-
Initial Patient Population =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Measurement Period"
- AND:
- OR:
- AND: "Occurrence A of Risk Category Assessment: PHQ-9 Tool (result > 9 )" during "Occurrence A of Encounter, Performed: Office
Visit"
- AND:
- OR: "Occurrence A of Encounter, Performed: Office Visit" < 13 month(s) starts before start of "Measurement Period"
- OR: "Occurrence A of Encounter, Performed: Office Visit" < 1 month(s) ends after start of "Measurement Period"
- AND:
- OR:
- AND: "Occurrence A of Diagnosis, Active: Major Depression Including Remission" starts before or during "Occurrence A of Encounter,
Performed: Office Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Major Depression Including Remission" ends before start of "Occurrence A of Encounter,
Performed: Office Visit"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Dysthymia" starts before or during "Occurrence A of Encounter, Performed: Office
Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Dysthymia" ends before start of "Occurrence A of Encounter, Performed: Office
Visit"
- OR:
- AND: "Occurrence B of Risk Category Assessment: PHQ-9 Tool (result > 9 )" during "Occurrence A of Encounter, Performed: Psych
Visit"
- AND:
- OR: "Occurrence A of Encounter, Performed: Psych Visit" < 13 month(s) starts before start of "Measurement Period"
- OR: "Occurrence A of Encounter, Performed: Psych Visit" < 1 month(s) ends after start of "Measurement Period"
- AND:
- OR:
- AND: "Occurrence A of Diagnosis, Active: Major Depression Including Remission (ordinality: 'Principal')" starts before or
during "Occurrence A of Encounter, Performed: Psych Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Major Depression Including Remission (ordinality: 'Principal')" ends before start
of "Occurrence A of Encounter, Performed: Psych Visit"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Dysthymia (ordinality: 'Principal')" starts before or during "Occurrence A of Encounter,
Performed: Psych Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Dysthymia (ordinality: 'Principal')" ends before start of "Occurrence A of Encounter,
Performed: Psych Visit"
- OR:
- AND: "Occurrence C of Risk Category Assessment: PHQ-9 Tool (result > 9 )" during "Occurrence A of Encounter, Performed: Face
to Face Interaction - No ED"
- AND:
- OR: "Occurrence A of Encounter, Performed: Face to Face Interaction - No ED" < 13 month(s) starts before start of "Measurement
Period"
- OR: "Occurrence A of Encounter, Performed: Face to Face Interaction - No ED" < 1 month(s) ends after start of "Measurement
Period"
- AND:
- OR:
- AND: "Occurrence A of Diagnosis, Active: Major Depression Including Remission" starts before or during "Occurrence A of Encounter,
Performed: Face to Face Interaction - No ED"
- AND NOT: "Occurrence A of Diagnosis, Active: Major Depression Including Remission" ends before start of "Occurrence A of Encounter,
Performed: Face to Face Interaction - No ED"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Dysthymia" starts before or during "Occurrence A of Encounter, Performed: Face to
Face Interaction - No ED"
- AND NOT: "Occurrence A of Diagnosis, Active: Dysthymia" ends before start of "Occurrence A of Encounter, Performed: Face to
Face Interaction - No ED"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- AND:
- OR: "Patient Characteristic Expired: Deceased"
- OR: "Intervention, Order: Palliative Care"
- OR: "Diagnosis, Active: Bipolar Disorder"
- OR: "Diagnosis, Active: Personality Disorder"
- OR: "Encounter, Performed: Care Services in Long-Term Residential Facility"
- <= 1 year(s) starts before or during "Measurement Period"
-
Numerator =
- AND: "Occurrence D of Risk Category Assessment: PHQ-9 Tool (result < 5 )" < 13 month(s) starts after end of FIRST :
- OR: "Occurrence A of Risk Category Assessment: PHQ-9 Tool"
- OR: "Occurrence B of Risk Category Assessment: PHQ-9 Tool"
- OR: "Occurrence C of Risk Category Assessment: PHQ-9 Tool"
- AND: "Occurrence D of Risk Category Assessment: PHQ-9 Tool (result < 5 )" > 10 month(s) starts after end of FIRST :
- OR: "Occurrence A of Risk Category Assessment: PHQ-9 Tool"
- OR: "Occurrence B of Risk Category Assessment: PHQ-9 Tool"
- OR: "Occurrence C 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 Including Remission" using "Major Depression Including Remission Grouping Value Set (2.16.840.113883.3.67.1.101.3.2444)"
-
"Diagnosis, Active: Personality Disorder" using "Personality Disorder Grouping Value Set (2.16.840.1.113883.3.67.1.101.1.246)"
-
"Encounter, Performed: Care Services in Long-Term Residential Facility" using "Care Services in Long-Term Residential Facility Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1014)"
-
"Encounter, Performed: Face to Face Interaction - No ED" using "Face to Face Interaction - No ED Grouping Value Set (2.16.840.1.113762.1.4.1080.2)"
-
"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" using "Psych Visit Grouping Value Set (2.16.840.113883.3.67.1.101.3.2445)"
-
"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 SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.14)"
-
"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)"