Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear (NQF 0416)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of
- OR: "Encounter: Inpatient or Ambulatory"
- OR: "Procedure, Performed: Skin or Nail Trim or Debridement"
- during "Measurement period"
- AND: "Diagnosis, Active: Diabetes" starts before or during
- OR: "Encounter: Inpatient or Ambulatory"
- OR: "Procedure, Performed: Skin or Nail Trim or Debridement"
- during "Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- AND:
- OR: "Diagnosis, Active: Bilateral Amputee" starts before start of
- OR: "Encounter: Inpatient or Ambulatory"
- OR: "Procedure, Performed: Skin or Nail Trim or Debridement"
- during "Measurement period"
- OR:
- AND: "Physical Exam, Finding not done: Patient Reason" for "Pulse Finding of Foot SNOMED-CT Value Set"
- AND: "Physical Exam, Finding not done: Patient Reason" for "Skin Finding SNOMED-CT Value Set"
- AND: "Physical Exam, Finding not done: Patient Reason" for "Neurological Finding of Foot SNOMED-CT Value Set"
- AND: "Physical Exam, Finding not done: Patient Reason" for "Structural/Biomechanical Finding of Foot SNOMED-CT Value Set"
- AND: "Physical Exam, Performed not done: Patient Reason" for "Foot Measurement SNOMED-CT Value Set"
- AND: "Intervention, Performed not done: Patient Reason" for "Counseling SNOMED-CT Value Set" supported by "Physical Exam,
Finding: Appropriateness of Footwear"
- during
- OR: "Encounter: Inpatient or Ambulatory"
- OR: "Procedure, Performed: Skin or Nail Trim or Debridement"
- during "Measurement period"
-
Numerator =
- AND:
- OR:
- AND:
- OR: "Diagnosis, Active: Left Foot Amputee"
- OR: "Diagnosis, Active: Left Lower Limb Amputee"
- OR: "Diagnosis, Active: Lower Limb Amputee (laterality: 'left')"
- starts before start of
- OR: "Encounter: Inpatient or Ambulatory"
- OR: "Procedure, Performed: Skin or Nail Trim or Debridement"
- during "Measurement period"
- AND: Count > 1 of:
- AND: "Physical Exam, Finding: Pulse Finding of Foot (anatomical structure: 'right foot')"
- AND: "Physical Exam, Finding: Skin Finding (anatomical structure: 'right foot')"
- AND: "Physical Exam, Finding: Neurological Finding of Foot (anatomical structure: 'right foot')"
- AND: "Physical Exam, Finding: Structural/Biomechanical Finding of Foot (anatomical structure: 'right foot')"
- AND: "Physical Exam, Performed: Foot Measurement (anatomical structure: 'right foot')"
- AND: "Intervention, Performed: Counseling" supported by "Physical Exam, Finding: Appropriateness of Footwear"
- during "Measurement period"
- OR:
- AND:
- OR: "Diagnosis, Active: Right Foot Amputee"
- OR: "Diagnosis, Active: Right Lower Limb Amputee"
- OR: "Diagnosis, Active: Lower Limb Amputee (laterality: 'right')"
- starts before start of
- OR: "Encounter: Inpatient or Ambulatory"
- OR: "Procedure, Performed: Skin or Nail Trim or Debridement"
- during "Measurement period"
- AND: Count > 1 of:
- AND: "Physical Exam, Finding: Pulse Finding of Foot (anatomical structure: 'left foot')"
- AND: "Physical Exam, Finding: Skin Finding (anatomical structure: 'left foot')"
- AND: "Physical Exam, Finding: Neurological Finding of Foot (anatomical structure: 'left foot')"
- AND: "Physical Exam, Finding: Structural/Biomechanical Finding of Foot (anatomical structure: 'left foot')"
- AND: "Physical Exam, Performed: Foot Measurement (anatomical structure: 'left foot')"
- AND: "Intervention, Performed: Counseling" supported by "Physical Exam, Finding: Appropriateness of Footwear"
- during "Measurement period"
- OR:
- AND: Count > 1 of:
- AND: "Physical Exam, Finding: Pulse Finding of Foot (anatomical structure: 'right foot')"
- AND: "Physical Exam, Finding: Skin Finding (anatomical structure: 'right foot')"
- AND: "Physical Exam, Finding: Neurological Finding of Foot (anatomical structure: 'right foot')"
- AND: "Physical Exam, Finding: Structural/Biomechanical Finding of Foot (anatomical structure: 'right foot')"
- AND: "Physical Exam, Performed: Foot Measurement (anatomical structure: 'right foot')"
- AND: "Intervention, Performed: Counseling" supported by "Physical Exam, Finding: Appropriateness of Footwear"
- during "Measurement period"
- AND: Count > 1 of:
- AND: "Physical Exam, Finding: Pulse Finding of Foot (anatomical structure: 'left foot')"
- AND: "Physical Exam, Finding: Skin Finding (anatomical structure: 'left foot')"
- AND: "Physical Exam, Finding: Neurological Finding of Foot (anatomical structure: 'left foot')"
- AND: "Physical Exam, Finding: Structural/Biomechanical Finding of Foot (anatomical structure: 'left foot')"
- AND: "Physical Exam, Performed: Foot Measurement (anatomical structure: 'left foot')"
- AND: "Intervention, Performed: Counseling" supported by "Physical Exam, Finding: Appropriateness of Footwear"
- during "Measurement period"
-
Denominator Exceptions =
-
"Diagnosis, Active: Bilateral Amputee" using "Bilateral Amputee Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.140)"
-
"Diagnosis, Active: Diabetes" using "Diabetes Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.4)"
-
"Diagnosis, Active: Left Foot Amputee" using "Left Foot Amputee ICD-10-CM Value Set (2.16.840.1.113883.3.67.1.101.1.144)"
-
"Diagnosis, Active: Left Lower Limb Amputee" using "Left Lower Limb Amputee Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.146)"
-
"Diagnosis, Active: Lower Limb Amputee" using "Lower Limb Amputee SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.152)"
-
"Diagnosis, Active: Right Foot Amputee" using "Right Foot Amputee ICD-10-CM Value Set (2.16.840.1.113883.3.67.1.101.1.145)"
-
"Diagnosis, Active: Right Lower Limb Amputee" using "Right Lower Limb Amputee Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.149)"
-
"Encounter: Inpatient or Ambulatory" using "Inpatient or Ambulatory Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.133)"
-
"Intervention, Performed: Counseling" using "Counseling SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.23)"
-
"Intervention, Performed not done: Patient Reason" using "Patient Reason SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.73)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Physical Exam, Finding: Appropriateness of Footwear" using "Appropriateness of Footwear SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.139)"
-
"Physical Exam, Finding: Neurological Finding of Foot" using "Neurological Finding of Foot SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.137)"
-
"Physical Exam, Finding: Pulse Finding of Foot" using "Pulse Finding of Foot SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.135)"
-
"Physical Exam, Finding: Skin Finding" using "Skin Finding SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.136)"
-
"Physical Exam, Finding: Structural/Biomechanical Finding of Foot" using "Structural/Biomechanical Finding of Foot SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.138)"
-
"Physical Exam, Finding not done: Patient Reason" using "Patient Reason SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.73)"
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"Physical Exam, Performed: Foot Measurement" using "Foot Measurement SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.22)"
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"Physical Exam, Performed not done: Patient Reason" using "Patient Reason SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.73)"
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"Procedure, Performed: Skin or Nail Trim or Debridement" using "Skin or Nail Trim or Debridement Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.134)"
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Attribute: "Laterality: Left" using "Left SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.8901)"
-
Attribute: "Laterality: Right" using "Right SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.8902)"
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Attribute: "Anatomical structure: Left foot" using "Left foot SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.8903)"
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Attribute: "Anatomical structure: Right foot" using "Right foot SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.8904)"
- "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)"