Screening for Abnormal Blood Glucose

• • A1c Test Performed Within Past 3 Years

    • • ["Laboratory Test, Performed": "HbA1c Laboratory Test"] HbA1cTest
          where HbA1cTest.relevantDatetime 3 years or less before 
          end of "Measurement Period"
            and HbA1cTest.result is not null

       

  • BMI Performed at Encounter During Measurement Period

    • • ["Physical Exam, Performed": "Body mass index (BMI) [Ratio]"] BMIExam
          with "Encounter During Measurement Period" VisitDuringMP
            such that BMIExam.relevantDatetime during VisitDuringMP.relevantPeriod
              and BMIExam.result >= 0 'kg/m2'
          return BMIExam.result as Decimal

       

  • Comfort Measures During Measurement Period

    • • exists ( ["Intervention, Order": "Comfort Measures"] ComfortMeasuresOrdered
            where ComfortMeasuresOrdered.authorDatetime during "Measurement Period"
        )
          or exists ( ["Intervention, Performed": "Comfort Measures"] ComfortMeasuresPerformed
              where ComfortMeasuresPerformed.relevantPeriod overlaps "Measurement Period"
          )

       

  • Denominator

    • • "Initial Population"
          and exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate
              where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 43
          )
          and "Highest BMI Documented During Measurement Period is Greater Than or Equal to 25"

       

  • Denominator Exceptions

    • • exists "Patient Reason for Not Performing Blood Glucose Test"

       

  • Denominator Exclusions

    • • "Patient is Pregnant at Encounter"
          or "Patient Has Active Diabetes Diagnosis at Encounter"
          or "Hospice During Measurement Period"
          or "Palliative Care During Measurement Period"
          or "Comfort Measures During Measurement Period"

       

  • Encounter During Measurement Period

    • • "Preventive Visit During Measurement Period"
          union "Office Visit During Measurement Period"

       

  • Fasting Plasma Glucose Test Performed Within Past 3 Years

    • • ( ["Laboratory Test, Performed": "Fasting Plasma Glucose Lab Test Mass Per Volume"] FastingGlucoseTestMass
            where FastingGlucoseTestMass.relevantDatetime 3 years or less before 
            end of "Measurement Period"
              and FastingGlucoseTestMass.result is not null
        )
          union ( ["Laboratory Test, Performed": "Fasting glucose [Moles/volume] in Serum or Plasma"] FastingGlucoseTestMoles
              where FastingGlucoseTestMoles.relevantDatetime 3 years or less before 
              end of "Measurement Period"
                and FastingGlucoseTestMoles.result is not null
          )

       

  • Highest BMI Documented During Measurement Period

    • • Max("BMI Performed at Encounter During Measurement Period")

       

  • Highest BMI Documented During Measurement Period is Greater Than or Equal to 25

    • • "Highest BMI Documented During Measurement Period" >= 25.0

       

  • Hospice During 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"
          )

       

  • Initial Population

    • • exists ( ["Patient Characteristic Birthdate": "Birth date"] BirthDate
            where Global."CalendarAgeInYearsAt" ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 18
        )
          and ( Count("Office Visit During Measurement Period")>= 2
              or exists "Preventive Visit During Measurement Period"
          )

       

  • Numerator

    • • exists "A1c Test Performed Within Past 3 Years"
          or exists "Fasting Plasma Glucose Test Performed Within Past 3 Years"
          or exists "Two Hour Plasma Glucose During 75 Gram Oral Glucose Tolerance Test Performed Within Past 3 Years"

       

  • Office Visit During Measurement Period

    • • ( ["Encounter, Performed": "Office Visit"]
          union ["Encounter, Performed": "Outpatient Consultation"]
          union ["Encounter, Performed": "Nursing Facility Visit"] ) OfficeEncounter
          where OfficeEncounter.relevantPeriod during "Measurement Period"

       

  • Palliative Care During Measurement Period

    • • exists ( ["Intervention, Order": "Palliative or Hospice Care"] PalliativeCareOrdered
            where PalliativeCareOrdered.authorDatetime during "Measurement Period"
        )
          or exists ( ["Intervention, Performed": "Palliative or Hospice Care"] PalliativeCarePerformed
              where PalliativeCarePerformed.relevantPeriod overlaps "Measurement Period"
          )

       

  • Patient Has Active Diabetes Diagnosis at Encounter

    • • exists ( ["Diagnosis": "Diabetes"]
          union ["Diagnosis": "Diabetes mellitus due to underlying condition without complications"] ) DiabetesDiagnosis
          with "Encounter During Measurement Period" VisitDuringMP
            such that DiabetesDiagnosis.prevalencePeriod overlaps after VisitDuringMP.relevantPeriod

       

  • Patient is Pregnant at Encounter

    • • exists ( ["Diagnosis": "Pregnancy"] PregnancyDiagnosis
            with "Encounter During Measurement Period" VisitDuringMP
              such that PregnancyDiagnosis.prevalencePeriod overlaps after VisitDuringMP.relevantPeriod
        )

       

  • Patient Reason for Not Performing Blood Glucose Test

    • • ( ["Laboratory Test, Not Performed": "HbA1c Laboratory Test"]
          union ["Laboratory Test, Not Performed": "Fasting Plasma Glucose Lab Test Mass Per Volume"]
          union ["Laboratory Test, Not Performed": "Fasting glucose [Moles/volume] in Serum or Plasma"]
          union ["Laboratory Test, Not Performed": "Glucose [Mass/volume] in Serum or Plasma --2 hours post 75 g glucose PO"]
          union ["Laboratory Test, Not Performed": "Glucose [Moles/volume] in Serum or Plasma --2 hours post 75 g glucose PO"] ) NoBloodGlucoseTest
          with "Encounter During Measurement Period" VisitDuringMP
            such that NoBloodGlucoseTest.authorDatetime during VisitDuringMP.relevantPeriod
          where NoBloodGlucoseTest.negationRationale in "Patient Reason"

       

  • Preventive Visit During Measurement Period

    • • ( ["Encounter, Performed": "Annual Wellness Visit"]
          union ["Encounter, Performed": "Preventive Care Services - Established Office Visit, 18 and Up"]
          union ["Encounter, Performed": "Preventive Care Services - Other"]
          union ["Encounter, Performed": "Preventive Care Services-Initial Office Visit, 18 and Up"] ) PreventiveVisit
          where PreventiveVisit.relevantPeriod during "Measurement Period"

       

  • SDE Ethnicity

    • • ["Patient Characteristic Ethnicity": "Ethnicity"]

       

  • SDE Payer

    • • ["Patient Characteristic Payer": "Payer"]

       

  • SDE Race

    • • ["Patient Characteristic Race": "Race"]

       

  • SDE Sex

    • • ["Patient Characteristic Sex": "ONC Administrative Sex"]

       

  • Two Hour Plasma Glucose During 75 Gram Oral Glucose Tolerance Test Performed Within Past 3 Years

    • • ( ["Laboratory Test, Performed": "Glucose [Mass/volume] in Serum or Plasma --2 hours post 75 g glucose PO"] OralGlucoseTestMass
            where OralGlucoseTestMass.relevantDatetime 3 years or less before 
            end of "Measurement Period"
              and OralGlucoseTestMass.result is not null
        )
          union ( ["Laboratory Test, Performed": "Glucose [Moles/volume] in Serum or Plasma --2 hours post 75 g glucose PO"] OralGlucoseTestMoles
              where OralGlucoseTestMoles.relevantDatetime 3 years or less before 
              end of "Measurement Period"
                and OralGlucoseTestMoles.result is not null
          )

       

Functions