- Initial Population =
- AND: Age>= 65 year(s) at: "Measurement Period"
- AND: Union of:
- "Encounter, Performed: Office Visit"
- "Encounter, Performed: Face-to-Face Interaction"
- "Encounter, Performed: Annual Wellness Visit"
- "Encounter, Performed: Home Healthcare Services"
- "Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up"
- "Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up"
- during "Measurement Period"
- Denominator =
- Denominator Exclusions =
- OR: "Encounter, Performed: Encounter Inpatient (discharge status: Discharged to Home for Hospice Care)" ends during "Measurement Period"
- OR: "Encounter, Performed: Encounter Inpatient (discharge status: Discharged to Health Care Facility for Hospice Care)" ends during "Measurement Period"
- OR: Union of:
- "Intervention, Order: Hospice care ambulatory"
- "Intervention, Performed: Hospice care ambulatory"
- overlaps "Measurement Period"
- Numerator =
- AND: Union of:
- "Immunization, Administered: Pneumococcal Vaccine"
- "Procedure, Performed: Pneumococcal Vaccine Administered"
- "Assessment, Performed: History of Pneumococcal Vaccine"
- starts before or concurrent with end of "Measurement Period"
- Numerator Exclusions =
- Denominator Exceptions =
- Stratification =
- "Assessment, Performed: History of Pneumococcal Vaccine" using "History of Pneumococcal Vaccine Grouping Value Set (2.16.840.1.113883.3.464.1003.110.12.1028)"
- "Encounter, Performed: Annual Wellness Visit" using "Annual Wellness Visit Grouping Value Set (2.16.840.1.113883.3.526.3.1240)"
- "Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.307)"
- "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)"
- "Immunization, Administered: Pneumococcal Vaccine" using "Pneumococcal Vaccine Grouping Value Set (2.16.840.1.113883.3.464.1003.110.12.1027)"
- "Intervention, Order: Hospice care ambulatory" using "Hospice care ambulatory SNOMEDCT Value Set (2.16.840.1.113762.1.4.1108.15)"
- "Intervention, Performed: Hospice care ambulatory" using "Hospice care ambulatory SNOMEDCT Value Set (2.16.840.1.113762.1.4.1108.15)"
- "Procedure, Performed: Pneumococcal Vaccine Administered" using "Pneumococcal Vaccine Administered Grouping Value Set (2.16.840.1.113883.3.464.1003.110.12.1034)"
- Attribute: "Discharge status: Discharged to Health Care Facility for Hospice Care" using "Discharged to Health Care Facility for Hospice Care SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.207)"
- Attribute: "Discharge status: Discharged to Home for Hospice Care" using "Discharged to Home for Hospice Care SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.209)"
- "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 AdministrativeGender Value Set (2.16.840.1.113762.1.4.1)"