Table of Contents


Population Criteria

        • /*Patients age 18 and older who have an encounter during the measurement period, are prescribed opioids for 90 days or more and have 7 days or less between opioid prescriptions*/
          exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate
              where Global.CalendarAgeInYearsAt ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 18
          )
            and ( "Has Encounters during Measurement Period" )
            and exists ( "Active Periods with and without Allowed Gaps and Cumulative Medication Duration of 90 or More Days" )
         
        • /*Includes all patients in the initial population*/
          "Initial Population"
         
        • /*Measure excludes patients receiving palliative or hospice care or who have a diagnosis of sickle cell disease in the measurement period. Or patients with a diagnosis of cancer two years or less before the end of the measurement period.*/
          "Has Hospice or Palliative Care"
            or exists ( ["Diagnosis": "All Primary and Secondary Cancer"] CancerDiagnosis
                where CancerDiagnosis.prevalencePeriod starts 2 years or less before 
                end of "Measurement Period"
            )
            or exists ( ["Diagnosis": "Sickle Cell Disease and Related Blood Disorders"] SickleCellDiagnosis
                where SickleCellDiagnosis.prevalencePeriod overlaps "Measurement Period"
            )
         
        • /*Patients with opioid prescription orders for 90 or more days with 90 or more MMEs*/
          "Has Active Periods with MMEs 90 or More for 90 or More Days"
         
        • None
         
        • None
         
        • None
         
  • Definitions

    Functions

    Terminology

    • code "Birth date" ("LOINC Code (21112-8)")
    • code "Every eight hours (qualifier value)" ("SNOMEDCT Code (307469008)")
    • code "Every eight to twelve hours (qualifier value)" ("SNOMEDCT Code (396140003)")
    • code "Every forty eight hours (qualifier value)" ("SNOMEDCT Code (396131002)")
    • code "Every four hours (qualifier value)" ("SNOMEDCT Code (225756002)")
    • code "Every seventy two hours (qualifier value)" ("SNOMEDCT Code (396143001)")
    • code "Every six hours (qualifier value)" ("SNOMEDCT Code (307468000)")
    • code "Every six to eight hours (qualifier value)" ("SNOMEDCT Code (396139000)")
    • code "Every thirty six hours (qualifier value)" ("SNOMEDCT Code (396126004)")
    • code "Every three to four hours (qualifier value)" ("SNOMEDCT Code (225754004)")
    • code "Every three to six hours (qualifier value)" ("SNOMEDCT Code (396127008)")
    • code "Every twelve hours (qualifier value)" ("SNOMEDCT Code (307470009)")
    • code "Every twenty four hours (qualifier value)" ("SNOMEDCT Code (396125000)")
    • code "Every two to four hours (qualifier value)" ("SNOMEDCT Code (225752000)")
    • code "Four times daily (qualifier value)" ("SNOMEDCT Code (307439001)")
    • code "Once daily (qualifier value)" ("SNOMEDCT Code (229797004)")
    • code "One to four times a day (qualifier value)" ("SNOMEDCT Code (396109005)")
    • code "One to three times a day (qualifier value)" ("SNOMEDCT Code (396108002)")
    • code "One to two times a day (qualifier value)" ("SNOMEDCT Code (396107007)")
    • code "Three times daily (qualifier value)" ("SNOMEDCT Code (229798009)")
    • code "Twice a day (qualifier value)" ("SNOMEDCT Code (229799001)")
    • code "Two to four times a day (qualifier value)" ("SNOMEDCT Code (396111001)")
    • valueset "All Primary and Secondary Cancer" (2.16.840.1.113762.1.4.1111.161)
    • valueset "Ethnicity" (2.16.840.1.114222.4.11.837)
    • valueset "Face to Face Interaction - No ED" (2.16.840.1.113762.1.4.1080.2)
    • valueset "Office Visit" (2.16.840.1.113883.3.464.1003.101.12.1001)
    • valueset "ONC Administrative Sex" (2.16.840.1.113762.1.4.1)
    • valueset "Opioid Medications" (2.16.840.1.113883.3.3157.1004.26)
    • valueset "Outpatient Consultation" (2.16.840.1.113883.3.464.1003.101.12.1008)
    • valueset "Palliative or Hospice Care" (2.16.840.1.113883.3.600.1.1579)
    • valueset "Payer" (2.16.840.1.114222.4.11.3591)
    • valueset "Preventive Care Services - Established Office Visit, 18 and Up" (2.16.840.1.113883.3.464.1003.101.12.1025)
    • valueset "Preventive Care Services - Other" (2.16.840.1.113883.3.464.1003.101.12.1030)
    • valueset "Preventive Care Services-Initial Office Visit, 18 and Up" (2.16.840.1.113883.3.464.1003.101.12.1023)
    • valueset "Race" (2.16.840.1.114222.4.11.836)
    • valueset "Sickle Cell Disease and Related Blood Disorders" (2.16.840.1.113762.1.4.1029.35)

    Data Criteria (QDM Data Elements)

    • "Diagnosis: All Primary and Secondary Cancer" using "All Primary and Secondary Cancer (2.16.840.1.113762.1.4.1111.161)"
    • "Diagnosis: Sickle Cell Disease and Related Blood Disorders" using "Sickle Cell Disease and Related Blood Disorders (2.16.840.1.113762.1.4.1029.35)"
    • "Encounter, Performed: Face to Face Interaction - No ED" using "Face to Face Interaction - No ED (2.16.840.1.113762.1.4.1080.2)"
    • "Encounter, Performed: Office Visit" using "Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001)"
    • "Encounter, Performed: Outpatient Consultation" using "Outpatient Consultation (2.16.840.1.113883.3.464.1003.101.12.1008)"
    • "Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up" using "Preventive Care Services - Established Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1025)"
    • "Encounter, Performed: Preventive Care Services - Other" using "Preventive Care Services - Other (2.16.840.1.113883.3.464.1003.101.12.1030)"
    • "Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up" using "Preventive Care Services-Initial Office Visit, 18 and Up (2.16.840.1.113883.3.464.1003.101.12.1023)"
    • "Intervention, Order: Palliative or Hospice Care" using "Palliative or Hospice Care (2.16.840.1.113883.3.600.1.1579)"
    • "Intervention, Performed: Palliative or Hospice Care" using "Palliative or Hospice Care (2.16.840.1.113883.3.600.1.1579)"
    • "Medication, Order: Opioid Medications" using "Opioid Medications (2.16.840.1.113883.3.3157.1004.26)"
    • "Patient Characteristic Birthdate: Birth date" using "Birth date (LOINC Code 21112-8)"
    • "Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity (2.16.840.1.114222.4.11.837)"
    • "Patient Characteristic Payer: Payer" using "Payer (2.16.840.1.114222.4.11.3591)"
    • "Patient Characteristic Race: Race" using "Race (2.16.840.1.114222.4.11.836)"
    • "Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex (2.16.840.1.113762.1.4.1)"

    Supplemental Data Elements

    Risk Adjustment Variables