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Data Criteria (QDM Variables)
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$HypertensionRecommendations =
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Union of:
- "Intervention, Order: Lifestyle Recommendation"
- "Intervention, Order: Weight Reduction Recommended"
- "Intervention, Order: Dietary Recommendations"
- "Intervention, Order: Physical Activity Recommendation"
- "Intervention, Order: Moderation of ETOH Consumption Recommendation"
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Data Criteria (QDM Data Elements)
- "Diagnosis: Diagnosis of hypertension" using "Diagnosis of hypertension Grouping Value Set (2.16.840.1.113883.3.600.263)"
- "Diagnostic Study, Order: ECG 12 lead or study order" using "ECG 12 lead or study order Grouping Value Set (2.16.840.1.113883.3.600.2448)"
- "Diagnostic Study, Order not done: Patient Reason refused" using "Patient Reason refused SNOMEDCT Value Set (2.16.840.1.113883.3.600.791)"
- "Encounter, Performed: BP Screening Encounter Codes" using "BP Screening Encounter Codes Grouping Value Set (2.16.840.1.113883.3.600.1920)"
- "Intervention, Order: Dietary Recommendations" using "Dietary Recommendations Grouping Value Set (2.16.840.1.113883.3.600.1515)"
- "Intervention, Order: Followup within 4 weeks" using "Followup within 4 weeks SNOMEDCT Value Set (2.16.840.1.113883.3.600.1537)"
- "Intervention, Order: Followup within one year" using "Followup within one year SNOMEDCT Value Set (2.16.840.1.113883.3.600.1474)"
- "Intervention, Order: Lifestyle Recommendation" using "Lifestyle Recommendation SNOMEDCT Value Set (2.16.840.1.113883.3.600.1508)"
- "Intervention, Order: Moderation of ETOH Consumption Recommendation" using "Moderation of ETOH Consumption Recommendation SNOMEDCT Value Set (2.16.840.1.113883.3.600.823)"
- "Intervention, Order: Physical Activity Recommendation" using "Physical Activity Recommendation Grouping Value Set (2.16.840.1.113883.3.600.1518)"
- "Intervention, Order: Referral to Alternative Provider / Primary Care Provider" using "Referral to Alternative Provider / Primary Care Provider SNOMEDCT Value Set (2.16.840.1.113883.3.600.1475)"
- "Intervention, Order: Weight Reduction Recommended" using "Weight Reduction Recommended Grouping Value Set (2.16.840.1.113883.3.600.1510)"
- "Intervention, Order not done: Patient Reason refused" using "Patient Reason refused SNOMEDCT Value Set (2.16.840.1.113883.3.600.791)"
- "Laboratory Test, Order: Laboratory Tests for Hypertension" using "Laboratory Tests for Hypertension Grouping Value Set (2.16.840.1.113883.3.600.1482)"
- "Laboratory Test, Order not done: Patient Reason refused" using "Patient Reason refused SNOMEDCT Value Set (2.16.840.1.113883.3.600.791)"
- "Medication, Order: Anti-Hypertensive Pharmacologic Therapy" using "Anti-Hypertensive Pharmacologic Therapy RXNORM Value Set (2.16.840.1.113883.3.600.1476)"
- "Medication, Order not done: Patient Reason refused" using "Patient Reason refused SNOMEDCT Value Set (2.16.840.1.113883.3.600.791)"
- "Physical Exam, Performed: Diastolic Blood Pressure" using "Diastolic Blood Pressure Grouping Value Set (2.16.840.1.113883.3.526.3.1033)"
- "Physical Exam, Performed: Systolic Blood Pressure" using "Systolic Blood Pressure Grouping Value Set (2.16.840.1.113883.3.526.3.1032)"
- "Physical Exam, Performed not done: Medical or Other reason not done" using "Medical or Other reason not done SNOMEDCT Value Set (2.16.840.1.113883.3.600.1.1502)"
- "Physical Exam, Performed not done: Patient Reason refused" using "Patient Reason refused SNOMEDCT Value Set (2.16.840.1.113883.3.600.791)"
- Attribute: "Reason: Finding of Hypertension" using "Finding of Hypertension SNOMEDCT Value Set (2.16.840.1.113883.3.600.2395)"
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Supplemental Data Elements
- "Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDCREC Value Set (2.16.840.1.114222.4.11.837)"
- "Patient Characteristic Payer: Payer" using "Payer SOP Value Set (2.16.840.1.114222.4.11.3591)"
- "Patient Characteristic Race: Race" using "Race CDCREC Value Set (2.16.840.1.114222.4.11.836)"
- "Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex AdministrativeGender Value Set (2.16.840.1.113762.1.4.1)"
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Risk Adjustment Variables
- None
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Population Criteria
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Initial Population =
- AND: Age>= 18 year(s) at: "Measurement Period"
- AND: "Occurrence A of Encounter, Performed: BP Screening Encounter Codes" during "Measurement Period"
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Denominator =
- AND: Initial Population
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Denominator Exclusions =
- OR: "Diagnosis: Diagnosis of hypertension" starts before start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
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Numerator =
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AND: Most Recent:
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"Occurrence A of Encounter, Performed: BP Screening Encounter Codes" satisfies all:
- overlaps "Physical Exam, Performed: Diastolic Blood Pressure (result)"
- overlaps "Physical Exam, Performed: Systolic Blood Pressure (result)"
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AND:
-
OR:
-
AND: "Physical Exam, Performed: Systolic Blood Pressure" satisfies all:
- Most Recent: during "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result < 120 mmHg)
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AND: "Physical Exam, Performed: Diastolic Blood Pressure" satisfies all:
- Most Recent: during "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result < 80 mmHg)
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OR:
-
AND:
-
OR:
-
AND: "Physical Exam, Performed: Systolic Blood Pressure" satisfies all:
- Most Recent: during "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result >= 120 mmHg)
- (result < 140 mmHg)
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AND: "Physical Exam, Performed: Diastolic Blood Pressure" satisfies all:
- Most Recent: during "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result < 90 mmHg)
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OR:
-
AND: "Physical Exam, Performed: Diastolic Blood Pressure" satisfies all:
- Most Recent: during "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result >= 80 mmHg)
- (result < 90 mmHg)
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AND: "Physical Exam, Performed: Systolic Blood Pressure" satisfies all:
- Most Recent: during "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result < 140 mmHg)
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AND:
- OR: "Intervention, Order: Referral to Alternative Provider / Primary Care Provider (reason: Finding of Hypertension)" <= 1 day(s) starts after or concurrent with start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
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OR:
- AND: $HypertensionRecommendations <= 1 day(s) starts after or concurrent with start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- AND: "Intervention, Order: Followup within one year (reason: Finding of Hypertension)" <= 1 day(s) starts after or concurrent with start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
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OR:
-
AND:
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OR:
- AND NOT: "Physical Exam, Performed: Systolic Blood Pressure (result)" < 1 year(s) starts before start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- AND NOT: "Physical Exam, Performed: Diastolic Blood Pressure (result)" < 1 year(s) starts before start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
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OR:
-
AND: "Physical Exam, Performed: Systolic Blood Pressure" satisfies all:
- Most Recent: < 1 year(s) starts before start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result < 140 mmHg)
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AND: "Physical Exam, Performed: Diastolic Blood Pressure" satisfies all:
- Most Recent: < 1 year(s) starts before start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result < 90 mmHg)
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AND:
-
OR: "Physical Exam, Performed: Systolic Blood Pressure" satisfies all:
- Most Recent: during "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result >= 140 mmHg)
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OR: "Physical Exam, Performed: Diastolic Blood Pressure" satisfies all:
- Most Recent: during "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result >= 90 mmHg)
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AND:
- OR: "Intervention, Order: Referral to Alternative Provider / Primary Care Provider (reason: Finding of Hypertension)" <= 1 day(s) starts after or concurrent with start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
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OR:
- AND: $HypertensionRecommendations <= 1 day(s) starts after or concurrent with start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- AND: "Intervention, Order: Followup within 4 weeks (reason: Finding of Hypertension)" <= 1 day(s) starts after or concurrent with start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
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OR:
-
AND:
-
OR: "Physical Exam, Performed: Systolic Blood Pressure" satisfies all:
- Most Recent: < 1 year(s) starts before start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result >= 140 mmHg)
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OR: "Physical Exam, Performed: Diastolic Blood Pressure" satisfies all:
- Most Recent: < 1 year(s) starts before start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result >= 90 mmHg)
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AND:
-
OR: "Physical Exam, Performed: Systolic Blood Pressure" satisfies all:
- Most Recent: during "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result >= 140 mmHg)
-
OR: "Physical Exam, Performed: Diastolic Blood Pressure" satisfies all:
- Most Recent: during "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
- (result >= 90 mmHg)
-
AND:
- OR: "Intervention, Order: Referral to Alternative Provider / Primary Care Provider (reason: Finding of Hypertension)" <= 1 day(s) starts after or concurrent with start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
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OR:
- AND: $HypertensionRecommendations <= 1 day(s) starts after or concurrent with start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
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AND: Union of:
- "Medication, Order: Anti-Hypertensive Pharmacologic Therapy"
- "Laboratory Test, Order: Laboratory Tests for Hypertension"
- "Diagnostic Study, Order: ECG 12 lead or study order"
- <= 1 day(s) starts after or concurrent with start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
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Numerator Exclusions =
- None
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Denominator Exceptions =
-
OR: Union of:
- "Physical Exam, Performed not done: Medical or Other reason not done" for "Diastolic Blood Pressure"
- "Physical Exam, Performed not done: Patient Reason refused" for "Diastolic Blood Pressure"
- "Physical Exam, Performed not done: Medical or Other reason not done" for "Systolic Blood Pressure"
- "Physical Exam, Performed not done: Patient Reason refused" for "Systolic Blood Pressure"
- starts during "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
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OR: Union of:
- "Intervention, Order not done: Patient Reason refused" for "Referral to Alternative Provider / Primary Care Provider"
- "Intervention, Order not done: Patient Reason refused" for "Lifestyle Recommendation"
- "Intervention, Order not done: Patient Reason refused" for "Weight Reduction Recommended"
- "Intervention, Order not done: Patient Reason refused" for "Dietary Recommendations"
- "Intervention, Order not done: Patient Reason refused" for "Physical Activity Recommendation"
- "Intervention, Order not done: Patient Reason refused" for "Moderation of ETOH Consumption Recommendation"
- "Medication, Order not done: Patient Reason refused" for "Anti-Hypertensive Pharmacologic Therapy"
- "Laboratory Test, Order not done: Patient Reason refused" for "Laboratory Tests for Hypertension"
- "Diagnostic Study, Order not done: Patient Reason refused" for "ECG 12 lead or study order"
- <= 1 day(s) starts after or concurrent with start of "Occurrence A of Encounter, Performed: BP Screening Encounter Codes"
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Stratification =
- None