------ Population Criteria 1 ------
- Initial Population =
- AND: $Encounters_For_Statin_Therapy
- AND: Age >= 21 year(s) at: "Measurement Period"
- Denominator =
- AND: $History_of_Clinical_ASCVD
- Denominator Exclusions =
- OR: $Statin_Use_Exclusion
- Numerator =
- AND:
- OR: Union of:
- "Medication, Order: Low intensity statin therapy"
- "Medication, Order: Moderate intensity statin therapy"
- "Medication, Order: High intensity statin therapy"
- during "Measurement Period"
- OR:
- AND: Occurrence A of $AnyStatinActiveSBEMP
- AND NOT: Occurrence A of $AnyStatinActiveSBEMP ends before end of "Measurement Period"
- Numerator Exclusions =
- Denominator Exceptions =
- OR: $Statin_Use_Exception
- Stratification =
------ Population Criteria 2 ------
- Initial Population =
- AND: $Encounters_For_Statin_Therapy
- AND: Age >= 21 year(s) at: "Measurement Period"
- Denominator =
- AND NOT: $History_of_Clinical_ASCVD
- AND:
- OR: "Laboratory Test, Performed: LDL Test (result >= 190 mg/dL)" starts before end of "Measurement Period"
- OR: "Diagnosis: Hypercholesterolemia" starts before end of "Measurement Period"
- Denominator Exclusions =
- OR: $Statin_Use_Exclusion
- Numerator =
- AND:
- OR: Union of:
- "Medication, Order: Low intensity statin therapy"
- "Medication, Order: Moderate intensity statin therapy"
- "Medication, Order: High intensity statin therapy"
- during "Measurement Period"
- OR:
- AND: Occurrence A of $AnyStatinActiveSBEMP
- AND NOT: Occurrence A of $AnyStatinActiveSBEMP ends before end of "Measurement Period"
- Numerator Exclusions =
- Denominator Exceptions =
- OR: $Statin_Use_Exception
- Stratification =
------ Population Criteria 3 ------
- Initial Population =
- AND: $Encounters_For_Statin_Therapy
- AND: Age >= 21 year(s) at: "Measurement Period"
- Denominator =
- AND: "Diagnosis: Diabetes" starts before end of "Measurement Period"
- AND NOT: $History_of_Clinical_ASCVD
- AND: Age >= 40 year(s) at: "Measurement Period"
- AND: Age <= 75 year(s) at: "Measurement Period"
- AND NOT: "Laboratory Test, Performed: LDL Test (result >= 190 mg/dL)" starts before end of "Measurement Period"
- AND NOT: "Diagnosis: Hypercholesterolemia" starts before end of "Measurement Period"
- # Includes tests performed in the two calendar years prior to the start of the measurement period
- AND: "Laboratory Test, Performed: LDL Test" satisfies all:
- (result < 190 mg/dL)
- (result >= 70 mg/dL)
- <= 2 year(s) starts before end of "Measurement Period"
- Denominator Exclusions =
- OR: $Statin_Use_Exclusion
- Numerator =
- AND:
- OR: Union of:
- "Medication, Order: Low intensity statin therapy"
- "Medication, Order: Moderate intensity statin therapy"
- "Medication, Order: High intensity statin therapy"
- during "Measurement Period"
- OR:
- AND: Occurrence A of $AnyStatinActiveSBEMP
- AND NOT: Occurrence A of $AnyStatinActiveSBEMP ends before end of "Measurement Period"
- Numerator Exclusions =
- Denominator Exceptions =
- OR: $Statin_Use_Exception
- # Includes tests performed in the two calendar years prior to the start of the measurement period
- OR: "Laboratory Test, Performed: LDL Test" satisfies all:
- Most Recent: (result) <= 2 year(s) starts before end of "Measurement Period"
- (result < 70 mg/dL)
- Stratification =
- $History_of_Clinical_ASCVD =
- Union of:
- "Procedure, Performed: PCI"
- "Diagnosis: Myocardial Infarction"
- "Diagnosis: Cerebrovascular disease, Stroke, TIA"
- "Procedure, Performed: CABG Surgeries"
- "Diagnosis: Atherosclerosis and Peripheral Arterial Disease"
- "Procedure, Performed: Carotid Intervention"
- "Diagnosis: Ischemic heart disease or coronary occlusion, rupture, or thrombosis"
- "Diagnosis: Stable and Unstable Angina"
- starts before end of "Measurement Period"
- $Statin_Use_Exclusion =
- Union of:
- "Diagnosis: Pregnancy Dx"
- "Diagnosis: Breastfeeding"
- "Diagnosis: Rhabdomyolysis"
- overlaps "Measurement Period"
- $Encounters_For_Statin_Therapy =
- Union of:
- "Encounter, Performed: Office Visit"
- "Encounter, Performed: Outpatient Consultation"
- "Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up"
- "Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up"
- "Encounter, Performed: Preventive Care Services-Individual Counseling"
- "Encounter, Performed: Preventive Care Services - Other"
- "Encounter, Performed: Annual Wellness Visit"
- "Encounter, Performed: Outpatient Encounters for Preventive Care"
- during "Measurement Period"
- $AnyStatinActiveSBEMP =
- Union of:
- "Medication, Active: Low intensity statin therapy"
- "Medication, Active: Moderate intensity statin therapy"
- "Medication, Active: High intensity statin therapy"
- starts before end of "Measurement Period"
- $Statin_Use_Exception =
- Union of:
- "Intervention, Performed: Palliative Care"
- "Diagnosis: End Stage Renal Disease"
- "Diagnosis: Hepatitis A"
- "Diagnosis: Hepatitis B"
- "Diagnosis: Liver Disease"
- "Medication, Adverse Effects: Statin Allergen"
- "Medication, Allergy: Statin Allergen"
- "Medication, Intolerance: Statin Allergen"
- overlaps "Measurement Period"
- "Diagnosis: Atherosclerosis and Peripheral Arterial Disease" using "Atherosclerosis and Peripheral Arterial Disease Grouping Value Set (2.16.840.1.113762.1.4.1047.21)"
- "Diagnosis: Breastfeeding" using "Breastfeeding Grouping Value Set (2.16.840.1.113762.1.4.1047.73)"
- "Diagnosis: Cerebrovascular disease, Stroke, TIA" using "Cerebrovascular disease, Stroke, TIA Grouping Value Set (2.16.840.1.113762.1.4.1047.44)"
- "Diagnosis: Diabetes" using "Diabetes Grouping Value Set (2.16.840.1.113883.3.464.1003.103.12.1001)"
- "Diagnosis: End Stage Renal Disease" using "End Stage Renal Disease Grouping Value Set (2.16.840.1.113883.3.526.3.353)"
- "Diagnosis: Hepatitis A" using "Hepatitis A Grouping Value Set (2.16.840.1.113883.3.464.1003.110.12.1024)"
- "Diagnosis: Hepatitis B" using "Hepatitis B Grouping Value Set (2.16.840.1.113883.3.67.1.101.1.269)"
- "Diagnosis: Hypercholesterolemia" using "Hypercholesterolemia Grouping Value Set (2.16.840.1.113762.1.4.1047.100)"
- "Diagnosis: Ischemic heart disease or coronary occlusion, rupture, or thrombosis" using "Ischemic heart disease or coronary occlusion, rupture, or thrombosis Grouping Value Set (2.16.840.1.113762.1.4.1047.46)"
- "Diagnosis: Liver Disease" using "Liver Disease Grouping Value Set (2.16.840.1.113762.1.4.1047.42)"
- "Diagnosis: Myocardial Infarction" using "Myocardial Infarction Grouping Value Set (2.16.840.1.113883.3.526.3.403)"
- "Diagnosis: Pregnancy Dx" using "Pregnancy Dx Grouping Value Set (2.16.840.1.113883.3.600.1.1623)"
- "Diagnosis: Rhabdomyolysis" using "Rhabdomyolysis Grouping Value Set (2.16.840.1.113762.1.4.1047.102)"
- "Diagnosis: Stable and Unstable Angina" using "Stable and Unstable Angina Grouping Value Set (2.16.840.1.113762.1.4.1047.47)"
- "Encounter, Performed: Annual Wellness Visit" using "Annual Wellness Visit HCPCS Value Set (2.16.840.1.113883.3.526.2.1363)"
- "Encounter, Performed: Office Visit" using "Office Visit CPT Value Set (2.16.840.1.113883.3.464.1003.101.11.1005)"
- "Encounter, Performed: Outpatient Consultation" using "Outpatient Consultation CPT Value Set (2.16.840.1.113883.3.464.1003.101.11.1040)"
- "Encounter, Performed: Outpatient Encounters for Preventive Care" using "Outpatient Encounters for Preventive Care SNOMEDCT Value Set (2.16.840.1.113762.1.4.1047.9)"
- "Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up" using "Preventive Care Services - Established Office Visit, 18 and Up CPT Value Set (2.16.840.1.113883.3.464.1003.101.11.1125)"
- "Encounter, Performed: Preventive Care Services - Other" using "Preventive Care Services - Other Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1030)"
- "Encounter, Performed: Preventive Care Services-Individual Counseling" using "Preventive Care Services-Individual Counseling Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1026)"
- "Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up" using "Preventive Care Services-Initial Office Visit, 18 and Up CPT Value Set (2.16.840.1.113883.3.464.1003.101.11.1115)"
- "Intervention, Performed: Palliative Care" using "Palliative Care Grouping Value Set (2.16.840.1.113883.3.600.1.1579)"
- "Laboratory Test, Performed: LDL Test" using "LDL Test LOINC Value Set (2.16.840.1.113883.3.464.1003.198.11.1029)"
- "Medication, Active: High intensity statin therapy" using "High intensity statin therapy RXNORM Value Set (2.16.840.1.113762.1.4.1047.97)"
- "Medication, Active: Low intensity statin therapy" using "Low intensity statin therapy RXNORM Value Set (2.16.840.1.113762.1.4.1047.107)"
- "Medication, Active: Moderate intensity statin therapy" using "Moderate intensity statin therapy RXNORM Value Set (2.16.840.1.113762.1.4.1047.98)"
- "Medication, Adverse Effects: Statin Allergen" using "Statin Allergen RXNORM Value Set (2.16.840.1.113883.3.117.1.7.1.423)"
- "Medication, Allergy: Statin Allergen" using "Statin Allergen RXNORM Value Set (2.16.840.1.113883.3.117.1.7.1.423)"
- "Medication, Intolerance: Statin Allergen" using "Statin Allergen RXNORM Value Set (2.16.840.1.113883.3.117.1.7.1.423)"
- "Medication, Order: High intensity statin therapy" using "High intensity statin therapy RXNORM Value Set (2.16.840.1.113762.1.4.1047.97)"
- "Medication, Order: Low intensity statin therapy" using "Low intensity statin therapy RXNORM Value Set (2.16.840.1.113762.1.4.1047.107)"
- "Medication, Order: Moderate intensity statin therapy" using "Moderate intensity statin therapy RXNORM Value Set (2.16.840.1.113762.1.4.1047.98)"
- "Procedure, Performed: CABG Surgeries" using "CABG Surgeries Grouping Value Set (2.16.840.1.113883.3.666.5.694)"
- "Procedure, Performed: Carotid Intervention" using "Carotid Intervention Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.204)"
- "Procedure, Performed: PCI" using "PCI Grouping Value Set (2.16.840.1.113762.1.4.1045.67)"
- "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)"