-
Initial Patient Population =
- AND: "Patient Characteristic Birthdate: birth date" >= 65 year(s) starts before start of "Measurement Period"
- AND:
- OR: "Encounter, Performed: Office Visit"
- OR: "Encounter, Performed: Face-to-Face Interaction"
- OR: "Encounter, Performed: Annual Wellness Visit"
- OR: "Encounter, Performed: Home Healthcare Services"
- OR: "Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up"
- OR: "Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up"
- during "Measurement Period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
-
Numerator =
- AND:
- OR: "Medication, Administered: Pneumococcal Vaccine"
- OR: "Procedure, Performed: Pneumococcal Vaccine Administered"
- OR: "Risk Category Assessment: History of Pneumococcal Vaccine"
- starts before or during "Measurement Period"
-
Denominator Exceptions =
-
"Encounter, Performed: Annual Wellness Visit" using "Annual Wellness Visit Grouping Value Set (2.16.840.1.113883.3.526.3.1240)"
-
"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)"
-
"Medication, Administered: Pneumococcal Vaccine" using "Pneumococcal Vaccine Grouping Value Set (2.16.840.1.113883.3.464.1003.110.12.1027)"
-
"Patient Characteristic Birthdate: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Procedure, Performed: Pneumococcal Vaccine Administered" using "Pneumococcal Vaccine Administered Grouping Value Set (2.16.840.1.113883.3.464.1003.110.12.1034)"
-
"Risk Category Assessment: History of Pneumococcal Vaccine" using "History of Pneumococcal Vaccine Grouping Value Set (2.16.840.1.113883.3.464.1003.110.12.1028)"
-
"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 AdministrativeSex Value Set (2.16.840.1.113762.1.4.1)"