.statusReason in "Medical Reason" ) )
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Denominator Exceptions 2": exists "Medical Reason for Not Counseling Tobacco User" or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy" or "Has Limited Life Expectancy"`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Denominator Exceptions 3": exists "Medical Reason for Not Screening for Tobacco Use" or exists "Medical Reason for Not Counseling Tobacco User" or exists "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy" or "Has Limited Life Expectancy"`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define "Denominator 1": "Initial Population"`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define function "Not Done"(res DomainResource ): if ( res R where ( "GetModiferExtension"(R, 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDone').value = true ) ) is not null then true else false`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define function "GetModiferExtension"(res DomainResource, url String ): singleton from "GetModifierExtensions"(res, url)`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define function "GetModifierExtensions"(res DomainResource, url String ): res.modifierExtension E where E.url = ( url ) return E`
Logic Definition	Library Name: TSCComponent
Logic Definition	`define function "Not Done Reason in Medical Reason"(res DomainResource ): if ( res R where "GetModiferExtension"(R, 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneReason').value in "Medical Reason" ) is not null then true else false`
Logic Definition	Library Name: MATGlobalCommonFunctions
Logic Definition	`define function "Prevalence Period"(condition Condition): Interval[start of "Normalize Interval"(condition.onset), end of "Normalize Abatement"(condition))`
Logic Definition	Library Name: MATGlobalCommonFunctions
Logic Definition	define function "Normalize Abatement"(condition Condition): if condition.abatement is FHIR.dateTime then Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)] else if condition.abatement is FHIR.Period then FHIRHelpers.ToInterval(condition.abatement as FHIR.Period) else if condition.abatement is FHIR.string then Message(null as Interval<DateTime>, true, '1', 'Error', 'Cannot compute an interval from a String value') else if condition.abatement is FHIR.Age then Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age), FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year) else if condition.abatement is FHIR.Range then Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low), FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year) else if condition.abatement is FHIR.boolean then Interval[end of "Normalize Interval"(condition.onset), condition.recordedDate) else null
Logic Definition	Library Name: MATGlobalCommonFunctions
Logic Definition	`define function "CalendarAgeInYearsAt"(BirthDateTime DateTime, AsOf DateTime): years between ToDate(BirthDateTime)and ToDate(AsOf)`
Logic Definition	Library Name: MATGlobalCommonFunctions
Logic Definition	`define function "ToDate"(Value DateTime): DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`define function ToString(value string): value.value`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	/* @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period) value to a CQL DateTime Interval @comment: If the start value of the given period is unspecified, the starting boundary of the resulting interval will be open (meaning the start of the interval is unknown, as opposed to interpreted as the beginning of time). */ define function ToInterval(period FHIR.Period): if period is null then null else if period."start" is null then Interval(period."start".value, period."end".value] else Interval[period."start".value, period."end".value]
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`define function ToString(value EncounterStatus): value.value`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`/* @description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept. */ define function ToConcept(concept FHIR.CodeableConcept): if concept is null then null else System.Concept { codes: concept.coding C return ToCode(C), display: concept.text.value }`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`/* @description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code. */ define function ToCode(coding FHIR.Coding): if coding is null then null else System.Code { code: coding.code.value, system: coding.system.value, version: coding.version.value, display: coding.display.value }`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`define function ToDateTime(value dateTime): value.value`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`define function ToString(value MedicationRequestStatus): value.value`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`define function ToDateTime(value instant): value.value`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`define function ToBoolean(value boolean): value.value`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`define function ToString(value uri): value.value`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`define function ToString(value base64Binary): value.value`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`define function ToString(value ObservationStatus): value.value`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`define function ToDate(value date): value.value`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	/* @description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity) value to a CQL Quantity @comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity has a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`) an error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used. @seealso: ToCalendarUnit */ define function ToQuantity(quantity FHIR.Quantity): case when quantity is null then null when quantity.value is null then null when quantity.comparator is not null then Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.') when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org' or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) } else Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '\|' & quantity.code.value & ')') end
Logic Definition	Library Name: FHIRHelpers
Logic Definition	/* @description: Converts a UCUM definite duration unit to a CQL calendar duration unit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities) topic of the CQL specification. @comment: Note that for durations above days (or weeks), the conversion is understood to be approximate */ define function ToCalendarUnit(unit System.String): case unit when 'ms' then 'millisecond' when 's' then 'second' when 'min' then 'minute' when 'h' then 'hour' when 'd' then 'day' when 'wk' then 'week' when 'mo' then 'month' when 'a' then 'year' else unit end
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`define function ToString(value AdministrativeGender): value.value`
Logic Definition	Library Name: FHIRHelpers
Logic Definition	`define function ToString(value ProcedureStatus): value.value`
Terminology
Code System	Description: Code system ConditionClinicalStatusCodes Resource: Condition Clinical Status Codes Canonical URL: `http://terminology.hl7.org/CodeSystem/condition-clinical`
Code System	Description: Code system CPT Resource: Current Procedural Terminology (CPT®) Canonical URL: `http://www.ama-assn.org/go/cpt`
Value Set	Description: Value set Tobacco Use Screening Resource: Tobacco Use Screening Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278`
Value Set	Description: Value set Tobacco Non-User Resource: Tobacco Non User Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1189`
Value Set	Description: Value set Tobacco User Resource: Tobacco User Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1170`
Value Set	Description: Value set Tobacco Use Cessation Counseling Resource: Tobacco Use Cessation Counseling Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509`
Value Set	Description: Value set Tobacco Use Cessation Pharmacotherapy Resource: Tobacco Use Cessation Pharmacotherapy Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190`
Value Set	Description: Value set Medical Reason Resource: Medical Reason Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007`
Value Set	Description: Value set Home Healthcare Services Resource: Home Healthcare Services Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016`
Value Set	Description: Value set Occupational Therapy Evaluation Resource: Occupational Therapy Evaluation Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011`
Value Set	Description: Value set Office Visit Resource: Office Visit Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001`
Value Set	Description: Value set Ophthalmological Services Resource: Ophthalmological Services Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285`
Value Set	Description: Value set Physical Therapy Evaluation Resource: Physical Therapy Evaluation Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022`
Value Set	Description: Value set Psych Visit - Diagnostic Evaluation Resource: Psych Visit Diagnostic Evaluation Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492`
Value Set	Description: Value set Psych Visit - Psychotherapy Resource: Psych Visit Psychotherapy Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496`
Value Set	Description: Value set Psychoanalysis Resource: Psychoanalysis Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141`
Value Set	Description: Value set Speech and Hearing Evaluation Resource: Speech and Hearing Evaluation Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530`
Value Set	Description: Value set Annual Wellness Visit Resource: Annual Wellness Visit Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240`
Value Set	Description: Value set Preventive Care Services - Established Office Visit, 18 and Up Resource: Preventive Care Services Established Office Visit, 18 and Up Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025`
Value Set	Description: Value set Preventive Care Services - Group Counseling Resource: Preventive Care Services Group Counseling Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027`
Value Set	Description: Value set Preventive Care Services - Other Resource: Preventive Care Services Other Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030`
Value Set	Description: Value set Preventive Care Services-Individual Counseling Resource: Preventive Care Services Individual Counseling Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026`
Value Set	Description: Value set Preventive Care Services-Initial Office Visit, 18 and Up Resource: Preventive Care Services Initial Office Visit, 18 and Up Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023`
Value Set	Description: Value set Payer Resource: Payer Type Canonical URL: `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591`
Direct Reference Code	Code: active System: `http://terminology.hl7.org/CodeSystem/condition-clinical`
Direct Reference Code	Display: Health behavior intervention, individual, face-to-face; initial 30 minutes Code: 96158 System: `http://www.ama-assn.org/go/cpt`
Direct Reference Code	Display: Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making) Code: 96156 System: `http://www.ama-assn.org/go/cpt`
Dependencies
Dependency	Description: Library Global Resource: MAT Global Common Functions FHIR Libraryversion: null5.0.000) Canonical URL: `http://hl7.org/fhir/uv/cqm/Library/MATGlobalCommonFunctions\|5.0.000`
Dependency	Description: Library FHIRHelpers Resource: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers\|4.0.1 Canonical URL: `http://hl7.org/fhir/uv/cql/Library/FHIRHelpers\|4.0.1`
Dependency	Description: Library SDE Resource: Supplemental Data Elementsversion: null2.0.000) Canonical URL: `http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements\|2.0.000`
Data Requirements
Data Requirement	Type: Observation Profile(s): Observation Must Support Elements: code, effective, value, issued, status Code Filter(s): Path: code ValueSet: Tobacco Use Screening
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Tobacco Use Cessation Counseling
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type Code(s): Current Procedural Terminology (CPT®): 96158 (Health behavior intervention, individual, face-to-face; initial 30 minutes)
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type Code(s): Current Procedural Terminology (CPT®): 96156 (Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making))
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Home Healthcare Services
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Occupational Therapy Evaluation
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Office Visit
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Ophthalmological Services
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Physical Therapy Evaluation
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Psych Visit Diagnostic Evaluation
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Psych Visit Psychotherapy
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Psychoanalysis
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Speech and Hearing Evaluation
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Annual Wellness Visit
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Preventive Care Services Established Office Visit, 18 and Up
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Preventive Care Services Group Counseling
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Preventive Care Services Other
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Preventive Care Services Individual Counseling
Data Requirement	Type: Encounter Profile(s): Encounter Must Support Elements: type, period, status Code Filter(s): Path: type ValueSet: Preventive Care Services Initial Office Visit, 18 and Up
Data Requirement	Type: MedicationRequest Profile(s): MedicationRequest Must Support Elements: medication, authoredOn, status, doNotPerform, statusReason Code Filter(s): Path: medication ValueSet: Tobacco Use Cessation Pharmacotherapy
Data Requirement	Type: MedicationRequest Profile(s): MedicationRequest Must Support Elements: medication.reference, authoredOn, status, doNotPerform, statusReason
Data Requirement	Type: Medication Profile(s): Medication Must Support Elements: id, code
Data Requirement	Type: Patient Profile(s): Patient Must Support Elements: url, extension, value, birthDate
Data Requirement	Type: Condition Profile(s): Condition Must Support Elements: clinicalStatus
Data Requirement	Type: Coverage Profile(s): Coverage Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Type
Data Requirement	Type: Procedure Profile(s): Procedure Must Support Elements: code, performed, status, statusReason Code Filter(s): Path: code ValueSet: Tobacco Use Cessation Counseling
Generated using version 0.4.9 of the sample-content-ig Liquid templates

Source1

{
  "resourceType": "Measure",
  "id": "TSCComponent",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-publishablemeasure",
      "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure",
      "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-proportionmeasure"
    ]
  },
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
    {
      "resourceType": "Library",
      "id": "effective-data-requirements",
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
          "valueCoding": {
            "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
            "code": "active"
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
          "valueCoding": {
            "system": "http://www.ama-assn.org/go/cpt",
            "code": "96158",
            "display": "Health behavior intervention, individual, face-to-face; initial 30 minutes"
          }
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode",
          "valueCoding": {
            "system": "http://www.ama-assn.org/go/cpt",
            "code": "96156",
            "display": "Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)"
          }
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Most Recent Tobacco Use Screening Indicates Tobacco Non User"
            },
            {
              "url": "statement",
              "valueString": "define \"Most Recent Tobacco Use Screening Indicates Tobacco Non User\":   ( Last([\"Observation\": \"Tobacco Use Screening\"] TobaccoUseScreening         where Global.\"Normalize Interval\"(TobaccoUseScreening.effective)overlaps \"Measurement Period\"         sort by start of Global.\"Normalize Interval\"(effective)     )) MostRecentTobaccoUseScreening       where MostRecentTobaccoUseScreening.value in \"Tobacco Non-User\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 0
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Most Recent Tobacco Use Screening Indicates Tobacco User"
            },
            {
              "url": "statement",
              "valueString": "define \"Most Recent Tobacco Use Screening Indicates Tobacco User\":   ( Last([\"Observation\": \"Tobacco Use Screening\"] TobaccoUseScreening         where Global.\"Normalize Interval\"(TobaccoUseScreening.effective)overlaps \"Measurement Period\"         sort by start of Global.\"Normalize Interval\"(effective)     )) MostRecentTobaccoUseScreening       where MostRecentTobaccoUseScreening.value in \"Tobacco User\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 1
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Tobacco Cessation Counseling Given"
            },
            {
              "url": "statement",
              "valueString": "// MedicationStatement is not available in R5, known publication issue //define \"Active Pharmacotherapy for Tobacco Cessation\": //  [\"MedicationStatement\": \"Tobacco Use Cessation Pharmacotherapy\"] TakingCessationPharmacotherapy //      where Global.\"Normalize Interval\" ( TakingCessationPharmacotherapy.effective ) overlaps after \"Measurement Period\" //        and TakingCessationPharmacotherapy.status in { 'active', 'completed' }  define \"Tobacco Cessation Counseling Given\":   [\"Encounter\": \"Tobacco Use Cessation Counseling\"] TobaccoCessationCounseling       where TobaccoCessationCounseling.period during \"Measurement Period\"         and TobaccoCessationCounseling.status = 'finished'"
            },
            {
              "url": "displaySequence",
              "valueInteger": 2
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Tobacco Cessation Pharmacotherapy Ordered"
            },
            {
              "url": "statement",
              "valueString": "define \"Tobacco Cessation Pharmacotherapy Ordered\":   [\"MedicationRequest\": \"Tobacco Use Cessation Pharmacotherapy\"] CessationPharmacotherapyOrdered       where CessationPharmacotherapyOrdered.authoredOn during \"Measurement Period\"         and CessationPharmacotherapyOrdered.status = 'active'"
            },
            {
              "url": "displaySequence",
              "valueInteger": 3
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Numerator 3"
            },
            {
              "url": "statement",
              "valueString": "define \"Numerator 3\":   \"Most Recent Tobacco Use Screening Indicates Tobacco Non User\" is not null       or ( \"Most Recent Tobacco Use Screening Indicates Tobacco User\" is not null           and ( exists \"Tobacco Cessation Counseling Given\"               or exists \"Tobacco Cessation Pharmacotherapy Ordered\"               //or exists \"Active Pharmacotherapy for Tobacco Cessation\"           )       )"
            },
            {
              "url": "displaySequence",
              "valueInteger": 4
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Medical Reason for Not Screening for Tobacco Use"
            },
            {
              "url": "statement",
              "valueString": "define \"Medical Reason for Not Screening for Tobacco Use\":   [\"Observation\": \"Tobacco Use Screening\"] NoTobaccoUseScreening       where NoTobaccoUseScreening.issued during \"Measurement Period\"         and \"Not Done\"(NoTobaccoUseScreening)         and \"Not Done Reason in Medical Reason\"(NoTobaccoUseScreening)         and NoTobaccoUseScreening.status = 'final'"
            },
            {
              "url": "displaySequence",
              "valueInteger": 5
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Has Limited Life Expectancy"
            },
            {
              "url": "statement",
              "valueString": "//or exists \"Active Pharmacotherapy for Tobacco Cessation\"  define \"Has Limited Life Expectancy\":   exists ( [\"Condition\"] LimitedLifeExpectancy         where Global.\"Prevalence Period\" ( LimitedLifeExpectancy ) overlaps after \"Measurement Period\"           and LimitedLifeExpectancy.clinicalStatus ~ ToConcept(Global.\"active\")     )"
            },
            {
              "url": "displaySequence",
              "valueInteger": 6
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Denominator Exceptions 1"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator Exceptions 1\":   exists \"Medical Reason for Not Screening for Tobacco Use\"       or \"Has Limited Life Expectancy\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 7
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Numerator 1"
            },
            {
              "url": "statement",
              "valueString": "define \"Numerator 1\":   \"Most Recent Tobacco Use Screening Indicates Tobacco Non User\" is not null       or \"Most Recent Tobacco Use Screening Indicates Tobacco User\" is not null"
            },
            {
              "url": "displaySequence",
              "valueInteger": 8
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Numerator 2"
            },
            {
              "url": "statement",
              "valueString": "define \"Numerator 2\":   exists \"Tobacco Cessation Counseling Given\"       or exists \"Tobacco Cessation Pharmacotherapy Ordered\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 9
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "SupplementalDataElements"
            },
            {
              "url": "name",
              "valueString": "SDE Race"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Race\":   (flatten (       Patient.extension Extension         where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-race'           return Extension.extension     )) E       where E.url = 'ombCategory'         or E.url = 'detailed'       return E.value as Coding"
            },
            {
              "url": "displaySequence",
              "valueInteger": 10
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "SDE Race"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Race\":   SDE.\"SDE Race\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 11
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "SupplementalDataElements"
            },
            {
              "url": "name",
              "valueString": "SDE Sex"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Sex\":   case       when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' }       when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' }       else null     end"
            },
            {
              "url": "displaySequence",
              "valueInteger": 12
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "SDE Sex"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Sex\":   SDE.\"SDE Sex\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 13
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Office Based Visit During Measurement Period"
            },
            {
              "url": "statement",
              "valueString": "define \"Office Based Visit During Measurement Period\":   ( [\"Encounter\": \"Health behavior intervention, individual, face-to-face; initial 30 minutes\"]       union [\"Encounter\": \"Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)\"]       union [\"Encounter\": \"Home Healthcare Services\"]       union [\"Encounter\": \"Occupational Therapy Evaluation\"]       union [\"Encounter\": \"Office Visit\"]       union [\"Encounter\": \"Ophthalmological Services\"]       union [\"Encounter\": \"Physical Therapy Evaluation\"]       union [\"Encounter\": \"Psych Visit - Diagnostic Evaluation\"]       union [\"Encounter\": \"Psych Visit - Psychotherapy\"]       union [\"Encounter\": \"Psychoanalysis\"]       union [\"Encounter\": \"Speech and Hearing Evaluation\"] ) OfficeBasedEncounter       where OfficeBasedEncounter.period during \"Measurement Period\"         and OfficeBasedEncounter.status = 'finished'"
            },
            {
              "url": "displaySequence",
              "valueInteger": 14
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Preventive Visit During Measurement Period"
            },
            {
              "url": "statement",
              "valueString": "define \"Preventive Visit During Measurement Period\":   ( [\"Encounter\": \"Annual Wellness Visit\"]       union [\"Encounter\": \"Preventive Care Services - Established Office Visit, 18 and Up\"]       union [\"Encounter\": \"Preventive Care Services - Group Counseling\"]       union [\"Encounter\": \"Preventive Care Services - Other\"]       union [\"Encounter\": \"Preventive Care Services-Individual Counseling\"]       union [\"Encounter\": \"Preventive Care Services-Initial Office Visit, 18 and Up\"] ) PreventiveEncounter       where PreventiveEncounter.period during \"Measurement Period\"         and PreventiveEncounter.status = 'finished'"
            },
            {
              "url": "displaySequence",
              "valueInteger": 15
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Initial Population"
            },
            {
              "url": "statement",
              "valueString": "define \"Initial Population\":   exists ( [\"Patient\"] BirthDate         where Global.\"CalendarAgeInYearsAt\" ( FHIRHelpers.ToDate ( BirthDate.birthDate ), start of \"Measurement Period\" ) >= 18     )       and ( Count(\"Office Based Visit During Measurement Period\")>= 2           or exists \"Preventive Visit During Measurement Period\"       )"
            },
            {
              "url": "displaySequence",
              "valueInteger": 16
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Denominator 3"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator 3\":   \"Initial Population\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 17
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Denominator 2"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator 2\":   \"Initial Population\"       and \"Most Recent Tobacco Use Screening Indicates Tobacco User\" is not null"
            },
            {
              "url": "displaySequence",
              "valueInteger": 18
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "SupplementalDataElements"
            },
            {
              "url": "name",
              "valueString": "SDE Payer"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Payer\":   [Coverage: type in \"Payer\"] Payer         return {           code: Payer.type,           period: Payer.period         }"
            },
            {
              "url": "displaySequence",
              "valueInteger": 19
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "SDE Payer"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Payer\":   SDE.\"SDE Payer\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 20
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "SupplementalDataElements"
            },
            {
              "url": "name",
              "valueString": "SDE Ethnicity"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Ethnicity\":   (flatten (       Patient.extension Extension         where Extension.url = 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity'           return Extension.extension     )) E       where E.url = 'ombCategory'         or E.url = 'detailed'       return E.value as Coding"
            },
            {
              "url": "displaySequence",
              "valueInteger": 21
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "SDE Ethnicity"
            },
            {
              "url": "statement",
              "valueString": "define \"SDE Ethnicity\":   SDE.\"SDE Ethnicity\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 22
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Medical Reason for Not Counseling Tobacco User"
            },
            {
              "url": "statement",
              "valueString": "define \"Medical Reason for Not Counseling Tobacco User\":   [\"Procedure\": \"Tobacco Use Cessation Counseling\"] NoTobaccoCessationCounseling       where Global.\"Normalize Interval\" ( NoTobaccoCessationCounseling.performed ) starts during \"Measurement Period\"         and ( ( NoTobaccoCessationCounseling.status = 'not-done'               and NoTobaccoCessationCounseling.statusReason in \"Medical Reason\"           )             or ( \"Not Done\"(NoTobaccoCessationCounseling)                 and \"Not Done Reason in Medical Reason\"(NoTobaccoCessationCounseling)             )         )"
            },
            {
              "url": "displaySequence",
              "valueInteger": 23
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy"
            },
            {
              "url": "statement",
              "valueString": "define \"Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy\":   [\"MedicationRequest\": \"Tobacco Use Cessation Pharmacotherapy\"] NoCessationPharmacotherapyOrdered       where NoCessationPharmacotherapyOrdered.authoredOn during \"Measurement Period\"         and NoCessationPharmacotherapyOrdered.status = 'completed'         and ( ( \"Not Done\"(NoCessationPharmacotherapyOrdered)               and \"Not Done Reason in Medical Reason\"(NoCessationPharmacotherapyOrdered)           )             or ( NoCessationPharmacotherapyOrdered.doNotPerform = true                 and NoCessationPharmacotherapyOrdered.statusReason in \"Medical Reason\"             )         )"
            },
            {
              "url": "displaySequence",
              "valueInteger": 24
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Denominator Exceptions 2"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator Exceptions 2\":   exists \"Medical Reason for Not Counseling Tobacco User\"       or exists \"Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy\"       or \"Has Limited Life Expectancy\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 25
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Denominator Exceptions 3"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator Exceptions 3\":   exists \"Medical Reason for Not Screening for Tobacco Use\"       or exists \"Medical Reason for Not Counseling Tobacco User\"       or exists \"Medical Reason for Not Ordering Tobacco Cessation Pharmacotherapy\"       or \"Has Limited Life Expectancy\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 26
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Denominator 1"
            },
            {
              "url": "statement",
              "valueString": "define \"Denominator 1\":   \"Initial Population\""
            },
            {
              "url": "displaySequence",
              "valueInteger": 27
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value string): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 28
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToInterval"
            },
            {
              "url": "statement",
              "valueString": "/* @description: Converts the given [Period](https://hl7.org/fhir/datatypes.html#Period) value to a CQL DateTime Interval @comment: If the start value of the given period is unspecified, the starting boundary of the resulting interval will be open (meaning the start of the interval is unknown, as opposed to interpreted as the beginning of time). */ define function ToInterval(period FHIR.Period):     if period is null then         null     else         if period.\"start\" is null then             Interval(period.\"start\".value, period.\"end\".value]         else             Interval[period.\"start\".value, period.\"end\".value]"
            },
            {
              "url": "displaySequence",
              "valueInteger": 29
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value EncounterStatus): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 30
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToConcept"
            },
            {
              "url": "statement",
              "valueString": "/* @description: Converts the given FHIR [CodeableConcept](https://hl7.org/fhir/datatypes.html#CodeableConcept) value to a CQL Concept. */ define function ToConcept(concept FHIR.CodeableConcept):     if concept is null then         null     else         System.Concept {             codes: concept.coding C return ToCode(C),             display: concept.text.value         }"
            },
            {
              "url": "displaySequence",
              "valueInteger": 31
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToCode"
            },
            {
              "url": "statement",
              "valueString": "/* @description: Converts the given FHIR [Coding](https://hl7.org/fhir/datatypes.html#Coding) value to a CQL Code. */ define function ToCode(coding FHIR.Coding):     if coding is null then         null     else         System.Code {           code: coding.code.value,           system: coding.system.value,           version: coding.version.value,           display: coding.display.value         }"
            },
            {
              "url": "displaySequence",
              "valueInteger": 32
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToDateTime"
            },
            {
              "url": "statement",
              "valueString": "define function ToDateTime(value dateTime): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 33
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value MedicationRequestStatus): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 34
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToDateTime"
            },
            {
              "url": "statement",
              "valueString": "define function ToDateTime(value instant): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 35
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Not Done"
            },
            {
              "url": "statement",
              "valueString": "define function \"Not Done\"(res DomainResource ):   if ( res R       where ( \"GetModiferExtension\"(R, 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDone').value = true )   ) is not null then true     else false"
            },
            {
              "url": "displaySequence",
              "valueInteger": 36
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToBoolean"
            },
            {
              "url": "statement",
              "valueString": "define function ToBoolean(value boolean): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 37
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "GetModiferExtension"
            },
            {
              "url": "statement",
              "valueString": "define function \"GetModiferExtension\"(res DomainResource, url String ):   singleton from \"GetModifierExtensions\"(res, url)"
            },
            {
              "url": "displaySequence",
              "valueInteger": 38
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "GetModifierExtensions"
            },
            {
              "url": "statement",
              "valueString": "define function \"GetModifierExtensions\"(res DomainResource, url String ):   res.modifierExtension E     where E.url = ( url )     return E"
            },
            {
              "url": "displaySequence",
              "valueInteger": 39
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value uri): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 40
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "TSCComponent"
            },
            {
              "url": "name",
              "valueString": "Not Done Reason in Medical Reason"
            },
            {
              "url": "statement",
              "valueString": "define function \"Not Done Reason in Medical Reason\"(res DomainResource ):   if ( res R       where \"GetModiferExtension\"(R, 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneReason').value in \"Medical Reason\"   ) is not null then true     else false"
            },
            {
              "url": "displaySequence",
              "valueInteger": 41
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value base64Binary): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 42
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value ObservationStatus): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 43
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "MATGlobalCommonFunctions"
            },
            {
              "url": "name",
              "valueString": "Prevalence Period"
            },
            {
              "url": "statement",
              "valueString": "define function \"Prevalence Period\"(condition Condition):   Interval[start of \"Normalize Interval\"(condition.onset), end of \"Normalize Abatement\"(condition))"
            },
            {
              "url": "displaySequence",
              "valueInteger": 44
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "MATGlobalCommonFunctions"
            },
            {
              "url": "name",
              "valueString": "Normalize Abatement"
            },
            {
              "url": "statement",
              "valueString": "define function \"Normalize Abatement\"(condition Condition):  if condition.abatement is FHIR.dateTime then    Interval[FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime), FHIRHelpers.ToDateTime(condition.abatement as FHIR.dateTime)]  else if condition.abatement is FHIR.Period then    FHIRHelpers.ToInterval(condition.abatement as FHIR.Period)  else if condition.abatement is FHIR.string then     Message(null as Interval<DateTime>, true, '1', 'Error', 'Cannot compute an interval from a String value')  else if condition.abatement is FHIR.Age then   Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age),    FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity(condition.abatement as FHIR.Age) + 1 year)  else if condition.abatement is FHIR.Range then    Interval[FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).low),     FHIRHelpers.ToDate(Patient.birthDate) + FHIRHelpers.ToQuantity((condition.abatement as FHIR.Range).high) + 1 year)  else if condition.abatement is FHIR.boolean then    Interval[end of \"Normalize Interval\"(condition.onset), condition.recordedDate)  else null"
            },
            {
              "url": "displaySequence",
              "valueInteger": 45
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToDate"
            },
            {
              "url": "statement",
              "valueString": "define function ToDate(value date): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 46
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToQuantity"
            },
            {
              "url": "statement",
              "valueString": "/* @description: Converts the given FHIR [Quantity](https://hl7.org/fhir/datatypes.html#Quantity)  value to a CQL Quantity @comment: If the given quantity has a comparator specified, a runtime error is raised. If the given quantity has a system other than UCUM (i.e. `http://unitsofmeasure.org`) or CQL calendar units (i.e. `http://hl7.org/fhirpath/CodeSystem/calendar-units`) an error is raised. For UCUM to calendar units, the `ToCalendarUnit` function is used. @seealso: ToCalendarUnit */ define function ToQuantity(quantity FHIR.Quantity):     case         when quantity is null then null         when quantity.value is null then null         when quantity.comparator is not null then             Message(null, true, 'FHIRHelpers.ToQuantity.ComparatorQuantityNotSupported', 'Error', 'FHIR Quantity value has a comparator and cannot be converted to a System.Quantity value.')         when quantity.system is null or quantity.system.value = 'http://unitsofmeasure.org'               or quantity.system.value = 'http://hl7.org/fhirpath/CodeSystem/calendar-units' then             System.Quantity { value: quantity.value.value, unit: ToCalendarUnit(Coalesce(quantity.code.value, quantity.unit.value, '1')) }         else             Message(null, true, 'FHIRHelpers.ToQuantity.InvalidFHIRQuantity', 'Error', 'Invalid FHIR Quantity code: ' & quantity.unit.value & ' (' & quantity.system.value & '|' & quantity.code.value & ')')     end"
            },
            {
              "url": "displaySequence",
              "valueInteger": 47
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToCalendarUnit"
            },
            {
              "url": "statement",
              "valueString": "/* @description: Converts a UCUM definite duration unit to a CQL calendar duration unit using conversions specified in the [quantities](https://cql.hl7.org/02-authorsguide.html#quantities)  topic of the CQL specification. @comment: Note that for durations above days (or weeks), the conversion is understood to be approximate */ define function ToCalendarUnit(unit System.String):     case unit         when 'ms' then 'millisecond'         when 's' then 'second'         when 'min' then 'minute'         when 'h' then 'hour'         when 'd' then 'day'         when 'wk' then 'week'         when 'mo' then 'month'         when 'a' then 'year'         else unit     end"
            },
            {
              "url": "displaySequence",
              "valueInteger": 48
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value AdministrativeGender): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 49
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "MATGlobalCommonFunctions"
            },
            {
              "url": "name",
              "valueString": "CalendarAgeInYearsAt"
            },
            {
              "url": "statement",
              "valueString": "define function \"CalendarAgeInYearsAt\"(BirthDateTime DateTime, AsOf DateTime):  years between ToDate(BirthDateTime)and ToDate(AsOf)"
            },
            {
              "url": "displaySequence",
              "valueInteger": 50
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "MATGlobalCommonFunctions"
            },
            {
              "url": "name",
              "valueString": "ToDate"
            },
            {
              "url": "statement",
              "valueString": "define function \"ToDate\"(Value DateTime):  DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezoneoffset from Value)"
            },
            {
              "url": "displaySequence",
              "valueInteger": 51
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        },
        {
          "extension": [
            {
              "url": "libraryName",
              "valueString": "FHIRHelpers"
            },
            {
              "url": "name",
              "valueString": "ToString"
            },
            {
              "url": "statement",
              "valueString": "define function ToString(value ProcedureStatus): value.value"
            },
            {
              "url": "displaySequence",
              "valueInteger": 52
            }
          ],
          "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
        }
      ],
      "name": "EffectiveDataRequirements",
      "status": "active",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/library-type",
            "code": "module-definition"
          }
        ]
      },
      "relatedArtifact": [
        {
          "type": "depends-on",
          "display": "Library Global",
          "resource": "http://hl7.org/fhir/uv/cqm/Library/MATGlobalCommonFunctions|5.0.000"
        },
        {
          "type": "depends-on",
          "display": "Library FHIRHelpers",
          "resource": "http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1"
        },
        {
          "type": "depends-on",
          "display": "Library SDE",
          "resource": "http://hl7.org/fhir/uv/cqm/Library/SupplementalDataElements|2.0.000"
        },
        {
          "type": "depends-on",
          "display": "Code system ConditionClinicalStatusCodes",
          "resource": "http://terminology.hl7.org/CodeSystem/condition-clinical"
        },
        {
          "type": "depends-on",
          "display": "Code system CPT",
          "resource": "http://www.ama-assn.org/go/cpt"
        },
        {
          "type": "depends-on",
          "display": "Value set Tobacco Use Screening",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1278"
        },
        {
          "type": "depends-on",
          "display": "Value set Tobacco Non-User",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1189"
        },
        {
          "type": "depends-on",
          "display": "Value set Tobacco User",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1170"
        },
        {
          "type": "depends-on",
          "display": "Value set Tobacco Use Cessation Counseling",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.509"
        },
        {
          "type": "depends-on",
          "display": "Value set Tobacco Use Cessation Pharmacotherapy",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1190"
        },
        {
          "type": "depends-on",
          "display": "Value set Medical Reason",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007"
        },
        {
          "type": "depends-on",
          "display": "Value set Home Healthcare Services",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1016"
        },
        {
          "type": "depends-on",
          "display": "Value set Occupational Therapy Evaluation",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1011"
        },
        {
          "type": "depends-on",
          "display": "Value set Office Visit",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001"
        },
        {
          "type": "depends-on",
          "display": "Value set Ophthalmological Services",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1285"
        },
        {
          "type": "depends-on",
          "display": "Value set Physical Therapy Evaluation",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022"
        },
        {
          "type": "depends-on",
          "display": "Value set Psych Visit - Diagnostic Evaluation",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1492"
        },
        {
          "type": "depends-on",
          "display": "Value set Psych Visit - Psychotherapy",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1496"
        },
        {
          "type": "depends-on",
          "display": "Value set Psychoanalysis",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1141"
        },
        {
          "type": "depends-on",
          "display": "Value set Speech and Hearing Evaluation",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1530"
        },
        {
          "type": "depends-on",
          "display": "Value set Annual Wellness Visit",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240"
        },
        {
          "type": "depends-on",
          "display": "Value set Preventive Care Services - Established Office Visit, 18 and Up",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025"
        },
        {
          "type": "depends-on",
          "display": "Value set Preventive Care Services - Group Counseling",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1027"
        },
        {
          "type": "depends-on",
          "display": "Value set Preventive Care Services - Other",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1030"
        },
        {
          "type": "depends-on",
          "display": "Value set Preventive Care Services-Individual Counseling",
          "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026"
        },
        {
          "type": "depends-on",
          "display": "Value set Preventive Care Services-Initial Office Visit, 18 and Up",
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              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
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            }
          ],
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "numerator",
                "display": "Numerator"
              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Numerator 2"
          }
        }
      ]
    },
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      "id": "group-3",
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId",
          "valueString": "group-3"
        }
      ],
      "code": {
        "text": "Group 3"
      },
      "population": [
        {
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          "extension": [
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
              "valueString": "group-3-tsccomponent-initial-population"
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          ],
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "initial-population",
                "display": "Initial Population"
              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Initial Population"
          }
        },
        {
          "id": "D346BB79-EFD1-4DB1-902A-36F027BE75E9",
          "extension": [
            {
              "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
              "valueString": "group-3-tsccomponent-denominator"
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          ],
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator",
                "display": "Denominator"
              }
            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Denominator 3"
          }
        },
        {
          "id": "6BBFE753-2072-4848-B189-0E5B44BE1F52",
          "extension": [
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              "valueString": "group-3-tsccomponent-denominator-exception"
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          ],
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator-exception",
                "display": "Denominator Exception"
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            ]
          },
          "criteria": {
            "language": "text/cql-identifier",
            "expression": "Denominator Exceptions 3"
          }
        },
        {
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          ],
          "code": {
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            ]
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          "criteria": {
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        }
      ]
    }
  ],
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      "id": "fe7bab72-cc69-44bb-a678-473b24811e67",
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId",
          "valueString": "tsccomponent-sde-ethnicity"
        }
      ],
      "usage": [
        {
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              "code": "supplemental-data"
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          ]
        }
      ],
      "criteria": {
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        "expression": "SDE Ethnicity"
      }
    },
    {
      "id": "2486f84d-df90-489b-8f5c-e55cdcfb361e",
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId",
          "valueString": "tsccomponent-sde-payer"
        }
      ],
      "usage": [
        {
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            {
              "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code": "supplemental-data"
            }
          ]
        }
      ],
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "SDE Payer"
      }
    },
    {
      "id": "bb0949c4-1f7b-4ce2-a988-c2e60f1a0079",
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId",
          "valueString": "tsccomponent-sde-race"
        }
      ],
      "usage": [
        {
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              "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code": "supplemental-data"
            }
          ]
        }
      ],
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "SDE Race"
      }
    },
    {
      "id": "742028bc-5aa5-4a5b-927d-be1908e10aaf",
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId",
          "valueString": "tsccomponent-sde-sex"
        }
      ],
      "usage": [
        {
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              "system": "http://terminology.hl7.org/CodeSystem/measure-data-usage",
              "code": "supplemental-data"
            }
          ]
        }
      ],
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "SDE Sex"
      }
    }
  ]
}