-
Initial Patient Population =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Measurement Period"
- AND:
- OR:
- AND NOT:
- AND: "Occurrence B of Risk Category Assessment: PHQ-9 Tool" starts before start of "Occurrence A of Risk Category Assessment:
PHQ-9 Tool"
- AND: "Occurrence B of Risk Category Assessment: PHQ-9 Tool (result > 9 )" during
- AND: "Occurrence B of Encounter, Performed: Office Visit" <= 13 month(s) starts before start of "Measurement Period"
- AND: "Occurrence B of Encounter, Performed: Office Visit" >= 1 month(s) ends before start of "Measurement Period"
- AND:
- OR:
- AND NOT: "Occurrence A of Diagnosis, Active: Major Depression" ends before start of "Occurrence B of Encounter, Performed:
Office Visit"
- AND: "Occurrence A of Diagnosis, Active: Major Depression" starts before or during "Occurrence B of Encounter, Performed:
Office Visit"
- OR:
- AND NOT: "Occurrence A of Diagnosis, Active: Dysthymia" ends before start of "Occurrence B of Encounter, Performed: Office
Visit"
- AND: "Occurrence A of Diagnosis, Active: Dysthymia" starts before or during "Occurrence B of Encounter, Performed: Office
Visit"
- AND NOT:
- AND: "Occurrence C of Risk Category Assessment: PHQ-9 Tool" starts before start of "Occurrence A of Risk Category Assessment:
PHQ-9 Tool"
- AND: "Occurrence C of Risk Category Assessment: PHQ-9 Tool (result > 9 )" during
- AND: "Occurrence A of Encounter, Performed: Psych Visit - Individual Outpatient Psychotherapy" <= 13 month(s) starts before
start of "Measurement Period"
- AND: "Occurrence A of Encounter, Performed: Psych Visit - Individual Outpatient Psychotherapy" >= 1 month(s) ends before
start of "Measurement Period"
- AND:
- OR:
- AND NOT: "Occurrence A of Diagnosis, Active: Major Depression" ends before start of "Occurrence A of Encounter, Performed:
Psych Visit - Individual Outpatient Psychotherapy"
- AND: "Occurrence A of Diagnosis, Active: Major Depression (ordinality: 'principal')" starts before or during "Occurrence A
of Encounter, Performed: Psych Visit - Individual Outpatient Psychotherapy"
- OR:
- AND NOT: "Occurrence A of Diagnosis, Active: Dysthymia" ends before start of "Occurrence A of Encounter, Performed: Psych
Visit - Individual Outpatient Psychotherapy"
- AND: "Occurrence A of Diagnosis, Active: Dysthymia (ordinality: 'principal')" starts before or during "Occurrence A of Encounter,
Performed: Psych Visit - Individual Outpatient Psychotherapy"
- AND:
- AND: "Occurrence A of Risk Category Assessment: PHQ-9 Tool (result > 9 )" during
- AND: "Occurrence A of Encounter, Performed: Office Visit" <= 13 month(s) starts before start of "Measurement Period"
- AND: "Occurrence A of Encounter, Performed: Office Visit" >= 1 month(s) ends before start of "Measurement Period"
- AND:
- OR:
- AND NOT: "Occurrence A of Diagnosis, Active: Major Depression" ends before start of "Occurrence A of Encounter, Performed:
Office Visit"
- AND: "Occurrence A of Diagnosis, Active: Major Depression" starts before or during "Occurrence A of Encounter, Performed:
Office Visit"
- OR:
- AND NOT: "Occurrence A of Diagnosis, Active: Dysthymia" ends before start of "Occurrence A of Encounter, Performed: Office
Visit"
- AND: "Occurrence A of Diagnosis, Active: Dysthymia" starts before or during "Occurrence A of Encounter, Performed: Office
Visit"
- OR:
- AND NOT:
- AND: "Occurrence B of Risk Category Assessment: PHQ-9 Tool" starts before start of "Occurrence A of Risk Category Assessment:
PHQ-9 Tool"
- AND: "Occurrence B of Risk Category Assessment: PHQ-9 Tool (result > 9 )" during
- AND: "Occurrence B of Encounter, Performed: Psych Visit - Individual Outpatient Psychotherapy" <= 13 month(s) starts before
start of "Measurement Period"
- AND: "Occurrence B of Encounter, Performed: Psych Visit - Individual Outpatient Psychotherapy" >= 1 month(s) ends before
start of "Measurement Period"
- AND:
- OR:
- AND NOT: "Occurrence A of Diagnosis, Active: Major Depression" ends before start of "Occurrence B of Encounter, Performed:
Psych Visit - Individual Outpatient Psychotherapy"
- AND: "Occurrence A of Diagnosis, Active: Major Depression (ordinality: 'principal')" starts before or during "Occurrence B
of Encounter, Performed: Psych Visit - Individual Outpatient Psychotherapy"
- OR:
- AND NOT: "Occurrence A of Diagnosis, Active: Dysthymia" ends before start of "Occurrence B of Encounter, Performed: Psych
Visit - Individual Outpatient Psychotherapy"
- AND: "Occurrence A of Diagnosis, Active: Dysthymia (ordinality: 'principal')" starts before or during "Occurrence B of Encounter,
Performed: Psych Visit - Individual Outpatient Psychotherapy"
- AND NOT:
- AND: "Occurrence C of Risk Category Assessment: PHQ-9 Tool" starts before start of "Occurrence A of Risk Category Assessment:
PHQ-9 Tool"
- AND: "Occurrence C of Risk Category Assessment: PHQ-9 Tool (result > 9 )" during
- AND: "Occurrence A of Encounter, Performed: Office Visit" <= 13 month(s) starts before start of "Measurement Period"
- AND: "Occurrence A of Encounter, Performed: Office Visit" >= 1 month(s) ends before start of "Measurement Period"
- AND:
- OR:
- AND NOT: "Occurrence A of Diagnosis, Active: Major Depression" ends before start of "Occurrence A of Encounter, Performed:
Office Visit"
- AND: "Occurrence A of Diagnosis, Active: Major Depression" starts before or during "Occurrence A of Encounter, Performed:
Office Visit"
- OR:
- AND NOT: "Occurrence A of Diagnosis, Active: Dysthymia" ends before start of "Occurrence A of Encounter, Performed: Office
Visit"
- AND: "Occurrence A of Diagnosis, Active: Dysthymia" starts before or during "Occurrence A of Encounter, Performed: Office
Visit"
- AND:
- AND: "Occurrence A of Risk Category Assessment: PHQ-9 Tool (result > 9 )" during
- AND: "Occurrence A of Encounter, Performed: Psych Visit - Individual Outpatient Psychotherapy" <= 13 month(s) starts before
start of "Measurement Period"
- AND: "Occurrence A of Encounter, Performed: Psych Visit - Individual Outpatient Psychotherapy" >= 1 month(s) ends before
start of "Measurement Period"
- AND:
- OR:
- AND NOT: "Occurrence A of Diagnosis, Active: Major Depression" ends before start of "Occurrence A of Encounter, Performed:
Psych Visit - Individual Outpatient Psychotherapy"
- AND: "Occurrence A of Diagnosis, Active: Major Depression (ordinality: 'principal')" starts before or during "Occurrence A
of Encounter, Performed: Psych Visit - Individual Outpatient Psychotherapy"
- OR:
- AND NOT: "Occurrence A of Diagnosis, Active: Dysthymia" ends before start of "Occurrence A of Encounter, Performed: Psych
Visit - Individual Outpatient Psychotherapy"
- AND: "Occurrence A of Diagnosis, Active: Dysthymia (ordinality: 'principal')" starts before or during "Occurrence A of Encounter,
Performed: Psych Visit - Individual Outpatient Psychotherapy"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- AND:
- OR:
- AND NOT: "Occurrence A of Encounter, Performed: Residence" ends before start of "Occurrence A of Encounter, Performed: Office
Visit"
- AND: "Occurrence A of Encounter, Performed: Residence (facility location: 'Nursing Home')" > 1 year(s) starts before start
of "Occurrence A of Encounter, Performed: Office Visit"
- OR:
- AND NOT: "Occurrence A of Encounter, Performed: Residence" ends before start of "Occurrence A of Encounter, Performed: Psych
Visit - Individual Outpatient Psychotherapy"
- AND: "Occurrence A of Encounter, Performed: Residence (facility location: 'Nursing Home')" > 1 year(s) starts before start
of "Occurrence A of Encounter, Performed: Psych Visit - Individual Outpatient Psychotherapy"
- OR:
- OR: "Patient Characteristic Expired: Deceased"
- OR: "Intervention, Order: Palliative Care"
- OR: "Diagnosis, Active: Bipolar Disorder"
- OR: "Diagnosis, Active: Personality Disorder"
- <= 1 year(s) starts before or during "Measurement Period"
-
Numerator =
- AND: "Risk Category Assessment: PHQ-9 Tool (result < 5 )" <= 13 month(s) starts after end of "Occurrence A of Risk Category
Assessment: PHQ-9 Tool"
-
Denominator Exceptions =
-
"Diagnosis, Active: Bipolar Disorder" using "Bipolar Disorder Grouping Value Set (2.16.840.1.113883.3.67.1.101.1.128)"
-
"Diagnosis, Active: Dysthymia" using "Dysthymia Grouping Value Set (2.16.840.1.113883.3.67.1.101.1.254)"
-
"Diagnosis, Active: Major Depression" using "Major Depression Grouping Value Set (2.16.840.1.113883.3.464.1003.105.12.1007)"
-
"Diagnosis, Active: Personality Disorder" using "Personality Disorder Grouping Value Set (2.16.840.1.113883.3.67.1.101.1.246)"
-
"Encounter, Performed: Office Visit" using "Office Visit Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1001)"
-
"Encounter, Performed: Psych Visit - Individual Outpatient Psychotherapy" using "Psych Visit - Individual Outpatient Psychotherapy Grouping Value Set (2.16.840.1.113883.3.526.3.1014)"
-
"Encounter, Performed: Residence" using "Residence Grouping Value Set (2.16.840.1.113883.3.67.1.101.11.725)"
-
"Intervention, Order: Palliative Care" using "Palliative Care Grouping Value Set (2.16.840.1.113883.3.526.3.1024)"
-
"Patient Characteristic Birthdate: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Patient Characteristic Expired: Deceased" using "Deceased Grouping Value Set (2.16.840.1.113883.3.67.1.101.11.721)"
-
"Risk Category Assessment: PHQ-9 Tool" using "PHQ-9 Tool Grouping Value Set (2.16.840.1.113883.3.67.1.101.11.723)"
-
Attribute: "Ordinality: Principal" using "Principal Grouping Value Set (2.16.840.1.113883.3.67.1.101.11.724)"
-
Attribute: "Facility location: Nursing Home" using "Nursing Home Grouping Value Set (2.16.840.1.113883.3.67.1.101.11.722)"
-
"Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"
-
"Patient Characteristic Payer: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.114222.4.11.3591)"
-
"Patient Characteristic Race: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"
-
"Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex Administrative Sex Value Set (2.16.840.1.113762.1.4.1)"