End Stage Renal Disease (ESRD): Plan of Care for Inadequate Peritoneal Dialysis (NQF 0321)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Measurement period"
- AND:
- AND: "Diagnosis, Active: End Stage Renal Disease"
- AND:
- OR: "Procedure, Performed: Peritoneal Dialysis-Procedure"
- OR: "Encounter: Peritoneal Dialysis-Encounter"
- during "Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
-
Numerator =
- AND:
- AND: "Laboratory Test, Performed: Kt/V"
- AND:
- OR: MOST RECENT:"Laboratory Test, Result: Kt/V (result >= 1.7 )"
- OR:
- AND: MOST RECENT:"Laboratory Test, Result: Kt/V (result < 1.7 )"
- AND:
- OR: "Intervention, Result: Assessing for inadequate monitoring of delivered dose of peritoneal dialysis (result)"
- OR: "Intervention, Performed: Performing peritoneal equilibrium testing"
- OR: "Intervention, Performed: Assessing for inadequate patient education for peritoneal dialysis"
- OR: "Intervention, Performed: Increase exchange volume of peritoneal dialysis"
- OR: "Intervention, Performed: Increase number of perfusion exchanges for peritoneal dialysis"
- OR: "Intervention, Performed: Peritoneal Dialysis Modality"
- OR: "Intervention, Result: Assessing for Non-Adherence with peritoneal prescription, sampling, collection"
- OR: "Intervention, Result: Assessing for peritoneal dialysis prescription error"
- OR:
- OR NOT: "Procedure, Performed: Peritoneal Dialysis-Procedure"
- OR NOT: "Encounter: Peritoneal Dialysis-Encounter"
- <= 128 day(s) starts after start of "Measurement period"
- AND:
- AND: "Occurrence A of Laboratory Test, Performed: Kt/V"
- AND:
- OR: MOST RECENT:"Occurrence A of Laboratory Test, Result: Kt/V (result >= 1.7 )"
- OR:
- AND: MOST RECENT:"Occurrence A of Laboratory Test, Result: Kt/V (result < 1.7 )"
- AND:
- OR: "Intervention, Result: Assessing for inadequate monitoring of delivered dose of peritoneal dialysis (result)"
- OR: "Intervention, Performed: Performing peritoneal equilibrium testing"
- OR: "Intervention, Performed: Assessing for inadequate patient education for peritoneal dialysis"
- OR: "Intervention, Performed: Increase exchange volume of peritoneal dialysis"
- OR: "Intervention, Performed: Increase number of perfusion exchanges for peritoneal dialysis"
- OR: "Intervention, Performed: Peritoneal Dialysis Modality"
- OR: "Intervention, Result: Assessing for Non-Adherence with peritoneal prescription, sampling, collection"
- OR: "Intervention, Result: Assessing for peritoneal dialysis prescription error"
- OR:
- OR NOT: "Occurrence A of Procedure, Performed: Peritoneal Dialysis-Procedure"
- OR NOT: "Occurrence A of Encounter: Peritoneal Dialysis-Encounter"
- >= 116 day(s) starts before or during "Measurement end date"
- AND:
- AND: "Occurrence A of Laboratory Test, Performed: Kt/V"
- AND:
- OR: MOST RECENT:"Occurrence A of Laboratory Test, Result: Kt/V (result >= 1.7 )"
- OR:
- AND: MOST RECENT:"Occurrence A of Laboratory Test, Result: Kt/V (result < 1.7 )"
- AND:
- OR: "Intervention, Result: Assessing for inadequate monitoring of delivered dose of peritoneal dialysis (result)"
- OR: "Intervention, Performed: Performing peritoneal equilibrium testing"
- OR: "Intervention, Performed: Assessing for inadequate patient education for peritoneal dialysis"
- OR: "Intervention, Performed: Increase exchange volume of peritoneal dialysis"
- OR: "Intervention, Performed: Increase number of perfusion exchanges for peritoneal dialysis"
- OR: "Intervention, Performed: Peritoneal Dialysis Modality"
- OR: "Intervention, Result: Assessing for Non-Adherence with peritoneal prescription, sampling, collection"
- OR: "Intervention, Result: Assessing for peritoneal dialysis prescription error"
- OR:
- OR NOT: "Occurrence A of Procedure, Performed: Peritoneal Dialysis-Procedure"
- OR NOT: "Occurrence A of Encounter: Peritoneal Dialysis-Encounter"
- <= 253 day(s) starts before or during "Measurement end date"
- AND:
- AND: "Laboratory Test, Performed: Kt/V"
- AND:
- OR: MOST RECENT:"Laboratory Test, Result: Kt/V (result >= 1.7 )"
- OR:
- AND: MOST RECENT:"Laboratory Test, Result: Kt/V (result < 1.7 )"
- AND:
- OR: "Intervention, Result: Assessing for inadequate monitoring of delivered dose of peritoneal dialysis (result)"
- OR: "Intervention, Performed: Performing peritoneal equilibrium testing"
- OR: "Intervention, Performed: Assessing for inadequate patient education for peritoneal dialysis"
- OR: "Intervention, Performed: Increase exchange volume of peritoneal dialysis"
- OR: "Intervention, Performed: Increase number of perfusion exchanges for peritoneal dialysis"
- OR: "Intervention, Performed: Peritoneal Dialysis Modality"
- OR: "Intervention, Result: Assessing for Non-Adherence with peritoneal prescription, sampling, collection"
- OR: "Intervention, Result: Assessing for peritoneal dialysis prescription error"
- OR:
- OR NOT: "Procedure, Performed: Peritoneal Dialysis-Procedure"
- OR NOT: "Encounter: Peritoneal Dialysis-Encounter"
- <= 130 day(s) starts before or during "Measurement end date"
-
Denominator Exceptions =
-
"Diagnosis, Active: End Stage Renal Disease" using "End Stage Renal Disease Value Set GROUPING (2.16.840.1.113883.3.526.03.353)"
-
"Encounter: Peritoneal Dialysis-Encounter" using "Peritoneal Dialysis-Encounter Value Set GROUPING (2.16.840.1.113883.3.526.03.594)"
-
"Intervention, Performed: Assessing for inadequate patient education for peritoneal dialysis" using "Assessing for inadequate patient education for peritoneal dialysis SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.569)"
-
"Intervention, Performed: Increase exchange volume of peritoneal dialysis" using "Increase exchange volume of peritoneal dialysis SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.570)"
-
"Intervention, Performed: Increase number of perfusion exchanges for peritoneal dialysis" using "Increase number of perfusion exchanges for peritoneal dialysis SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.571)"
-
"Intervention, Performed: Performing peritoneal equilibrium testing" using "Performing peritoneal equilibrium testing SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.568)"
-
"Intervention, Performed: Peritoneal Dialysis Modality" using "Peritoneal Dialysis Modality SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.587)"
-
"Intervention, Result: Assessing for inadequate monitoring of delivered dose of peritoneal dialysis" using "Assessing for inadequate monitoring of delivered dose of peritoneal dialysis SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.567)"
-
"Intervention, Result: Assessing for Non-Adherence with peritoneal prescription, sampling, collection" using "Assessing for Non-Adherence with peritoneal prescription, sampling, collection SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.565)"
-
"Intervention, Result: Assessing for peritoneal dialysis prescription error" using "Assessing for peritoneal dialysis prescription error SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.566)"
-
"Laboratory Test, Performed: Kt/V" using "Kt/V SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.355)"
-
"Laboratory Test, Result: Kt/V" using "Kt/V SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.355)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Procedure, Performed: Peritoneal Dialysis-Procedure" using "Peritoneal Dialysis-Procedure Value Set GROUPING (2.16.840.1.113883.3.526.03.354)"
- "Patient Characteristic: Gender" using "Gender HL7 Value Set (2.16.840.1.113883.1.11.1)"
- "Patient Characteristic: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"
- "Patient Characteristic: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"
- "Patient Characteristic: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.113883.3.221.5)"