Intervention for Prediabetes

• • A1c Test Performed and Results in Prediabetes Range

    • • ["Laboratory Test, Performed": "HbA1c Laboratory Test"] HbA1CTest
          where HbA1CTest.resultDatetime during "Measurement Period"
            and HbA1CTest.resultDatetime 31 days or more before 
            end of "Measurement Period"
            and HbA1CTest.result included in Interval[5.7 '%', 6.4 '%']

       

  • Blood Glucose Test Results in Prediabetes Range

    • • "A1c Test Performed and Results in Prediabetes Range"
          union "Fasting Plasma Glucose Test Performed and Results in Prediabetes Range"
          union "Two Hour Plasma Glucose During 75 Gram Oral Glucose Tolerance Test Performed and Results in Prediabetes Range"

       

  • Denominator

    • • "Initial Population"
          and exists "Blood Glucose Test Results in Prediabetes Range"

       

  • Denominator Exceptions

    • • exists "Patient or Medical Reason for Not Providing Intervention for Prediabetes"
          or exists "Limited Life Expectancy Diagnosis"

       

  • Denominator Exclusions

    • • "Patient is Pregnant at Encounter"
          or "Patient Has Active Diabetes Diagnosis at Encounter"

       

  • Encounter During Measurement Period

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

       

  • Fasting Plasma Glucose Test Performed and Results in Prediabetes Range

    • • ( ["Laboratory Test, Performed": "Fasting Plasma Glucose Lab Test Mass Per Volume"] FastingGlucoseTestMass
            where FastingGlucoseTestMass.resultDatetime during "Measurement Period"
              and FastingGlucoseTestMass.resultDatetime 31 days or more before 
              end of "Measurement Period"
              and FastingGlucoseTestMass.result included in Interval[100 'mg/dl', 125 'mg/dl']
        )
          union ( ["Laboratory Test, Performed": "Fasting glucose [Moles/volume] in Serum or Plasma"] FastingGlucoseTestMoles
              where FastingGlucoseTestMoles.resultDatetime during "Measurement Period"
                and FastingGlucoseTestMoles.resultDatetime 31 days or more before 
                end of "Measurement Period"
                and FastingGlucoseTestMoles.result included in Interval[5.6 'mmol/L', 6.9 'mmol/L']
          )

       

  • 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"
          )

       

  • Limited Life Expectancy Diagnosis

    • • ["Diagnosis": "Limited Life Expectancy"] LimitedLifeExpectancy
          where LimitedLifeExpectancy.prevalencePeriod overlaps after "Measurement Period"

       

  • Metformin Ordered

    • • ["Medication, Order": "Metformin"] MetforminMedicationOrdered
          with "Blood Glucose Test Results in Prediabetes Range" AbnormalGlucose
            such that MetforminMedicationOrdered.authorDatetime same or after AbnormalGlucose.resultDatetime
              and MetforminMedicationOrdered.authorDatetime during "Measurement Period"

       

  • Numerator

    • • exists "Referred to Diabetes Prevention Program"
          or exists "Referred to Registered Dietician"
          or exists "Metformin Ordered"

       

  • 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"

       

  • 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 or Medical Reason for Not Providing Intervention for Prediabetes

    • • ( ["Intervention, Not Performed": "Referral to Dietitian"]
          union ["Intervention, Not Performed": "Referral to Diabetes Prevention Program"]
          union ["Medication, Not Ordered": "Metformin"] ) NoIntervention
          with "Encounter During Measurement Period" VisitDuringMP
            such that NoIntervention.authorDatetime during VisitDuringMP.relevantPeriod
          where ( NoIntervention.negationRationale in "Patient Reason"
              or NoIntervention.negationRationale in "Medical 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"

       

  • Referred to Diabetes Prevention Program

    • • ["Intervention, Performed": "Referral to Diabetes Prevention Program"] DPPReferral
          with "Blood Glucose Test Results in Prediabetes Range" AbnormalGlucose
            such that DPPReferral.relevantPeriod starts same or after AbnormalGlucose.resultDatetime
              and DPPReferral.relevantPeriod during "Measurement Period"

       

  • Referred to Registered Dietician

    • • ["Intervention, Performed": "Referral to Dietitian"] ReferralDietitian
          with "Blood Glucose Test Results in Prediabetes Range" AbnormalGlucose
            such that ReferralDietitian.relevantPeriod starts same or after AbnormalGlucose.resultDatetime
              and ReferralDietitian.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 and Results in Prediabetes Range

    • • ( ["Laboratory Test, Performed": "Glucose [Mass/volume] in Serum or Plasma --2 hours post 75 g glucose PO"] OralGlucoseTestMass
            where OralGlucoseTestMass.resultDatetime during "Measurement Period"
              and OralGlucoseTestMass.resultDatetime 31 days or more before 
              end of "Measurement Period"
              and OralGlucoseTestMass.result included in Interval[140 'mg/dL', 199 'mg/dL']
        )
          union ( ["Laboratory Test, Performed": "Glucose [Moles/volume] in Serum or Plasma --2 hours post 75 g glucose PO"] OralGlucoseTestMoles
              where OralGlucoseTestMoles.resultDatetime during "Measurement Period"
                and OralGlucoseTestMoles.resultDatetime 31 days or more before 
                end of "Measurement Period"
                and OralGlucoseTestMoles.result included in Interval[7.8 'mmol/L', 11.0 'mmol/L']
          )

       

Functions