eCQM Title | Appropriate Testing for Children with Pharyngitis |
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eCQM Identifier (Measure Authoring Tool) | 146 | eCQM Version number | 8.2.000 |
NQF Number | Not Applicable | GUID | beb1c33c-2549-4e7f-9567-05ed38448464 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | National Committee for Quality Assurance | ||
Measure Developer | National Committee for Quality Assurance | ||
Endorsed By | None | ||
Description | |||
Copyright | |||
Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
Rationale | |||
Clinical Recommendation Statement | |||
Improvement Notation | |||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
Numerator | |||
Numerator Exclusions | |||
Denominator Exceptions | |||
Supplemental Data Elements |
"Encounter With Pharyngitis or Tonsillitis" EncounterWithPharyngitis with ["Patient Characteristic Birthdate": "Birth date"] BirthDate such that Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[3, 18 ) return EncounterWithPharyngitis.VisitWithAntibiotic
"Initial Population"
"In Hospice" union "Encounter With Antibiotic Active In 30 Days Prior" union "Competing Diagnosis for Upper Respiratory Infection"
from "Group A Streptococcus Lab Test With Result" GroupAStreptococcusTest, "Encounter With Pharyngitis or Tonsillitis" EncounterWithPharyngitis where ( start of GroupAStreptococcusTest.relevantPeriod 3 days or less on or before day of end of EncounterWithPharyngitis.VisitWithAntibiotic.relevantPeriod or start of GroupAStreptococcusTest.relevantPeriod 3 days or less on or after day of end of EncounterWithPharyngitis.VisitWithAntibiotic.relevantPeriod ) return EncounterWithPharyngitis.VisitWithAntibiotic
"Encounter With Pharyngitis or Tonsillitis" EncounterWithPharyngitis with ["Diagnosis": "Competing Conditions for Respiratory Conditions"] CompetingCondition such that EncounterWithPharyngitis.AcutePharyngitisTonsillitis !~ CompetingCondition and CompetingCondition.prevalencePeriod starts 3 days or less after start of EncounterWithPharyngitis.AcutePharyngitisTonsillitis.prevalencePeriod return EncounterWithPharyngitis.VisitWithAntibiotic
"Initial Population"
"In Hospice" union "Encounter With Antibiotic Active In 30 Days Prior" union "Competing Diagnosis for Upper Respiratory Infection"
"Encounter With Pharyngitis or Tonsillitis" EncounterWithPharyngitis with ["Medication, Active": "Antibiotic Medications for Pharyngitis"] ActiveAntibiotic such that ActiveAntibiotic.relevantPeriod overlaps Interval[Global."ToDate"((start of EncounterWithPharyngitis.AcutePharyngitisTonsillitis.prevalencePeriod)- 30 days), Global."ToDate"(start of EncounterWithPharyngitis.AcutePharyngitisTonsillitis.prevalencePeriod)) return EncounterWithPharyngitis.VisitWithAntibiotic
"Qualifying Encounter" EDOrAmbulatoryVisit with ["Medication, Order": "Antibiotic Medications for Pharyngitis"] AntibioticOrdered such that ( EDOrAmbulatoryVisit.relevantPeriod starts 3 days or less on or before AntibioticOrdered.authorDatetime ) where EDOrAmbulatoryVisit.relevantPeriod during "Measurement Period"
from "Encounter With Antibiotic Ordered Within Three Days" VisitWithAntibiotic, "Pharyngitis or Tonsillitis" AcutePharyngitisTonsillitis where AcutePharyngitisTonsillitis.prevalencePeriod starts during VisitWithAntibiotic.relevantPeriod
["Laboratory Test, Performed": "Group A Streptococcus Test"] GroupAStreptococcusTest where GroupAStreptococcusTest.result is not null
exists ( ["Encounter, Performed": "Encounter Inpatient"] DischargeHospice where ( DischargeHospice.dischargeDisposition as Code ~ "Discharge to home for hospice care (procedure)" or DischargeHospice.dischargeDisposition as Code ~ "Discharge to healthcare facility for hospice care (procedure)" ) and DischargeHospice.relevantPeriod ends during "Measurement Period" ) or exists ( ["Intervention, Order": "Hospice care ambulatory"] HospiceOrder where HospiceOrder.authorDatetime during "Measurement Period" ) or exists ( ["Intervention, Performed": "Hospice care ambulatory"] HospicePerformed where HospicePerformed.relevantPeriod overlaps "Measurement Period" )
"Initial Population" EligibleEncounters where Hospice."Has Hospice"
"Encounter With Pharyngitis or Tonsillitis" EncounterWithPharyngitis with ["Patient Characteristic Birthdate": "Birth date"] BirthDate such that Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[3, 18 ) return EncounterWithPharyngitis.VisitWithAntibiotic
from "Group A Streptococcus Lab Test With Result" GroupAStreptococcusTest, "Encounter With Pharyngitis or Tonsillitis" EncounterWithPharyngitis where ( start of GroupAStreptococcusTest.relevantPeriod 3 days or less on or before day of end of EncounterWithPharyngitis.VisitWithAntibiotic.relevantPeriod or start of GroupAStreptococcusTest.relevantPeriod 3 days or less on or after day of end of EncounterWithPharyngitis.VisitWithAntibiotic.relevantPeriod ) return EncounterWithPharyngitis.VisitWithAntibiotic
( ["Diagnosis": "Acute Pharyngitis"] union ["Diagnosis": "Acute Tonsillitis"] )
( ["Encounter, Performed": "Discharge Services- Observation Care"] union ["Encounter, Performed": "Emergency Department Visit"] union ["Encounter, Performed": "Home Healthcare Services"] union ["Encounter, Performed": "Hospital Observation Care - Initial"] union ["Encounter, Performed": "Medical Disability Exam"] union ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Outpatient Consultation"] union ["Encounter, Performed": "Preventive Care Services - Established Office Visit, 18 and Up"] union ["Encounter, Performed": "Preventive Care Services - Group Counseling"] union ["Encounter, Performed": "Preventive Care Services - Other"] union ["Encounter, Performed": "Preventive Care Services, Initial Office Visit, 0 to 17"] union ["Encounter, Performed": "Preventive Care Services-Individual Counseling"] union ["Encounter, Performed": "Preventive Care Services-Initial Office Visit, 18 and Up"] union ["Encounter, Performed": "Preventive Care, Established Office Visit, 0 to 17"] ) ValidEncounter where ValidEncounter.relevantPeriod during "Measurement Period"
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
years between ToDate(BirthDateTime)and ToDate(AsOf)
DateTime(year from Value, month from Value, day from Value, 0, 0, 0, 0, timezone from Value)
["Patient Characteristic Ethnicity": "Ethnicity"]
["Patient Characteristic Payer": "Payer"]
["Patient Characteristic Race": "Race"]
["Patient Characteristic Sex": "ONC Administrative Sex"]
Measure Set |