eCQM Title | HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis |
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eCQM Identifier (Measure Authoring Tool) | 52 | eCQM Version number | 8.1.000 |
NQF Number | Not Applicable | GUID | 1cdd20de-5de9-4759-8a93-31f1f8baaaa2 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | National Committee for Quality Assurance | ||
Measure Developer | National Committee for Quality Assurance | ||
Measure Developer | PCPI(R) Foundation (PCPI[R]) | ||
Endorsed By | None | ||
Description | |||
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Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
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Clinical Recommendation Statement | |||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
Numerator | |||
Numerator Exclusions | |||
Denominator Exceptions | |||
Supplemental Data Elements |
exists ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 6 and exists ( "HIV Diagnosis" ) and exists ( "Followup HIV Visit" ) and exists ( "CD4 Count Test Under 200" )
"Initial Population 1"
Hospice."Has Hospice"
exists "CD4 Count Test and PCP Prophylaxis Order" or exists "CD4 Count Test and PCP Prophylaxis Active" or exists "CD4 Count Test Under 200 With Current PCP Treatment"
exists ( "CD4 Count Test Under 200" FirstCD4Count with ["Laboratory Test, Performed": "CD4+ Count"] SecondCD4Count such that SecondCD4Count.authorDatetime occurs 3 months or less after FirstCD4Count.authorDatetime and SecondCD4Count.result >= 200 '/mm3' )
exists ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[1, 6 ) and exists ( "HIV Diagnosis" ) and exists ( "Followup HIV Visit" ) and exists ( "CD4 Count Test Under 500 or CD4 Percentage Test Less Than 15" )
"Initial Population 2"
Hospice."Has Hospice"
exists "CD4 Count Test Under 500 with PCP Medication Prophylaxis Active" or exists "CD4 Count Test Under 500 with PCP Medication Prophylaxis Order" or exists "CD4 Percentage Test Less Than 15 with PCP Medication Prophylaxis Active" or exists "CD4 Percentage Test Less Than 15 with PCP Medication Prophylaxis Order"
exists ( ( ["Laboratory Test, Performed": "CD4+ Count"] FirstCD4Count with ["Laboratory Test, Performed": "CD4+ Count"] SecondCD4Count such that SecondCD4Count.authorDatetime occurs 3 months or less after day of FirstCD4Count.authorDatetime and SecondCD4Count.result >= 500 '/mm3' ) union ( ["Laboratory Test, Performed": "CD4+ Percentage"] FirstCD4Percent with ["Laboratory Test, Performed": "CD4+ Percentage"] SecondCD4Percent such that SecondCD4Percent.authorDatetime occurs 3 months or less after FirstCD4Percent.authorDatetime and SecondCD4Percent.result >= 15 '%' ) )
exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInDaysAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 42 and Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")< 1 ) and "First HIV Diagnosis" is not null and exists ( "Followup HIV Visit" )
"Initial Population 3"
Hospice."Has Hospice"
exists ( ["Medication, Order": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxis with "First HIV Diagnosis" FirstHIVDiagnosis such that PCPProphylaxis.authorDatetime same day as start of FirstHIVDiagnosis.prevalencePeriod ) or exists ( ["Medication, Active": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxis with "First HIV Diagnosis" FirstHIVDiagnosis such that PCPProphylaxis.relevantPeriod overlaps FirstHIVDiagnosis.prevalencePeriod )
"CD4 Count Test Under 200" CD4TestUnder200 with ["Medication, Active": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxisActive such that PCPProphylaxisActive.relevantPeriod overlaps CD4TestUnder200.relevantPeriod
"CD4 Count Test Under 200" CD4TestUnder200 with ["Medication, Order": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxisOrder such that PCPProphylaxisOrder.authorDatetime 3 months or less after end of CD4TestUnder200.relevantPeriod
["Laboratory Test, Performed": "CD4+ Count"] CD4CountPerformed where ( CD4CountPerformed.result as Quantity ) < 200 '/mm3' and CD4CountPerformed.relevantPeriod ends 9 months or less after start of "Measurement Period"
from "CD4 Count Test Under 200" CD4CountTestUnder200, ["Medication, Order": "Oral Clindamycin"] ClindamycinOrder, ["Medication, Order": "Primaquine Phosphate 26.3 MG Oral Tablet"] PrimaquineOrder where ClindamycinOrder.authorDatetime occurs 3 months or less after end of CD4CountTestUnder200.relevantPeriod and PrimaquineOrder.authorDatetime occurs 3 months or less after end of CD4CountTestUnder200.relevantPeriod and ClindamycinOrder.authorDatetime same day as PrimaquineOrder.authorDatetime return CD4CountTestUnder200
["Laboratory Test, Performed": "CD4+ Count"] CD4CountTestPerformed where ( CD4CountTestPerformed.result as Quantity ) < 500 '/mm3' and CD4CountTestPerformed.relevantPeriod ends 9 months or less after start of "Measurement Period"
"CD4 Count Test Under 500" union "CD4 Percentage Test Less Than 15"
"CD4 Count Test Under 500" CD4TestUnder500 with ["Medication, Active": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxisActive such that PCPProphylaxisActive.relevantPeriod overlaps CD4TestUnder500.relevantPeriod
"CD4 Count Test Under 500" CD4TestUnder500 with ["Medication, Order": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxisOrder such that PCPProphylaxisOrder.authorDatetime occurs 3 months or less after end of CD4TestUnder500.relevantPeriod
["Laboratory Test, Performed": "CD4+ Percentage"] CD4PercentTestPerformed where ( CD4PercentTestPerformed.result as Quantity ) < 15 '%' and CD4PercentTestPerformed.relevantPeriod ends 9 months or less after start of "Measurement Period"
"CD4 Percentage Test Less Than 15" CD4Percentage with ["Medication, Active": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxisActive such that PCPProphylaxisActive.relevantPeriod overlaps CD4Percentage.relevantPeriod
"CD4 Percentage Test Less Than 15" CD4Percentage with ["Medication, Order": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxisOrder such that PCPProphylaxisOrder.authorDatetime occurs 3 months or less after end of CD4Percentage.relevantPeriod
"Initial Population 1"
"Initial Population 2"
"Initial Population 3"
exists ( "CD4 Count Test Under 200" FirstCD4Count with ["Laboratory Test, Performed": "CD4+ Count"] SecondCD4Count such that SecondCD4Count.authorDatetime occurs 3 months or less after FirstCD4Count.authorDatetime and SecondCD4Count.result >= 200 '/mm3' )
exists ( ( ["Laboratory Test, Performed": "CD4+ Count"] FirstCD4Count with ["Laboratory Test, Performed": "CD4+ Count"] SecondCD4Count such that SecondCD4Count.authorDatetime occurs 3 months or less after day of FirstCD4Count.authorDatetime and SecondCD4Count.result >= 500 '/mm3' ) union ( ["Laboratory Test, Performed": "CD4+ Percentage"] FirstCD4Percent with ["Laboratory Test, Performed": "CD4+ Percentage"] SecondCD4Percent such that SecondCD4Percent.authorDatetime occurs 3 months or less after FirstCD4Percent.authorDatetime and SecondCD4Percent.result >= 15 '%' ) )
Hospice."Has Hospice"
First("HIV Diagnosis" FirstDiagnosisHIV where FirstDiagnosisHIV.prevalencePeriod starts before end of "Measurement Period" sort by start of prevalencePeriod )
"Qualifying Encounters" FollowupVisit with "Qualifying Encounters" PriorVisit such that FollowupVisit.authorDatetime 90 days or more on or after day of PriorVisit.authorDatetime
["Diagnosis": "HIV 1"] HIV where HIV.prevalencePeriod starts before end of "Measurement Period"
exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice where ( DischargeHospice.dischargeDisposition as Code ~ "Discharge to home for hospice care (procedure)" or DischargeHospice.dischargeDisposition as Code ~ "Discharge to healthcare facility for hospice care (procedure)" ) and DischargeHospice.relevantPeriod ends during "Measurement Period" ) or exists ( ["Intervention, Order": "Hospice care ambulatory"] HospiceOrder where HospiceOrder.authorDatetime during "Measurement Period" ) or exists ( ["Intervention, Performed": "Hospice care ambulatory"] HospicePerformed where HospicePerformed.relevantPeriod overlaps "Measurement Period" )
exists ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 6 and exists ( "HIV Diagnosis" ) and exists ( "Followup HIV Visit" ) and exists ( "CD4 Count Test Under 200" )
exists ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[1, 6 ) and exists ( "HIV Diagnosis" ) and exists ( "Followup HIV Visit" ) and exists ( "CD4 Count Test Under 500 or CD4 Percentage Test Less Than 15" )
exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate where Global."CalendarAgeInDaysAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 42 and Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")< 1 ) and "First HIV Diagnosis" is not null and exists ( "Followup HIV Visit" )
exists "CD4 Count Test and PCP Prophylaxis Order" or exists "CD4 Count Test and PCP Prophylaxis Active" or exists "CD4 Count Test Under 200 With Current PCP Treatment"
exists "CD4 Count Test Under 500 with PCP Medication Prophylaxis Active" or exists "CD4 Count Test Under 500 with PCP Medication Prophylaxis Order" or exists "CD4 Percentage Test Less Than 15 with PCP Medication Prophylaxis Active" or exists "CD4 Percentage Test Less Than 15 with PCP Medication Prophylaxis Order"
exists ( ["Medication, Order": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxis with "First HIV Diagnosis" FirstHIVDiagnosis such that PCPProphylaxis.authorDatetime same day as start of FirstHIVDiagnosis.prevalencePeriod ) or exists ( ["Medication, Active": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxis with "First HIV Diagnosis" FirstHIVDiagnosis such that PCPProphylaxis.relevantPeriod overlaps FirstHIVDiagnosis.prevalencePeriod )
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Preventive Care- Initial Office Visit, 0 to 17"] 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": "Preventive Care - Established Office Visit, 0 to 17"] union ["Encounter, Performed": "Outpatient Consultation"] ) ValidEncounter where ValidEncounter.relevantPeriod during "Measurement Period"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
days between ToDate(BirthDateTime)and ToDate(AsOf)
years between ToDate(BirthDateTime)and ToDate(AsOf)
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |