eCQM Title | Appropriate Treatment for Children with Upper Respiratory Infection (URI) |
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eCQM Identifier (Measure Authoring Tool) | 154 | eCQM Version number | 7.2.000 |
NQF Number | 0069 | GUID | e455fac0-f2cb-4074-a351-1e68a90fb7cf |
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 | National Quality Forum | ||
Description | |||
Copyright | |||
Disclaimer | |||
Measure Scoring | Proportion | ||
Measure Type | Process | ||
Stratification | |||
Risk Adjustment | |||
Rate Aggregation | |||
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Definition | |||
Guidance | |||
Transmission Format | |||
Initial Population | |||
Denominator | |||
Denominator Exclusions | |||
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Denominator Exceptions | |||
Supplemental Data Elements |
"Encounter with Upper Respiratory Infection" Encounter with ["Patient Characteristic Birthdate"] BirthDate such that Global."CalendarAgeInMonthsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 3 and Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")< 18 return Encounter.ValidEncounter
"Initial Population"
"In Hospice" union "URI Encounter with Antibiotics Active 30 Days Prior" union "Has Competing Diagnosis for Upper Respiratory Infection"
"Encounter with Upper Respiratory Infection" EncounterWithURI without ["Medication, Order": "Antibiotic Medications for Pharyngitis"] OrderedAntibiotic such that OrderedAntibiotic.authorDatetime 3 days or less on or after start of EncounterWithURI.ValidEncounter.relevantPeriod return EncounterWithURI.ValidEncounter
"Initial Population"
"In Hospice" union "URI Encounter with Antibiotics Active 30 Days Prior" union "Has Competing Diagnosis for Upper Respiratory Infection"
from "Qualifying Encounter" ValidEncounter, ["Diagnosis": "Upper Respiratory Infection"] URI where URI.prevalencePeriod starts during ValidEncounter.relevantPeriod or URI.prevalencePeriod overlaps before ValidEncounter.relevantPeriod
( "Encounter with Upper Respiratory Infection" EncounterWithURI with ["Diagnosis": "Competing Conditions for Respiratory Conditions"] CompetingCondition such that CompetingCondition.prevalencePeriod starts 3 days or less after day of start of EncounterWithURI.ValidEncounter.relevantPeriod return EncounterWithURI.ValidEncounter )
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" IP where Hospice."Has Hospice"
"Encounter with Upper Respiratory Infection" Encounter with ["Patient Characteristic Birthdate"] BirthDate such that Global."CalendarAgeInMonthsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 3 and Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")< 18 return Encounter.ValidEncounter
"Encounter with Upper Respiratory Infection" EncounterWithURI without ["Medication, Order": "Antibiotic Medications for Pharyngitis"] OrderedAntibiotic such that OrderedAntibiotic.authorDatetime 3 days or less on or after start of EncounterWithURI.ValidEncounter.relevantPeriod return EncounterWithURI.ValidEncounter
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Emergency Department Visit"] union ["Encounter, Performed": "Preventive Care Services, Initial Office Visit, 0 to 17"] union ["Encounter, Performed": "Preventive Care, Established Office Visit, 0 to 17"] union ["Encounter, Performed": "Hospital Observation Care - Initial"] ) 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"]
"Encounter with Upper Respiratory Infection" EncounterWithURI with ["Medication, Active": "Antibiotic Medications for Pharyngitis"] ActiveAntibiotic such that ActiveAntibiotic.relevantPeriod overlaps Interval[Global."ToDate"((start of EncounterWithURI.URI.prevalencePeriod)- 30 days), Global."ToDate"(start of EncounterWithURI.URI.prevalencePeriod)) return EncounterWithURI.ValidEncounter
months between ToDate(BirthDateTime)and ToDate(AsOf)
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 |