-
Initial Patient Population =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Measurement Period"
- AND: MOST RECENT: "Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New" during "Measurement
Period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- AND: "Diagnosis, Active: Diagnosis of hypertension grouped" starts before start of "Occurrence A of Encounter, Performed:
BP Screening Denominator Encounter Codes Grouped New"
-
Numerator =
- AND:
- OR:
- AND: "Physical Exam, Finding: Systolic Blood Pressure (result < 120 mmHg)"
- AND: "Physical Exam, Finding: Diastolic Blood Pressure (result < 80 mmHg)"
- during "Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- OR:
- AND:
- AND:
- OR: "Physical Exam, Finding: Systolic Blood Pressure (result >= 120 mmHg)"
- OR: "Physical Exam, Finding: Diastolic Blood Pressure (result >= 80 mmHg)"
- AND:
- AND: "Physical Exam, Finding: Systolic Blood Pressure (result < 140 mmHg)"
- AND: "Physical Exam, Finding: Diastolic Blood Pressure (result < 90 mmHg)"
- during "Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- AND:
- OR: "Intervention, Order: Referral to Alternative Provider / Primary Care Provider (reason: 'Finding of Hypertension')" <=
1 day(s) starts after start of "Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- OR:
- AND:
- OR: "Intervention, Order: Lifestyle Recommendation"
- OR: "Intervention, Order: Weight Reduction Recommended"
- OR: "Intervention, Order: Dietary Recommendations"
- OR: "Intervention, Order: Physical Activity Recommendation"
- OR: "Intervention, Order: Moderation of ETOH Consumption Recommendation"
- <= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped
New"
- AND: "Intervention, Order: Followup within one year (reason: 'Finding of Hypertension')" <= 1 day(s) starts after start of
"Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- OR:
- AND:
- OR:
- AND NOT: "Physical Exam, Finding: Systolic Blood Pressure"
- AND NOT: "Physical Exam, Finding: Diastolic Blood Pressure"
- < 1 year(s) starts before start of "Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped
New"
- OR:
- AND: "Occurrence A of Physical Exam, Finding: Systolic Blood Pressure (result < 140 mmHg)"
- AND: "Occurrence A of Physical Exam, Finding: Diastolic Blood Pressure (result < 90 mmHg)"
- AND: MOST RECENT:"Occurrence A of Physical Exam, Finding: Systolic Blood Pressure" < 1 year(s) starts before start of "Occurrence
A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- AND: MOST RECENT:"Occurrence A of Physical Exam, Finding: Diastolic Blood Pressure" < 1 year(s) starts before start of "Occurrence
A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- AND:
- OR: "Physical Exam, Finding: Systolic Blood Pressure (result >= 140 mmHg)"
- OR: "Physical Exam, Finding: Diastolic Blood Pressure (result >= 90 mmHg)"
- during "Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- AND:
- OR: "Intervention, Order: Referral to Alternative Provider / Primary Care Provider (reason: 'Finding of Hypertension')" <=
1 day(s) starts after start of "Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- OR:
- AND:
- OR: "Intervention, Order: Lifestyle Recommendation"
- OR: "Intervention, Order: Weight Reduction Recommended"
- OR: "Intervention, Order: Dietary Recommendations"
- OR: "Intervention, Order: Physical Activity Recommendation"
- OR: "Intervention, Order: Moderation of ETOH Consumption Recommendation"
- <= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped
New"
- AND: "Intervention, Order: Followup within 4 weeks (reason: 'Finding of Hypertension')" <= 1 day(s) starts after start of
"Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- OR:
- AND:
- OR:
- AND: "Occurrence A of Physical Exam, Finding: Systolic Blood Pressure (result >= 140 mmHg)"
- AND: MOST RECENT:"Occurrence A of Physical Exam, Finding: Systolic Blood Pressure" < 1 year(s) starts before start of "Occurrence
A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- OR:
- AND: "Occurrence A of Physical Exam, Finding: Diastolic Blood Pressure (result >= 90 mmHg)"
- AND: MOST RECENT:"Occurrence A of Physical Exam, Finding: Diastolic Blood Pressure" < 1 year(s) starts before start of "Occurrence
A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- AND:
- OR: "Physical Exam, Finding: Systolic Blood Pressure (result >= 140 mmHg)"
- OR: "Physical Exam, Finding: Diastolic Blood Pressure (result >= 90 mmHg)"
- during "Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- AND:
- OR: "Intervention, Order: Referral to Alternative Provider / Primary Care Provider (reason: 'Finding of Hypertension')" <=
1 day(s) starts after start of "Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- OR:
- AND:
- OR: "Intervention, Order: Lifestyle Recommendation"
- OR: "Intervention, Order: Weight Reduction Recommended"
- OR: "Intervention, Order: Dietary Recommendations"
- OR: "Intervention, Order: Physical Activity Recommendation"
- OR: "Intervention, Order: Moderation of ETOH Consumption Recommendation"
- <= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped
New"
- AND:
- OR: "Medication, Order: Anti-Hypertensive Pharmacologic Therapy"
- OR: "Laboratory Test, Order: Laboratory Tests for Hypertension"
- OR: "Diagnostic Study, Order: ECG 12 lead or study order"
- <= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped
New"
-
Denominator Exceptions =
- AND:
- OR: "Physical Exam, Performed not done: Medical reason" for "Diastolic Blood Pressure" starts during "Occurrence A of Encounter,
Performed: BP Screening Denominator Encounter Codes Grouped New"
- OR: "Physical Exam, Performed not done: Patient Reason refused" for "Diastolic Blood Pressure" starts during "Occurrence A
of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
- OR: "Physical Exam, Performed not done: Medical reason" for "Systolic Blood Pressure" starts during "Occurrence A of Encounter,
Performed: BP Screening Denominator Encounter Codes Grouped New"
- OR: "Physical Exam, Performed not done: Patient Reason refused" for "Systolic Blood Pressure" starts during "Occurrence A
of Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New"
-
"Diagnosis, Active: Diagnosis of hypertension grouped" using "Diagnosis of hypertension grouped Grouping Value Set (2.16.840.1.113883.3.600.263)"
-
"Diagnostic Study, Order: ECG 12 lead or study order" using "ECG 12 lead or study order Grouping Value Set (2.16.840.1.113883.3.600.2448)"
-
"Encounter, Performed: BP Screening Denominator Encounter Codes Grouped New" using "BP Screening Denominator Encounter Codes Grouped New Grouping Value Set (2.16.840.1.113883.3.600.1920)"
-
"Intervention, Order: Dietary Recommendations" using "Dietary Recommendations Grouping Value Set (2.16.840.1.113883.3.600.1515)"
-
"Intervention, Order: Followup within 4 weeks" using "Followup within 4 weeks SNOMEDCT Value Set (2.16.840.1.113883.3.600.1537)"
-
"Intervention, Order: Followup within one year" using "Followup within one year SNOMEDCT Value Set (2.16.840.1.113883.3.600.1474)"
-
"Intervention, Order: Lifestyle Recommendation" using "Lifestyle Recommendation SNOMEDCT Value Set (2.16.840.1.113883.3.600.1508)"
-
"Intervention, Order: Moderation of ETOH Consumption Recommendation" using "Moderation of ETOH Consumption Recommendation SNOMEDCT Value Set (2.16.840.1.113883.3.600.823)"
-
"Intervention, Order: Physical Activity Recommendation" using "Physical Activity Recommendation Grouping Value Set (2.16.840.1.113883.3.600.1518)"
-
"Intervention, Order: Referral to Alternative Provider / Primary Care Provider" using "Referral to Alternative Provider / Primary Care Provider SNOMEDCT Value Set (2.16.840.1.113883.3.600.1475)"
-
"Intervention, Order: Weight Reduction Recommended" using "Weight Reduction Recommended Grouping Value Set (2.16.840.1.113883.3.600.1510)"
-
"Laboratory Test, Order: Laboratory Tests for Hypertension" using "Laboratory Tests for Hypertension Grouping Value Set (2.16.840.1.113883.3.600.1482)"
-
"Medication, Order: Anti-Hypertensive Pharmacologic Therapy" using "Anti-Hypertensive Pharmacologic Therapy RXNORM Value Set (2.16.840.1.113883.3.600.1476)"
-
"Patient Characteristic Birthdate: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Physical Exam, Finding: Diastolic Blood Pressure" using "Diastolic Blood Pressure Grouping Value Set (2.16.840.1.113883.3.526.3.1033)"
-
"Physical Exam, Finding: Systolic Blood Pressure" using "Systolic Blood Pressure Grouping Value Set (2.16.840.1.113883.3.526.3.1032)"
-
"Physical Exam, Performed not done: Medical reason" using "Medical reason SNOMEDCT Value Set (2.16.840.1.113883.3.600.1521)"
-
"Physical Exam, Performed not done: Medical reason" using "Medical reason SNOMEDCT Value Set (2.16.840.1.113883.3.600.1521)"
-
"Physical Exam, Performed not done: Patient Reason refused" using "Patient Reason refused SNOMEDCT Value Set (2.16.840.1.113883.3.600.791)"
-
"Physical Exam, Performed not done: Patient Reason refused" using "Patient Reason refused SNOMEDCT Value Set (2.16.840.1.113883.3.600.791)"
-
"Physical Exam, Performed: Diastolic Blood Pressure" using "Diastolic Blood Pressure Grouping Value Set (2.16.840.1.113883.3.526.3.1033)"
-
"Physical Exam, Performed: Systolic Blood Pressure" using "Systolic Blood Pressure Grouping Value Set (2.16.840.1.113883.3.526.3.1032)"
-
Attribute: "Reason: Finding of Hypertension" using "Finding of Hypertension SNOMEDCT Value Set (2.16.840.1.113883.3.600.2395)"
-
"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)"