------ Population Criteria 1 ------
- Initial Population =
- AND: Age>= 18 year(s) at: "Measurement Period"
- AND: $InitialMajDepressionDiagnosis
- AND: $InitialDepMedication
- AND: Union of:
- "Encounter, Performed: Office Visit"
- "Encounter, Performed: Face-to-Face Interaction"
- "Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up"
- "Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up"
- "Encounter, Performed: Home Healthcare Services"
- "Encounter, Performed: Annual Wellness Visit"
- "Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- "Encounter, Performed: Psych Visit - Psychotherapy"
- during "Measurement Period"
- Denominator =
- Denominator Exclusions =
- OR: "Encounter, Performed: Encounter Inpatient (discharge status: Discharged to Home for Hospice Care)" ends during "Measurement Period"
- OR: "Encounter, Performed: Encounter Inpatient (discharge status: Discharged to Health Care Facility for Hospice Care)" ends during "Measurement Period"
- OR: Union of:
- "Intervention, Order: Hospice care ambulatory"
- "Intervention, Performed: Hospice care ambulatory"
- overlaps "Measurement Period"
- OR: "Medication, Active: Antidepressant Medication" <= 105 day(s) starts before start of $InitialDepMedication
- Numerator =
- AND: Sum>= 84 day(s): "Medication, Active: Antidepressant Medication (cumulative medication duration)" <= 114 day(s) ends after start of $InitialDepMedication
- Numerator Exclusions =
- Denominator Exceptions =
- Stratification =
------ Population Criteria 2 ------
- Initial Population =
- AND: Age>= 18 year(s) at: "Measurement Period"
- AND: $InitialMajDepressionDiagnosis
- AND: $InitialDepMedication
- AND: Union of:
- "Encounter, Performed: Office Visit"
- "Encounter, Performed: Face-to-Face Interaction"
- "Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up"
- "Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up"
- "Encounter, Performed: Home Healthcare Services"
- "Encounter, Performed: Annual Wellness Visit"
- "Encounter, Performed: Psych Visit - Diagnostic Evaluation"
- "Encounter, Performed: Psych Visit - Psychotherapy"
- during "Measurement Period"
- Denominator =
- Denominator Exclusions =
- OR: "Encounter, Performed: Encounter Inpatient (discharge status: Discharged to Home for Hospice Care)" ends during "Measurement Period"
- OR: "Encounter, Performed: Encounter Inpatient (discharge status: Discharged to Health Care Facility for Hospice Care)" ends during "Measurement Period"
- OR: Union of:
- "Intervention, Order: Hospice care ambulatory"
- "Intervention, Performed: Hospice care ambulatory"
- overlaps "Measurement Period"
- OR: "Medication, Active: Antidepressant Medication" <= 105 day(s) starts before start of $InitialDepMedication
- Numerator =
- AND: Sum>= 180 day(s): "Medication, Active: Antidepressant Medication (cumulative medication duration)" <= 231 day(s) ends after start of $InitialDepMedication
- Numerator Exclusions =
- Denominator Exceptions =
- Stratification =
- $InitialDepMedication =
- First:
- "Medication, Dispensed: Antidepressant Medication" satisfies any:
- <= 270 day(s) starts before or concurrent with start of "Measurement Period"
- <= 90 day(s) starts after start of "Measurement Period"
- $InitialMajDepressionDiagnosis =
- First:
- "Diagnosis: Major Depression" satisfies any:
- <= 60 day(s) starts before or concurrent with start of $InitialDepMedication
- <= 60 day(s) starts after start of $InitialDepMedication
- "Diagnosis: Major Depression" using "Major Depression Grouping Value Set (2.16.840.1.113883.3.464.1003.105.12.1007)"
- "Encounter, Performed: Annual Wellness Visit" using "Annual Wellness Visit Grouping Value Set (2.16.840.1.113883.3.526.3.1240)"
- "Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.307)"
- "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: Home Healthcare Services" using "Home Healthcare Services Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1016)"
- "Encounter, Performed: Office Visit" using "Office Visit Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1001)"
- "Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up" using "Preventive Care Services - Established Office Visit, 18 and Up Grouping Value Set (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 Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1023)"
- "Encounter, Performed: Psych Visit - Diagnostic Evaluation" using "Psych Visit - Diagnostic Evaluation Grouping Value Set (2.16.840.1.113883.3.526.3.1492)"
- "Encounter, Performed: Psych Visit - Psychotherapy" using "Psych Visit - Psychotherapy Grouping Value Set (2.16.840.1.113883.3.526.3.1496)"
- "Intervention, Order: Hospice care ambulatory" using "Hospice care ambulatory SNOMEDCT Value Set (2.16.840.1.113762.1.4.1108.15)"
- "Intervention, Performed: Hospice care ambulatory" using "Hospice care ambulatory SNOMEDCT Value Set (2.16.840.1.113762.1.4.1108.15)"
- "Medication, Active: Antidepressant Medication" using "Antidepressant Medication Grouping Value Set (2.16.840.1.113883.3.464.1003.196.12.1213)"
- "Medication, Dispensed: Antidepressant Medication" using "Antidepressant Medication Grouping Value Set (2.16.840.1.113883.3.464.1003.196.12.1213)"
- Attribute: "Discharge status: Discharged to Health Care Facility for Hospice Care" using "Discharged to Health Care Facility for Hospice Care SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.207)"
- Attribute: "Discharge status: Discharged to Home for Hospice Care" using "Discharged to Home for Hospice Care SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.209)"
- "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)"