eCQM Title | HIV/AIDS: Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis |
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eCQM Identifier (Measure Authoring Tool) | 52 | eCQM Version number | 7.2.000 |
NQF Number | 0405 | GUID | 1cdd20de-5de9-4759-8a93-31f1f8baaaa2 |
Measurement Period | January 1, 20XX through December 31, 20XX | ||
Measure Steward | National Committee for Quality Assurance | ||
Measure Developer | National Committee for Quality Assurance | ||
Measure Developer | PCPI(R) Foundation (PCPI[R]) | ||
Endorsed By | National Quality Forum | ||
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 |
exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 6 and exists ( "HIV Diagnosis" ) and exists ( "Followup HIV Visit" ) and exists ( "CD4 Count Under 200" )
"Initial Population 1"
Hospice."Has Hospice"
exists "CD4 Count Under 200 with PCP Medication Prophylaxis" or exists ( "CD4 Count Under 200 With Current PCP Treatment" )
exists ( "CD4 Count Under 200" FirstCD4Count with ["Laboratory Test, Performed": "CD4+ Count"] SecondCD4Count such that SecondCD4Count.authorDatetime less than 3 months after day of FirstCD4Count.authorDatetime and SecondCD4Count.result >= 200 '/mm3' )
exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[1, 6 ) and exists ( "HIV Diagnosis" ) and exists ( "Followup HIV Visit" ) and exists ( "CD4 Count Under 500 or CD4 Percentage Less Than 15" )
"Initial Population 2"
Hospice."Has Hospice"
exists ( "CD4 Count Under 500 with PCP Medication Prophylaxis" ) or exists ( "CD4 Percentage Less Than 15 with PCP Medication Prophylaxis" )
exists ( ( ["Laboratory Test, Performed": "CD4+ Count"] FirstCD4Count with ["Laboratory Test, Performed": "CD4+ Count"] SecondCD4Count such that SecondCD4Count.authorDatetime occurs 3 months or less after day of FirstCD4Count.authorDatetime and SecondCD4Count.result >= 500 '/mm3' ) union ( ["Laboratory Test, Performed": "CD4+ Percentage"] FirstCD4Percent with ["Laboratory Test, Performed": "CD4+ Percentage"] SecondCD4Percent such that SecondCD4Percent.authorDatetime occurs 3 months or less after FirstCD4Percent.authorDatetime and SecondCD4Percent.result >= 15 '%' ) )
exists ( ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInDaysAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 42 and Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")< 1 ) and "First HIV Diagnosis" is not null and exists ( "Followup HIV Visit" )
"Initial Population 3"
Hospice."Has Hospice"
exists ["Medication, Order": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxis with "First HIV Diagnosis" FirstHIVDiagnosis such that PCPProphylaxis.authorDatetime same day as start of FirstHIVDiagnosis.prevalencePeriod
["Laboratory Test, Performed": "CD4+ Count"] CD4Count where ( CD4Count.result as Quantity ) < 200 '/mm3' and CD4Count.relevantPeriod ends 9 months or less after start of "Measurement Period"
from "CD4 Count Under 200" CD4CountUnder200, ["Medication, Order": "Dapsone 100 MG / Pyrimethamine 12.5 MG Oral Tablet"] DapsoneOrder, ["Medication, Order": "Leucovorin"] LeucovorinOrder where DapsoneOrder.authorDatetime occurs 3 months or less after end CD4CountUnder200.relevantPeriod and LeucovorinOrder.authorDatetime occurs 3 months or less after end CD4CountUnder200.relevantPeriod and DapsoneOrder.authorDatetime same day as LeucovorinOrder.authorDatetime return CD4CountUnder200
"CD4 Count Under 200" CD4Under200 with ["Medication, Order": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxis such that PCPProphylaxis.authorDatetime 3 months or less after end of CD4Under200.relevantPeriod
["Laboratory Test, Performed": "CD4+ Count"] CD4Count where ( CD4Count.result as Quantity ) < 500 '/mm3' and CD4Count.relevantPeriod ends 9 months or less after start of "Measurement Period"
"CD4 Count Under 500" union "CD4 Percentage Less Than 15"
"CD4 Count Under 500" CD4Under500 with ["Medication, Order": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxis such that PCPProphylaxis.authorDatetime occurs 3 months or less after end of CD4Under500.relevantPeriod
["Laboratory Test, Performed": "CD4+ Percentage"] CD4Percent where ( CD4Percent.result as Quantity ) < 15 '%' and CD4Percent.relevantPeriod ends 9 months or less after start of "Measurement Period"
"CD4 Percentage Less Than 15" CD4Percentage with ["Medication, Order": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxis such that PCPProphylaxis.authorDatetime occurs 3 months or less after end of CD4Percentage.relevantPeriod
"Initial Population 1"
"Initial Population 2"
"Initial Population 3"
exists ( "CD4 Count Under 200" FirstCD4Count with ["Laboratory Test, Performed": "CD4+ Count"] SecondCD4Count such that SecondCD4Count.authorDatetime less than 3 months after day of FirstCD4Count.authorDatetime and SecondCD4Count.result >= 200 '/mm3' )
exists ( ( ["Laboratory Test, Performed": "CD4+ Count"] FirstCD4Count with ["Laboratory Test, Performed": "CD4+ Count"] SecondCD4Count such that SecondCD4Count.authorDatetime occurs 3 months or less after day of FirstCD4Count.authorDatetime and SecondCD4Count.result >= 500 '/mm3' ) union ( ["Laboratory Test, Performed": "CD4+ Percentage"] FirstCD4Percent with ["Laboratory Test, Performed": "CD4+ Percentage"] SecondCD4Percent such that SecondCD4Percent.authorDatetime occurs 3 months or less after FirstCD4Percent.authorDatetime and SecondCD4Percent.result >= 15 '%' ) )
Hospice."Has Hospice"
First("HIV Diagnosis" FirstHIVDiagnosis where FirstHIVDiagnosis.prevalencePeriod starts before end of "Measurement Period" sort by start of prevalencePeriod )
"Qualifying Encounters" FollowupVisit with "Qualifying Encounters" PriorVisit such that FollowupVisit.authorDatetime 90 days or more on or after day of PriorVisit.authorDatetime
["Diagnosis": "HIV 1"] HIV where HIV.prevalencePeriod starts before end of "Measurement Period"
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" )
exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 6 and exists ( "HIV Diagnosis" ) and exists ( "Followup HIV Visit" ) and exists ( "CD4 Count Under 200" )
exists ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")in Interval[1, 6 ) and exists ( "HIV Diagnosis" ) and exists ( "Followup HIV Visit" ) and exists ( "CD4 Count Under 500 or CD4 Percentage Less Than 15" )
exists ( ["Patient Characteristic Birthdate"] BirthDate where Global."CalendarAgeInDaysAt"(BirthDate.birthDatetime, start of "Measurement Period")>= 42 and Global."CalendarAgeInYearsAt"(BirthDate.birthDatetime, start of "Measurement Period")< 1 ) and "First HIV Diagnosis" is not null and exists ( "Followup HIV Visit" )
exists "CD4 Count Under 200 with PCP Medication Prophylaxis" or exists ( "CD4 Count Under 200 With Current PCP Treatment" )
exists ( "CD4 Count Under 500 with PCP Medication Prophylaxis" ) or exists ( "CD4 Percentage Less Than 15 with PCP Medication Prophylaxis" )
exists ["Medication, Order": "Pneumocystis Jiroveci Pneumonia (PCP) Prophylaxis"] PCPProphylaxis with "First HIV Diagnosis" FirstHIVDiagnosis such that PCPProphylaxis.authorDatetime same day as start of FirstHIVDiagnosis.prevalencePeriod
( ["Encounter, Performed": "Office Visit"] union ["Encounter, Performed": "Preventive Care- Initial Office Visit, 0 to 17"] union ["Encounter, Performed": "Preventive Care Services - Established Office Visit, 18 and Up"] union ["Encounter, Performed": "Preventive Care Services-Initial Office Visit, 18 and Up"] union ["Encounter, Performed": "Preventive Care - Established Office Visit, 0 to 17"] union ["Encounter, Performed": "Outpatient Consultation"] ) 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"]
days 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 |