ecqm.unions

Independent Risk Factors Before Measurement Period Union

Description:

Based On: Union59

Used By:

• CMS249v1

QDM Attributes

AromataseInhibitorsActive

Clinical Focus: This value set identifies patients who were prescribed a aromatase inhibitor.

Data Element Scope: This value set was intended to map to the QDM data type of Medication, but has the potential to be used in additional ways.

Inclusion Criteria: Includes both steroidal and non-steroidal inhibitors. Includes non-selective and selective inhibitors.

Exclusion Criteria: Excludes selective inhibitors vorozole, formestane, and fadrozole.

Subject constrained to the Aromatase Inhibitors

MedicationActive: Data elements that meet criteria using this datatype should document that the medication indicated by the QDM category and its corresponding value set is being taken by the patient. Keep in mind that when this datatype is used with timing relationships, the criterion is looking for a medication being taken for the time frame indicated by the timing relationships. Timing: The Relevant Period addresses: StartTime = when the medication is first known to be used (generally the time of entry on the medication list); StopTime = when the medication is discontinued (generally, the time discontinuation is recorded on the medication list)

DataType

Cardinality

AromataseInhibitorsActive

0..*

AromataseInhibitorsOrder

Clinical Focus: This value set identifies patients who were prescribed a aromatase inhibitor.

Data Element Scope: This value set was intended to map to the QDM data type of Medication, but has the potential to be used in additional ways.

Inclusion Criteria: Includes both steroidal and non-steroidal inhibitors. Includes non-selective and selective inhibitors.

Exclusion Criteria: Excludes selective inhibitors vorozole, formestane, and fadrozole.

Subject constrained to the Aromatase Inhibitors

MedicationOrder: Data elements that meet criteria using this datatype should document a request to a pharmacy to provide the medication indicated by the QDM category and its corresponding value set. Timing: The Author dateTime is the time the order is signed. Timing: The Relevant Period addresses: startTime = when the first administration of the medication is expected. The first administration may be expected at the time of the order or at a specified future date (i.e., the active time for the order); such information should be identified in the medication order. If the startTime is not specified in the order, the startTime defaults to the Author dateTime (the time the order is signed). stopTime = when the medication supply provided by the medication order is expected to be completed, including all fulfillments covered by the number of refills. Note that when calculating cumulative medication duration, the stopTime may be present directly in the medication order. If the stopTime is not available, the duration in days is the difference between the Relevant Period start and stop times multiplied by (1 + the number of refills). Refer to Special Cases in Appendix A (Section A.3) for scenarios to consider in calculating cumulative medication duration.

DataType

Cardinality

AromataseInhibitorsOrder

0..*

GastricBypassSurgeryPerformed

Clinical Focus: This set of values contains codes that can be used to identify patients who have undergone a partial or total removeal of the stomach by either a laparoscopic or open method.

Data Element Scope: This value set is developed for the procedure QDM datatype. It can potentially be used for other datatypes as well.

Inclusion Criteria: Include codes that identify procedures for repair or removal of digestive system organs that include a partial or total removal of the stomach.

Exclusion Criteria: Exclude endoscopic excision of tissue of stomach, excision/laparoscopic wedge resection of lesion of stomach, and incisional biopsy of stomach.

Subject constrained to the Gastric Bypass Surgery

ProcedurePerformed: Data elements that meet criteria using this datatype should document the completion of the procedure indicated by the QDM category and its corresponding value set. Timing: The Relevant Period addresses: StartTime = the time the procedure begins; StopTime = the time the procedure is completed NOTE: 1) Timing refers to a single instance of a procedure. If a measure seeks to evaluate multiple procedures over a period of time, the measure developer should use CQL logic to represent the query request. 2) The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.

DataType

Cardinality

GastricBypassSurgeryPerformed

0..*

TenYearProbabilityOfAllMajorOsteoporosisRelatedFracturePerformed

Clinical Focus:

Data Element Scope:

Inclusion Criteria:

Exclusion Criteria:

Subject constrained to the Ten-year probability of all major osteoporosis related fracture

AssessmentPerformed: Data elements that meet criteria using this datatype should document completion of the assessment indicated by the QDM category and its corresponding value set. Timing: The time the assessment is completed; Author dateTime.

DataType

Cardinality

TenYearProbabilityOfAllMajorOsteoporosisRelatedFracturePerformed

0..*