- Initial Population =
- AND: First: "Occurrence A of Diagnosis, Active: Breast Cancer" <= 5 year(s) starts before end of Occurrence A of $OVorF2FEncounter
- AND: Age >= 18 year(s) at: "Measurement Period"
- AND: Count >= 2 of: Union of:
- "Encounter, Performed: Office Visit"
- "Encounter, Performed: Patient Provider Interaction"
- during "Measurement Period"
- AND: "Patient Characteristic Sex: Female"
- Denominator =
- AND: "Diagnosis, Active: Breast Cancer ER or PR Positive" satisfies all
- starts before end of Occurrence A of $OVorF2FEncounter
- starts after or concurrent with start of "Occurrence A of Diagnosis, Active: Breast Cancer"
- AND: Intersection of:
- "Procedure, Performed: Clinical Staging Procedure" satisfies all
- (result: Breast Distant Metastasis Status M0) starts before end of Occurrence A of $OVorF2FEncounter
- starts after or concurrent with start of "Occurrence A of Diagnosis, Active: Breast Cancer"
- Union of:
- "Procedure, Performed: Clinical Staging Procedure (result: Breast Cancer Regional Lymph Node Status N3)"
- Intersection of:
- "Procedure, Performed: Clinical Staging Procedure" satisfies any
- (result: Breast Cancer Primary Tumor Size T0)
- (result: Breast Cancer Primary Tumor Size T1)
- (result: Breast Cancer Primary Tumor Size T1a)
- (result: Breast Cancer Primary Tumor Size T1b)
- (result: Breast Cancer Primary Tumor Size T1c)
- (result: Breast Cancer Primary Tumor Size T1mi)
- "Procedure, Performed: Clinical Staging Procedure" satisfies any
- (result: Breast Cancer Regional Lymph Node Status N1)
- (result: Breast Cancer Regional Lymph Node Status pN1a)
- (result: Breast Cancer Regional Lymph Node Status pN1b)
- (result: Breast Cancer Regional Lymph Node Status pN1c)
- (result: Breast Cancer Regional Lymph Node Status pN1mi)
- (result: Breast Cancer Regional Lymph Node Status N2)
- Intersection of:
- "Procedure, Performed: Clinical Staging Procedure" satisfies any
- (result: Breast Cancer Primary Tumor Size T2)
- (result: Breast Cancer Primary Tumor Size T3)
- (result: Breast Cancer Primary Tumor Size T4)
- "Procedure, Performed: Clinical Staging Procedure" satisfies any
- (result: Breast Cancer Regional Lymph Node Status N0)
- (result: Breast Cancer Regional Lymph Node Status N1)
- (result: Breast Cancer Regional Lymph Node Status N2)
- "Procedure, Performed: Clinical Staging Procedure" satisfies all
- (result: Breast Cancer Primary Tumor Size T1c)
- (result: Breast Cancer Regional Lymph Node Status N0)
- Denominator Exclusions =
- Numerator =
- AND: Union of:
- "Medication, Order: Tamoxifen or Aromatase Inhibitor Therapy" during Occurrence A of $OVorF2FEncounter
- "Medication, Active: Tamoxifen or Aromatase Inhibitor Therapy" overlaps Occurrence A of $OVorF2FEncounter
- Numerator Exclusions =
- Denominator Exceptions =
- OR: "Occurrence A of Diagnosis, Active: Breast Cancer" <= 120 day(s) starts before end of "Measurement Period"
- OR: "Procedure, Performed: Radiation Therapy II" during "Measurement Period"
- OR: "Procedure, Performed: Chemotherapy" during "Measurement Period"
- OR: "Procedure, Performed: Bilateral Oophorectomy" starts before end of Occurrence A of $OVorF2FEncounter
- OR: Union of:
- "Medication, Order not done: Medical Reason" for "Tamoxifen or Aromatase Inhibitor Therapy Ingredient"
- "Medication, Order not done: Patient Reason" for "Tamoxifen or Aromatase Inhibitor Therapy Ingredient"
- "Medication, Order not done: System Reason" for "Tamoxifen or Aromatase Inhibitor Therapy Ingredient"
- starts during Occurrence A of $OVorF2FEncounter
- OR: Union of:
- "Medication, Allergy: Tamoxifen or Aromatase Inhibitor Therapy Ingredient"
- "Diagnosis, Active: Allergy to Tamoxifen or Aromatase Inhibitor Therapy"
- "Medication, Intolerance: Tamoxifen or Aromatase Inhibitor Therapy"
- "Diagnosis, Active: Intolerance to Tamoxifen or Aromatase Inhibitor Therapy"
- "Medication, Active: Gonadotropin-Releasing Hormone Analogue Medication"
- "Diagnosis, Active: Metastatic Sites Common to Breast Cancer"
- "Patient Characteristic Clinical Trial Participant: Clinical Trial Participant"
- overlaps Occurrence A of $OVorF2FEncounter
- Stratification =
- $OVorF2FEncounter =
- Union of:
- "Encounter, Performed: Office Visit"
- "Encounter, Performed: Face-to-Face Interaction"
- during "Measurement Period"
- "Diagnosis, Active: Allergy to Tamoxifen or Aromatase Inhibitor Therapy" using "Allergy to Tamoxifen or Aromatase Inhibitor Therapy Grouping Value Set (2.16.840.1.113883.3.526.3.1317)"
- "Diagnosis, Active: Breast Cancer" using "Breast Cancer Grouping Value Set (2.16.840.1.113883.3.526.3.389)"
- "Diagnosis, Active: Breast Cancer ER or PR Positive" using "Breast Cancer ER or PR Positive Grouping Value Set (2.16.840.1.113883.3.526.3.1303)"
- "Diagnosis, Active: Intolerance to Tamoxifen or Aromatase Inhibitor Therapy" using "Intolerance to Tamoxifen or Aromatase Inhibitor Therapy Grouping Value Set (2.16.840.1.113883.3.526.3.1318)"
- "Diagnosis, Active: Metastatic Sites Common to Breast Cancer" using "Metastatic Sites Common to Breast Cancer Grouping Value Set (2.16.840.1.113883.3.526.3.447)"
- "Encounter, Performed: Face-to-Face Interaction" using "Face-to-Face Interaction Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1048)"
- "Encounter, Performed: Office Visit" using "Office Visit Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1001)"
- "Encounter, Performed: Patient Provider Interaction" using "Patient Provider Interaction Grouping Value Set (2.16.840.1.113883.3.526.3.1012)"
- "Medication, Active: Gonadotropin-Releasing Hormone Analogue Medication" using "Gonadotropin-Releasing Hormone Analogue Medication Grouping Value Set (2.16.840.1.113883.3.526.3.1316)"
- "Medication, Active: Tamoxifen or Aromatase Inhibitor Therapy" using "Tamoxifen or Aromatase Inhibitor Therapy Grouping Value Set (2.16.840.1.113883.3.526.3.1315)"
- "Medication, Allergy: Tamoxifen or Aromatase Inhibitor Therapy Ingredient" using "Tamoxifen or Aromatase Inhibitor Therapy Ingredient Grouping Value Set (2.16.840.1.113883.3.526.3.1487)"
- "Medication, Intolerance: Tamoxifen or Aromatase Inhibitor Therapy" using "Tamoxifen or Aromatase Inhibitor Therapy Grouping Value Set (2.16.840.1.113883.3.526.3.1315)"
- "Medication, Order: Tamoxifen or Aromatase Inhibitor Therapy" using "Tamoxifen or Aromatase Inhibitor Therapy Grouping Value Set (2.16.840.1.113883.3.526.3.1315)"
- "Medication, Order: Tamoxifen or Aromatase Inhibitor Therapy Ingredient" using "Tamoxifen or Aromatase Inhibitor Therapy Ingredient Grouping Value Set (2.16.840.1.113883.3.526.3.1487)"
- "Medication, Order not done: Medical Reason" using "Medical Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1007)"
- "Medication, Order not done: Patient Reason" using "Patient Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1008)"
- "Medication, Order not done: System Reason" using "System Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1009)"
- "Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" using "Clinical Trial Participant Grouping Value Set (2.16.840.1.113883.3.526.3.1125)"
- "Patient Characteristic Sex: Female" using "Female AdministrativeSex Value Set (2.16.840.1.113883.3.560.100.2)"
- "Procedure, Performed: Bilateral Oophorectomy" using "Bilateral Oophorectomy Grouping Value Set (2.16.840.1.113883.3.526.3.471)"
- "Procedure, Performed: Chemotherapy" using "Chemotherapy Grouping Value Set (2.16.840.1.113883.3.526.3.485)"
- "Procedure, Performed: Clinical Staging Procedure" using "Clinical Staging Procedure Grouping Value Set (2.16.840.1.113883.3.526.3.1098)"
- "Procedure, Performed: Radiation Therapy II" using "Radiation Therapy II Grouping Value Set (2.16.840.1.113883.3.526.3.1339)"
- Attribute: "Result: Breast Cancer Regional Lymph Node Status pN1a" using "Breast Cancer Regional Lymph Node Status pN1a Grouping Value Set (2.16.840.1.113883.3.526.3.1311)"
- Attribute: "Result: Breast Cancer Regional Lymph Node Status pN1mi" using "Breast Cancer Regional Lymph Node Status pN1mi Grouping Value Set (2.16.840.1.113883.3.526.3.1312)"
- Attribute: "Result: Breast Cancer Primary Tumor Size T1" using "Breast Cancer Primary Tumor Size T1 Grouping Value Set (2.16.840.1.113883.3.526.3.1305)"
- Attribute: "Result: Breast Cancer Primary Tumor Size T1a" using "Breast Cancer Primary Tumor Size T1a Grouping Value Set (2.16.840.1.113883.3.526.3.1164)"
- Attribute: "Result: Breast Cancer Primary Tumor Size T1b" using "Breast Cancer Primary Tumor Size T1b Grouping Value Set (2.16.840.1.113883.3.526.3.1270)"
- Attribute: "Result: Breast Distant Metastasis Status M0" using "Breast Distant Metastasis Status M0 Grouping Value Set (2.16.840.1.113883.3.526.3.1302)"
- Attribute: "Result: Breast Cancer Regional Lymph Node Status N1" using "Breast Cancer Regional Lymph Node Status N1 Grouping Value Set (2.16.840.1.113883.3.526.3.1329)"
- Attribute: "Result: Breast Cancer Regional Lymph Node Status pN1c" using "Breast Cancer Regional Lymph Node Status pN1c Grouping Value Set (2.16.840.1.113883.3.526.3.1331)"
- Attribute: "Result: Breast Cancer Regional Lymph Node Status pN1b" using "Breast Cancer Regional Lymph Node Status pN1b Grouping Value Set (2.16.840.1.113883.3.526.3.1330)"
- Attribute: "Result: Breast Cancer Regional Lymph Node Status N2" using "Breast Cancer Regional Lymph Node Status N2 Grouping Value Set (2.16.840.1.113883.3.526.3.1313)"
- Attribute: "Result: Breast Cancer Primary Tumor Size T3" using "Breast Cancer Primary Tumor Size T3 Grouping Value Set (2.16.840.1.113883.3.526.3.1308)"
- Attribute: "Result: Breast Cancer Regional Lymph Node Status N0" using "Breast Cancer Regional Lymph Node Status N0 Grouping Value Set (2.16.840.1.113883.3.526.3.1310)"
- Attribute: "Result: Breast Cancer Primary Tumor Size T2" using "Breast Cancer Primary Tumor Size T2 Grouping Value Set (2.16.840.1.113883.3.526.3.1307)"
- Attribute: "Result: Breast Cancer Primary Tumor Size T0" using "Breast Cancer Primary Tumor Size T0 Grouping Value Set (2.16.840.1.113883.3.526.3.1304)"
- Attribute: "Result: Breast Cancer Primary Tumor Size T1mi" using "Breast Cancer Primary Tumor Size T1mi Grouping Value Set (2.16.840.1.113883.3.526.3.1197)"
- Attribute: "Result: Breast Cancer Primary Tumor Size T1c" using "Breast Cancer Primary Tumor Size T1c Grouping Value Set (2.16.840.1.113883.3.526.3.1306)"
- Attribute: "Result: Breast Cancer Regional Lymph Node Status N3" using "Breast Cancer Regional Lymph Node Status N3 Grouping Value Set (2.16.840.1.113883.3.526.3.1314)"
- Attribute: "Result: Breast Cancer Primary Tumor Size T4" using "Breast Cancer Primary Tumor Size T4 Grouping Value Set (2.16.840.1.113883.3.526.3.1309)"
- "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)"