eCQM Title

Breast Cancer Screening

CMS ID

125

eCQM Version Number

15.0.000

CBE Number

Not Applicable

GUID

19783c1b-4fd1-46c1-8a96-a2f192b97ee0

Measurement Period

January 1, 2027 through December 31, 2027

Measure Steward

National Committee for Quality Assurance

Measure Developer

National Committee for Quality Assurance

Endorsed By

None

Description

Percentage of women 40-74 years of age who had a mammogram to screen for breast cancer in the 27 months prior to the end of the measurement period

This Physician Performance Measure (Measure) and related data specifications are owned and were developed by the National Committee for Quality Assurance (NCQA). NCQA is not responsible for any use of the Measure. NCQA makes no representations, warranties or endorsements about the quality of any product, test or protocol identified as numerator compliant or otherwise identified as meeting the requirements of the measure or specification. NCQA makes no representations, warranties, or endorsement about the quality of any organization or physician that uses or reports performance measures and NCQA has no liability to anyone who relies on such measures or specifications. NCQA holds a copyright in the Measure. The Measure may be used for internal, noncommercial purposes (e.g., use by healthcare providers in connection with their practices) without obtaining approval from NCQA. All other uses, including a commercial use (including but not limited to vendors using or embedding the measures and specifications into any product or service to calculate measure results for customers for any purpose), must be approved by NCQA and are subject to a license at the discretion of NCQA. (C) 2012-2026 National Committee for Quality Assurance. All Rights Reserved.

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The performance Measure is not a clinical guideline and does not establish a standard of medical care, and has not been tested for all potential applications. THE MEASURE AND SPECIFICATIONS ARE PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND.

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Measure Scoring

Proportion

Measure Type

Process

Stratification

Report a total rate, and each of the following age strata:

Stratum 1: Patients age 42-51 by the end of the measurement period

Stratum 2: Patients age 52-74 by the end of the measurement period

Risk Adjustment

None

Rate Aggregation

None

Rationale

Breast cancer is one of the most common types of cancers, accounting for 15 percent of all new cancer diagnoses in the U.S. (Noone et al., 2018). In 2015, over 3 million women were estimated to be living with breast cancer in the U.S., and it is estimated that 12 percent of women will be diagnosed with breast cancer at some point during their lifetime (Noone et al., 2018).

While there are other factors that affect a woman's risk of developing breast cancer, advancing age is a primary risk factor. Breast cancer is most frequently diagnosed among women ages 55-64; the median age at diagnosis is 62 years (Noone et al., 2018).

The chance of a woman being diagnosed with breast cancer in a given year increases with age. By age 40, the chances are 1 in 68; by age 50 it becomes 1 in 43; by age 60, it is 1 in 29 (American Cancer Society, 2017).

Clinical Recommendation Statement

The U.S. Preventive Services Task Force (USPSTF) recommends biennial screening mammography for women aged 40-74 years (B recommendation) (USPSTF, 2024).

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening mammography in women aged 75 years or older (I statement) (USPSTF, 2024).

The USPSTF concludes that the current evidence is insufficient to assess the benefits and harms of digital breast tomosynthesis (DBT) as a primary screening method for breast cancer (I statement) (USPSTF, 2024).

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of adjunctive screening for breast cancer using breast ultrasonography and magnetic resonance imaging in women identified to have dense breasts on an otherwise negative screening mammogram (I statement) (USPSTF, 2024).

The National Comprehensive Cancer Network (NCCN) and the American College of Radiology (ACR) recommend using conventional mammography or DBT for screening women at low, intermediate or high risk for breast cancer (NCCN, 2021; ACR, 2017).

Improvement Notation

Higher score equals better quality

Reference

Reference Type: Citation

Reference Text:

American Cancer Society. (2017). Breast cancer facts & figures 2017–2018. American Cancer Society. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/breast-cancer-facts-and-figures/breast-cancer-facts-and-figures-2017-2018.pdf

Reference

Reference Type: Citation

Reference Text:

American College of Radiology. (2017). ACR Appropriateness Criteria: Breast cancer screening. American College of Radiology. https://acsearch.acr.org/docs/70910/Narrative/

Reference

Reference Type: Citation

Reference Text:

National Comprehensive Cancer Network. (2021). Breast cancer screening and diagnosis. Retrieved November 25, 2025, National Comprehensive Cancer Network. https://www.nccn.org/professionals/physician_gls/pdf/breast-screening.pdf

Reference

Reference Type: Citation

Reference Text:

Noone, A. M., Howlader, N., Krapcho, M., Miller, D., Brest, A., Yu, M., Ruhl, J., Tatalovich, Z., Mariotto, A., Lewis, D. R., Chen, H. S., Feuer, E. J., & Cronin, K. A. (Eds.). (2018). SEER cancer statistics review, 1975–2015. National Cancer Institute. https://seer.cancer.gov/csr/1975_2015/

Reference

Reference Type: Citation

Reference Text:

U.S. Preventive Services Task Force. (2024). Screening for breast cancer: U.S. Preventive Services Task Force recommendation statement. JAMA, 331(22), 1918–1930. https://jamanetwork.com/journals/jama/fullarticle/2818283

Definition

None

Guidance

This measure evaluates primary screening. Do not count biopsies, breast ultrasounds, or MRIs because they are not appropriate methods for primary breast cancer screening.

Please note the measure may include screenings performed outside the age range of patients referenced in the initial population. Screenings that occur prior to the measurement period are valid to meet measure criteria.

This eCQM is a patient-based measure.

This version of the eCQM uses QDM version 5.6. Please refer to the eCQI resource center (https://ecqi.healthit.gov/qdm) for more information on the QDM.

Transmission Format

TBD

Initial Population

Women 42-74 years of age by the end of the measurement period with a visit during the measurement period

Denominator

Equals Initial Population

Denominator Exclusions

Exclude patients who are in hospice care for any part of the measurement period.

Exclude patients 66 and older by the end of the measurement period who are living long term in a nursing home any time on or before the end of the measurement period.

Exclude patients 66 and older by the end of the measurement period with an indication of frailty for any part of the measurement period who also meet any of the following advanced illness criteria:

Advanced illness diagnosis during the measurement period or the year prior
OR taking dementia medications during the measurement period or the year prior

Exclude patients receiving palliative care for any part of the measurement period.

Exclude women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy on or before the end of the measurement period.

Numerator

Women with one or more mammograms any time on or between October 1 two years prior to the measurement period and the end of the measurement period

Numerator Exclusions

None

Denominator Exceptions

None

Supplemental Data Elements

For every patient evaluated by this measure also identify payer, race, ethnicity and sex

Population Criteria
Definitions
Functions
Terminology
Data Criteria (QDM Data Elements)
Supplemental Data Elements
Risk Adjustment Variables

Population Criteria

Initial Population

  exists ( ["Patient Characteristic Sex": "Female (finding)"] )
    and AgeInYearsAt(date from 
      end of "Measurement Period"
    ) in Interval[42, 74]
    and exists AdultOutpatientEncounters."Qualifying Encounters"

- Denominator
  - "Initial Population"

Denominator Exclusions

  Hospice."Has Hospice Services"
    or AIFrailLTCF."Is Age 66 Or Older Living Long Term In A Nursing Home"
    or AIFrailLTCF."Is Age 66 Or Older With Advanced Illness And Frailty"
    or PalliativeCare."Has Palliative Care In The Measurement Period"
    or ( ( exists ( "Right Mastectomy Diagnosis" )
          or exists ( "Right Mastectomy Procedure" )
      )
        and ( exists ( "Left Mastectomy Diagnosis" )
            or exists ( "Left Mastectomy Procedure" )
        )
    )
    or exists "Bilateral Mastectomy Diagnosis"
    or exists "Bilateral Mastectomy Procedure"

Numerator

  exists ( ["Diagnostic Study, Performed": "Mammography"] Mammogram
      where ( Global."NormalizeInterval" ( Mammogram.relevantDatetime, Mammogram.relevantPeriod ) ends during day of Interval["October 1 Two Years Prior To The Measurement Period", end of "Measurement Period"])
  )

- Numerator Exclusions
  - None

- Denominator Exceptions
  - None

Stratification 1

	AgeInYearsAt(date from 
	  end of "Measurement Period"
	) in Interval[42, 51]

Stratification 2

	AgeInYearsAt(date from 
	  end of "Measurement Period"
	) in Interval[52, 74]

Definitions

AdultOutpatientEncounters.Qualifying Encounters

  ( ["Encounter, Performed": "Office Visit"]
    union ["Encounter, Performed": "Annual Wellness Visit"]
    union ["Encounter, Performed": "Preventive Care Services Established Office Visit, 18 and Up"]
    union ["Encounter, Performed": "Preventive Care Services Initial Office Visit, 18 and Up"]
    union ["Encounter, Performed": "Home Healthcare Services"]
    union ["Encounter, Performed": "Virtual Encounter"]
    union ["Encounter, Performed": "Telephone Visits"] ) ValidEncounter
    where ValidEncounter.relevantPeriod during day of "Measurement Period"

AIFrailLTCF.Has Advanced Illness In Year Before Or During Measurement Period

  exists ( ["Diagnosis": "Advanced Illness"] AdvancedIllnessDiagnosis
      where AdvancedIllnessDiagnosis.prevalencePeriod overlaps day of Interval[start of "Measurement Period" - 1 year, end of "Measurement Period"]
  )

AIFrailLTCF.Has Criteria Indicating Frailty

  exists ( ["Device, Order": "Frailty Device"] FrailtyDeviceOrder
      where FrailtyDeviceOrder.authorDatetime during day of "Measurement Period"
  )
    or exists ( ["Assessment, Performed": "Medical equipment used"] EquipmentUsed
        where EquipmentUsed.result in "Frailty Device"
          and Global."NormalizeInterval" ( EquipmentUsed.relevantDatetime, EquipmentUsed.relevantPeriod ) ends during day of "Measurement Period"
    )
    or exists ( ["Diagnosis": "Frailty Diagnosis"] FrailtyDiagnosis
        where FrailtyDiagnosis.prevalencePeriod overlaps day of "Measurement Period"
    )
    or exists ( ["Encounter, Performed": "Frailty Encounter"] FrailtyEncounter
        where FrailtyEncounter.relevantPeriod overlaps day of "Measurement Period"
    )
    or exists ( ["Symptom": "Frailty Symptom"] FrailtySymptom
        where FrailtySymptom.prevalencePeriod overlaps day of "Measurement Period"
    )

AIFrailLTCF.Has Dementia Medications In Year Before Or During Measurement Period

  exists (["Medication, Active": "Dementia Medications"] DementiaMedication
    where Global."NormalizeInterval" ( DementiaMedication.relevantDatetime, DementiaMedication.relevantPeriod ) overlaps day of Interval[start of "Measurement Period" - 1 year, 
    end of "Measurement Period"])

AIFrailLTCF.Is Age 66 Or Older Living Long Term In A Nursing Home

  AgeInYearsAt(date from end of "Measurement Period")>= 66
    and Last(
    ["Assessment, Performed": "Housing status"] HousingStatus
          where Global."NormalizeInterval"(HousingStatus.relevantDatetime, HousingStatus.relevantPeriod) ends on or before day of 
          end of "Measurement Period"
          sort by end of Global."NormalizeInterval"(relevantDatetime, relevantPeriod) asc
      ).result ~ "Lives in nursing home (finding)"

AIFrailLTCF.Is Age 66 Or Older With Advanced Illness And Frailty

  AgeInYearsAt(date from end of "Measurement Period") >= 66
      and "Has Criteria Indicating Frailty"
      and ( "Has Advanced Illness In Year Before Or During Measurement Period"
          or "Has Dementia Medications In Year Before Or During Measurement Period"
      )

Bilateral Mastectomy Diagnosis

  ["Diagnosis": "History of bilateral mastectomy"] BilateralMastectomyHistory
    where BilateralMastectomyHistory.prevalencePeriod starts on or before day of end of "Measurement Period"

Bilateral Mastectomy Procedure

  ["Procedure, Performed": "Bilateral Mastectomy"] BilateralMastectomyPerformed
    where Global."NormalizeInterval" ( BilateralMastectomyPerformed.relevantDatetime, BilateralMastectomyPerformed.relevantPeriod ) ends on or before day of end of "Measurement Period"

Denominator
- - "Initial Population"

Denominator Exclusions

  Hospice."Has Hospice Services"
    or AIFrailLTCF."Is Age 66 Or Older Living Long Term In A Nursing Home"
    or AIFrailLTCF."Is Age 66 Or Older With Advanced Illness And Frailty"
    or PalliativeCare."Has Palliative Care In The Measurement Period"
    or ( ( exists ( "Right Mastectomy Diagnosis" )
          or exists ( "Right Mastectomy Procedure" )
      )
        and ( exists ( "Left Mastectomy Diagnosis" )
            or exists ( "Left Mastectomy Procedure" )
        )
    )
    or exists "Bilateral Mastectomy Diagnosis"
    or exists "Bilateral Mastectomy Procedure"

Hospice.Has Hospice Services

  exists ( ["Encounter, Performed": "Encounter Inpatient"] InpatientEncounter
      where ( InpatientEncounter.dischargeDisposition ~ "Discharge to home for hospice care (procedure)"
          or InpatientEncounter.dischargeDisposition ~ "Discharge to healthcare facility for hospice care (procedure)"
      )
        and InpatientEncounter.relevantPeriod ends during day of "Measurement Period"
  )
    or exists ( ["Encounter, Performed": "Hospice Encounter"] HospiceEncounter
        where HospiceEncounter.relevantPeriod overlaps day of "Measurement Period"
    )
    or exists ( ["Assessment, Performed": "Hospice care [Minimum Data Set]"] HospiceAssessment
        where HospiceAssessment.result ~ "Yes (qualifier value)"
          and Global."NormalizeInterval" ( HospiceAssessment.relevantDatetime, HospiceAssessment.relevantPeriod ) overlaps day of "Measurement Period"
    )
    or exists ( ["Intervention, Order": "Hospice Care Ambulatory"] HospiceOrder
        where HospiceOrder.authorDatetime during day of "Measurement Period"
    )
    or exists ( ["Intervention, Performed": "Hospice Care Ambulatory"] HospicePerformed
        where Global."NormalizeInterval" ( HospicePerformed.relevantDatetime, HospicePerformed.relevantPeriod ) overlaps day of "Measurement Period"
    )
  or exists ( ["Diagnosis": "Hospice Diagnosis"] HospiceCareDiagnosis
        where HospiceCareDiagnosis.prevalencePeriod overlaps day of "Measurement Period"
    )

Initial Population

  exists ( ["Patient Characteristic Sex": "Female (finding)"] )
    and AgeInYearsAt(date from 
      end of "Measurement Period"
    ) in Interval[42, 74]
    and exists AdultOutpatientEncounters."Qualifying Encounters"

Left Mastectomy Diagnosis

  ( ["Diagnosis": "Status Post Left Mastectomy"] ) LeftMastectomy
    where LeftMastectomy.prevalencePeriod starts on or before day of end of "Measurement Period"

Left Mastectomy Procedure

  (["Procedure, Performed": "Unilateral Mastectomy Left"]
  union (["Procedure, Performed": "Unilateral Mastectomy"] UnilateralMastectomyProcedure
  where UnilateralMastectomyProcedure.anatomicalLocationSite ~ "Entire left breast (body structure)")) UnilateralMastectomyLeftPerformed
    where Global."NormalizeInterval" ( UnilateralMastectomyLeftPerformed.relevantDatetime, UnilateralMastectomyLeftPerformed.relevantPeriod ) ends on or before day of end of "Measurement Period"

Numerator

  exists ( ["Diagnostic Study, Performed": "Mammography"] Mammogram
      where ( Global."NormalizeInterval" ( Mammogram.relevantDatetime, Mammogram.relevantPeriod ) ends during day of Interval["October 1 Two Years Prior To The Measurement Period", end of "Measurement Period"])
  )

October 1 Two Years Prior To The Measurement Period

  DateTime((year from start of "Measurement Period" - 2), 10, 1, 0, 0, 0, 0, 0)

PalliativeCare.Has Palliative Care In The Measurement Period

  exists ( ["Assessment, Performed": "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)"] PalliativeAssessment
      where Global."NormalizeInterval" ( PalliativeAssessment.relevantDatetime, PalliativeAssessment.relevantPeriod ) overlaps day of "Measurement Period"
  )
    or exists ( ["Diagnosis": "Palliative Care Diagnosis"] PalliativeDiagnosis
        where PalliativeDiagnosis.prevalencePeriod overlaps day of "Measurement Period"
    )
    or exists ( ["Encounter, Performed": "Palliative Care Encounter"] PalliativeEncounter
        where PalliativeEncounter.relevantPeriod overlaps day of "Measurement Period"
    )
    or exists ( ["Intervention, Performed": "Palliative Care Intervention"] PalliativeIntervention
        where Global."NormalizeInterval" ( PalliativeIntervention.relevantDatetime, PalliativeIntervention.relevantPeriod ) overlaps day of "Measurement Period"
    )

Right Mastectomy Diagnosis

  ( ["Diagnosis": "Status Post Right Mastectomy"]) RightMastectomy
    where RightMastectomy.prevalencePeriod starts on or before day of end of "Measurement Period"

Right Mastectomy Procedure

  (["Procedure, Performed": "Unilateral Mastectomy Right"]
  union (["Procedure, Performed": "Unilateral Mastectomy"] UnilateralMastectomyProcedure
  where UnilateralMastectomyProcedure.anatomicalLocationSite ~ "Entire right breast (body structure)")) UnilateralMastectomyRightPerformed
    where Global."NormalizeInterval" ( UnilateralMastectomyRightPerformed.relevantDatetime, UnilateralMastectomyRightPerformed.relevantPeriod ) ends on or before day of end of "Measurement Period"

SDE Ethnicity

  ["Patient Characteristic Ethnicity": "Ethnicity"]

SDE Payer

  ["Patient Characteristic Payer": "Payer Type"]

SDE Race

  ["Patient Characteristic Race": "Race"]

SDE Sex

  ["Patient Characteristic Sex": "Federal Administrative Sex"]

Stratification 1

	AgeInYearsAt(date from 
	  end of "Measurement Period"
	) in Interval[42, 51]

Stratification 2

	AgeInYearsAt(date from 
	  end of "Measurement Period"
	) in Interval[52, 74]

Functions

Global.NormalizeInterval(pointInTime DateTime, period Interval<DateTime>)

  if pointInTime is not null then Interval[pointInTime, pointInTime]
    else if period is not null then period 
    else null as Interval<DateTime>

Terminology

code "Discharge to healthcare facility for hospice care (procedure)" ("SNOMEDCT Code (428371000124100)")
code "Discharge to home for hospice care (procedure)" ("SNOMEDCT Code (428361000124107)")
code "Entire left breast (body structure)" ("SNOMEDCT Code (361716006)")
code "Entire right breast (body structure)" ("SNOMEDCT Code (361715005)")
code "Female (finding)" ("SNOMEDCT Code (248152002)")
code "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)" ("LOINC Code (71007-9)")
code "Hospice care [Minimum Data Set]" ("LOINC Code (45755-6)")
code "Housing status" ("LOINC Code (71802-3)")
code "Lives in nursing home (finding)" ("SNOMEDCT Code (160734000)")
code "Medical equipment used" ("LOINC Code (98181-1)")
code "Yes (qualifier value)" ("SNOMEDCT Code (373066001)")
valueset "Advanced Illness" (2.16.840.1.113883.3.464.1003.110.12.1082)
valueset "Annual Wellness Visit" (2.16.840.1.113883.3.526.3.1240)
valueset "Bilateral Mastectomy" (2.16.840.1.113883.3.464.1003.198.12.1005)
valueset "Dementia Medications" (2.16.840.1.113883.3.464.1003.196.12.1510)
valueset "Encounter Inpatient" (2.16.840.1.113883.3.666.5.307)
valueset "Ethnicity" (2.16.840.1.114222.4.11.837)
valueset "Federal Administrative Sex" (2.16.840.1.113762.1.4.1021.121)
valueset "Frailty Device" (2.16.840.1.113883.3.464.1003.118.12.1300)
valueset "Frailty Diagnosis" (2.16.840.1.113883.3.464.1003.113.12.1074)
valueset "Frailty Encounter" (2.16.840.1.113883.3.464.1003.101.12.1088)
valueset "Frailty Symptom" (2.16.840.1.113883.3.464.1003.113.12.1075)
valueset "History of bilateral mastectomy" (2.16.840.1.113883.3.464.1003.198.12.1068)
valueset "Home Healthcare Services" (2.16.840.1.113883.3.464.1003.101.12.1016)
valueset "Hospice Care Ambulatory" (2.16.840.1.113883.3.526.3.1584)
valueset "Hospice Diagnosis" (2.16.840.1.113883.3.464.1003.1165)
valueset "Hospice Encounter" (2.16.840.1.113883.3.464.1003.1003)
valueset "Mammography" (2.16.840.1.113883.3.464.1003.108.12.1018)
valueset "Office Visit" (2.16.840.1.113883.3.464.1003.101.12.1001)
valueset "Palliative Care Diagnosis" (2.16.840.1.113883.3.464.1003.1167)
valueset "Palliative Care Encounter" (2.16.840.1.113883.3.464.1003.101.12.1090)
valueset "Palliative Care Intervention" (2.16.840.1.113883.3.464.1003.198.12.1135)
valueset "Payer Type" (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 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 "Status Post Left Mastectomy" (2.16.840.1.113883.3.464.1003.198.12.1069)
valueset "Status Post Right Mastectomy" (2.16.840.1.113883.3.464.1003.198.12.1070)
valueset "Telephone Visits" (2.16.840.1.113883.3.464.1003.101.12.1080)
valueset "Unilateral Mastectomy" (2.16.840.1.113883.3.464.1003.1285)
valueset "Unilateral Mastectomy Left" (2.16.840.1.113883.3.464.1003.198.12.1133)
valueset "Unilateral Mastectomy Right" (2.16.840.1.113883.3.464.1003.198.12.1134)
valueset "Virtual Encounter" (2.16.840.1.113883.3.464.1003.101.12.1089)

Data Criteria (QDM Data Elements)

"Assessment, Performed: Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)" using "Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal) (LOINC Code 71007-9)"
"Assessment, Performed: Hospice care [Minimum Data Set]" using "Hospice care [Minimum Data Set] (LOINC Code 45755-6)"
"Assessment, Performed: Housing status" using "Housing status (LOINC Code 71802-3)"
"Assessment, Performed: Medical equipment used" using "Medical equipment used (LOINC Code 98181-1)"
"Device, Order: Frailty Device" using "Frailty Device (2.16.840.1.113883.3.464.1003.118.12.1300)"
"Diagnosis: Advanced Illness" using "Advanced Illness (2.16.840.1.113883.3.464.1003.110.12.1082)"
"Diagnosis: Frailty Diagnosis" using "Frailty Diagnosis (2.16.840.1.113883.3.464.1003.113.12.1074)"
"Diagnosis: History of bilateral mastectomy" using "History of bilateral mastectomy (2.16.840.1.113883.3.464.1003.198.12.1068)"
"Diagnosis: Hospice Diagnosis" using "Hospice Diagnosis (2.16.840.1.113883.3.464.1003.1165)"
"Diagnosis: Palliative Care Diagnosis" using "Palliative Care Diagnosis (2.16.840.1.113883.3.464.1003.1167)"
"Diagnosis: Status Post Left Mastectomy" using "Status Post Left Mastectomy (2.16.840.1.113883.3.464.1003.198.12.1069)"
"Diagnosis: Status Post Right Mastectomy" using "Status Post Right Mastectomy (2.16.840.1.113883.3.464.1003.198.12.1070)"
"Diagnostic Study, Performed: Mammography" using "Mammography (2.16.840.1.113883.3.464.1003.108.12.1018)"
"Encounter, Performed: Annual Wellness Visit" using "Annual Wellness Visit (2.16.840.1.113883.3.526.3.1240)"
"Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient (2.16.840.1.113883.3.666.5.307)"
"Encounter, Performed: Frailty Encounter" using "Frailty Encounter (2.16.840.1.113883.3.464.1003.101.12.1088)"
"Encounter, Performed: Home Healthcare Services" using "Home Healthcare Services (2.16.840.1.113883.3.464.1003.101.12.1016)"
"Encounter, Performed: Hospice Encounter" using "Hospice Encounter (2.16.840.1.113883.3.464.1003.1003)"
"Encounter, Performed: Office Visit" using "Office Visit (2.16.840.1.113883.3.464.1003.101.12.1001)"
"Encounter, Performed: Palliative Care Encounter" using "Palliative Care Encounter (2.16.840.1.113883.3.464.1003.101.12.1090)"
"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 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)"
"Encounter, Performed: Telephone Visits" using "Telephone Visits (2.16.840.1.113883.3.464.1003.101.12.1080)"
"Encounter, Performed: Virtual Encounter" using "Virtual Encounter (2.16.840.1.113883.3.464.1003.101.12.1089)"
"Intervention, Order: Hospice Care Ambulatory" using "Hospice Care Ambulatory (2.16.840.1.113883.3.526.3.1584)"
"Intervention, Performed: Hospice Care Ambulatory" using "Hospice Care Ambulatory (2.16.840.1.113883.3.526.3.1584)"
"Intervention, Performed: Palliative Care Intervention" using "Palliative Care Intervention (2.16.840.1.113883.3.464.1003.198.12.1135)"
"Medication, Active: Dementia Medications" using "Dementia Medications (2.16.840.1.113883.3.464.1003.196.12.1510)"
"Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity (2.16.840.1.114222.4.11.837)"
"Patient Characteristic Payer: Payer Type" using "Payer Type (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: Federal Administrative Sex" using "Federal Administrative Sex (2.16.840.1.113762.1.4.1021.121)"
"Patient Characteristic Sex: Female (finding)" using "Female (finding) (SNOMEDCT Code 248152002)"
"Procedure, Performed: Bilateral Mastectomy" using "Bilateral Mastectomy (2.16.840.1.113883.3.464.1003.198.12.1005)"
"Procedure, Performed: Unilateral Mastectomy Left" using "Unilateral Mastectomy Left (2.16.840.1.113883.3.464.1003.198.12.1133)"
"Procedure, Performed: Unilateral Mastectomy Right" using "Unilateral Mastectomy Right (2.16.840.1.113883.3.464.1003.198.12.1134)"
"Procedure, Performed: Unilateral Mastectomy" using "Unilateral Mastectomy (2.16.840.1.113883.3.464.1003.1285)"
"Symptom: Frailty Symptom" using "Frailty Symptom (2.16.840.1.113883.3.464.1003.113.12.1075)"

Supplemental Data Elements

SDE Ethnicity

  ["Patient Characteristic Ethnicity": "Ethnicity"]

SDE Payer

  ["Patient Characteristic Payer": "Payer Type"]

SDE Race

  ["Patient Characteristic Race": "Race"]

SDE Sex

  ["Patient Characteristic Sex": "Federal Administrative Sex"]

Risk Adjustment Variables

None

Measure Set

None