eCQM Title | Bone density evaluation for patients with prostate cancer and receiving androgen deprivation therapy |
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eCQM Identifier (Measure Authoring Tool) | 645 | eCQM Version number | 3.1.000 |
NQF Number | Not Applicable | GUID | 977b302e-cdf3-4ba2-8020-5e099d93ad18 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | Oregon Urology | ||
Measure Developer | Oregon Urology | ||
Endorsed By | None | ||
Description | |||
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Measure Scoring | Proportion | ||
Measure Type | Process | ||
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Definition | |||
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Transmission Format | |||
Initial Population | |||
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Supplemental Data Elements |
"Patient is Male" and exists "Qualifying Encounter" and "First Androgen Deprivation Therapy" is not null
"Initial Population"
exists "Baseline DEXA Scan Two Years Prior to the Start of or Less than Three Months After the Start of ADT"
exists ( "No Bone Density Scan Ordered Due to Patient Refusal" ) or exists ( "No Bone Density Scan Performed Due to Patient Refusal" )
"Bone Density Scan Ordered or Performed" DEXAScan with "First Androgen Deprivation Therapy" FirstADT such that DEXAScan.authorDatetime 3 months or less after start FirstADT.relevantPeriod or DEXAScan.authorDatetime 2 years or less before start of FirstADT.relevantPeriod
["Diagnostic Study, Order": "DEXA Dual Energy Xray Absorptiometry, Bone Density for Urology Care"] DEXAOrdered union ( ["Diagnostic Study, Performed": "DEXA Dual Energy Xray Absorptiometry, Bone Density for Urology Care"] DEXAPerformed return "Diagnostic Study, Order" { authorDatetime: start of DEXAPerformed.relevantPeriod } )
"Initial Population"
exists ( "No Bone Density Scan Ordered Due to Patient Refusal" ) or exists ( "No Bone Density Scan Performed Due to Patient Refusal" )
First(["Medication, Active": "Androgen deprivation therapy for Urology Care"] InitialADTTherapy with "Prostate Cancer Diagnosis" ProstateCancer such that InitialADTTherapy.relevantPeriod starts on or after start of ProstateCancer.prevalencePeriod with ["Procedure, Order": "Injection of leuprolide acetate for twelve month period (regime/therapy)"] TwelveMonthADTTherapy such that InitialADTTherapy.relevantPeriod includes TwelveMonthADTTherapy.authorDatetime and InitialADTTherapy.relevantPeriod overlaps "Measurement Period" sort by start of relevantPeriod )
"Patient is Male" and exists "Qualifying Encounter" and "First Androgen Deprivation Therapy" is not null
from "First Androgen Deprivation Therapy" FirstADTTherapy, ["Diagnostic Study, Not Ordered": "DEXA Dual Energy Xray Absorptiometry, Bone Density for Urology Care"] DEXANotOrdered where ( DEXANotOrdered.authorDatetime 3 months or less after start of FirstADTTherapy.relevantPeriod and DEXANotOrdered.negationRationale in "Patient Reason refused" ) return FirstADTTherapy
from "First Androgen Deprivation Therapy" FirstADTTherapy, ["Diagnostic Study, Not Performed": "DEXA Dual Energy Xray Absorptiometry, Bone Density for Urology Care"] DEXANotPerformed where ( DEXANotPerformed.authorDatetime 3 months or less after start of FirstADTTherapy.relevantPeriod and DEXANotPerformed.negationRationale in "Patient Reason refused" ) return FirstADTTherapy
exists "Baseline DEXA Scan Two Years Prior to the Start of or Less than Three Months After the Start of ADT"
exists ["Patient Characteristic Sex": "Male"]
["Diagnosis": "Prostate Cancer"] ProstateCancer where ProstateCancer.prevalencePeriod starts same day or before end "Measurement Period"
["Encounter, Performed": "Office Visit"] Encounter where Encounter.relevantPeriod during "Measurement Period"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |