eCQM Title | Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients |
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eCQM Identifier (Measure Authoring Tool) | 129 | eCQM Version number | 9.0.000 |
NQF Number | 0389e | GUID | 1635c14d-e612-4fa6-96cd-285361aa7f7b |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | PCPI(R) Foundation (PCPI[R]) | ||
Measure Developer | American Medical Association (AMA) | ||
Measure Developer | PCPI(R) Foundation (PCPI[R]) | ||
Endorsed By | National Quality Forum | ||
Description | |||
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Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification | |||
Risk Adjustment | |||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
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Denominator Exceptions | |||
Supplemental Data Elements |
exists ["Patient Characteristic Sex": "Male"] and exists "Prostate Cancer Diagnosis"
"Initial Population" and "First Prostate Cancer Treatment During Measurement Period" is not null and "Most Recent Prostate Cancer Staging Tumor Size T1a to T2a" is not null and "Most Recent PSA Test Result is Low" and "Most Recent Gleason Score is Low"
not exists "Bone Scan Study Performed"
exists "Diagnosis of Pain Related to Prostate Cancer" or exists "Salvage Therapy Performed After Prostate Cancer Diagnosis" or exists "Bone Scan Study Performed with Documented Reason"
["Diagnostic Study, Performed": "Bone Scan"] BoneScan with "Prostate Cancer Diagnosis" ActiveProstateCancer such that BoneScan.relevantPeriod starts after start of ActiveProstateCancer.prevalencePeriod
"Bone Scan Study Performed" BoneScanAfterDiagnosis where BoneScanAfterDiagnosis.reason ~ "Procedure reason record (record artifact)"
"Initial Population" and "First Prostate Cancer Treatment During Measurement Period" is not null and "Most Recent Prostate Cancer Staging Tumor Size T1a to T2a" is not null and "Most Recent PSA Test Result is Low" and "Most Recent Gleason Score is Low"
exists "Diagnosis of Pain Related to Prostate Cancer" or exists "Salvage Therapy Performed After Prostate Cancer Diagnosis" or exists "Bone Scan Study Performed with Documented Reason"
["Diagnosis": "Pain Related to Prostate Cancer"] ProstateCancerPain with "Prostate Cancer Diagnosis" ActiveProstateCancer such that ProstateCancerPain.prevalencePeriod starts after start of ActiveProstateCancer.prevalencePeriod
First(["Procedure, Performed": "Prostate Cancer Treatment"] ProstateCancerTreatment where ProstateCancerTreatment.relevantPeriod during "Measurement Period" sort by start of relevantPeriod )
exists ["Patient Characteristic Sex": "Male"] and exists "Prostate Cancer Diagnosis"
( Last(["Laboratory Test, Performed": "Gleason score in Specimen Qualitative"] GleasonScoreTest with "First Prostate Cancer Treatment During Measurement Period" FirstProstateCancerTreatment such that GleasonScoreTest.relevantPeriod starts before start of FirstProstateCancerTreatment.relevantPeriod sort by start of relevantPeriod )) LastGleasonScoreTest return LastGleasonScoreTest.result <= 6
( Last(["Procedure, Performed": "Cancer staging (tumor staging)"] ProstateCancerStaging with "First Prostate Cancer Treatment During Measurement Period" FirstProstateCancerTreatment such that ProstateCancerStaging.relevantPeriod starts before start of FirstProstateCancerTreatment.relevantPeriod sort by start of relevantPeriod )) LastProstateCancerStaging where ( LastProstateCancerStaging.result ~ "T1a: Prostate tumor incidental histologic finding in 5% or less of tissue resected (finding)" or LastProstateCancerStaging.result ~ "T1b: Prostate tumor incidental histologic finding in > 5% of tissue resected (finding)" or LastProstateCancerStaging.result ~ "Neoplasm of prostate primary tumor staging category T1c: Tumor identified by needle biopsy (finding)" or LastProstateCancerStaging.result ~ "Neoplasm of prostate primary tumor staging category T2a: Involves one-half of one lobe or less (finding)" )
( Last(["Laboratory Test, Performed": "Prostate Specific Antigen Test"] PSATest with "Most Recent Prostate Cancer Staging Tumor Size T1a to T2a" MostRecentProstateCancerStaging such that PSATest.relevantPeriod starts before start of MostRecentProstateCancerStaging.relevantPeriod sort by start of relevantPeriod )) LastPSATest return LastPSATest.result < 10 'ng/mL'
not exists "Bone Scan Study Performed"
["Diagnosis": "Prostate Cancer"] ProstateCancer where ProstateCancer.prevalencePeriod overlaps "Measurement Period"
["Procedure, Performed": "Salvage Therapy"] SalvageTherapy with "Prostate Cancer Diagnosis" ActiveProstateCancer such that SalvageTherapy.relevantPeriod starts after start of ActiveProstateCancer.prevalencePeriod
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |