Preventive Care and Screening: Influenza Immunization for Patients >= 50 Years Old (NQF 0041)
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Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 50 year(s) starts before start of "Measurement period"
- AND:
- OR: Count >= 2 of:AND: "Encounter: Encounter Outpatient" during "Measurement period"
- OR: Count >= 1 of:
- OR: "Encounter: Encounter Prev Med 40 and Older"
- OR: "Encounter: Encounter Prev Med Group Counseling"
- OR: "Encounter: Encounter Prev Med-Individual counseling"
- OR: "Encounter: Encounter Prev Med Other Services"
- OR: "Encounter: Encounter Nursing Facility"
- OR: "Encounter: Encounter Nursing Discharge"
- during "Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
- AND: "Encounter: Encounter Influenza" <= 122 day(s) starts before start of "Measurement period"
- AND: "Encounter: Encounter Influenza" <= 58 day(s) starts after start of "Measurement period"
-
Denominator Exclusions =
-
Numerator =
- AND:
- OR: "Procedure, Performed: Influenza Vaccination"
- OR: "Medication, Administered: Influenza Vaccine"
- during
- AND: "Encounter: Encounter Influenza" <= 122 day(s) starts before start of "Measurement period"
- AND: "Encounter: Encounter Influenza" <= 58 day(s) starts after start of "Measurement period"
-
Denominator Exceptions =
- AND:
- OR:
- OR:
- OR: "Procedure, Performed not done: Influenza Vaccine Declined" for "Influenza Vaccination Value Set GROUPING"
- OR: "Procedure, Performed not done: System reason" for "Influenza Vaccination Value Set GROUPING"
- OR: "Procedure, Performed not done: Patient reason" for "Influenza Vaccination Value Set GROUPING"
- OR: "Procedure, Performed not done: Medical reason" for "Influenza Vaccination Value Set GROUPING"
- OR:
- OR: "Medication, Administered not done: Influenza Vaccine Declined" for "Influenza Vaccine RxNorm Value Set"
- OR: "Medication, Administered not done: System reason" for "Influenza Vaccine RxNorm Value Set"
- OR: "Medication, Administered not done: Patient reason" for "Influenza Vaccine RxNorm Value Set"
- OR: "Medication, Administered not done: Medical reason" for "Influenza Vaccine RxNorm Value Set"
- during
- OR: "Encounter: Encounter Prev Med 40 and Older"
- OR: "Encounter: Encounter Prev Med Group Counseling"
- OR: "Encounter: Encounter Prev Med-Individual counseling"
- OR: "Encounter: Encounter Prev Med Other Services"
- OR: "Encounter: Encounter Nursing Facility"
- OR: "Encounter: Encounter Nursing Discharge"
- during "Measurement period"
- OR:
- OR: "Substance, Allergy: Allergy to eggs"
- OR: "Procedure, Intolerance: Influenza Vaccination"
- OR: "Procedure, Adverse Event: Influenza Vaccination"
- starts before or during "Measurement period"
- OR:
- OR: "Medication, Intolerance: Influenza Vaccine"
- OR: "Medication, Adverse Effects: Influenza Vaccine"
- OR: "Medication, Allergy: Influenza Vaccine"
- OR: "Diagnosis, Active: Influenza Vaccine Contraindicated"
- starts before or during
- AND: "Encounter: Encounter Influenza" <= 122 day(s) starts before start of "Measurement period"
- AND: "Encounter: Encounter Influenza" <= 58 day(s) starts after start of "Measurement period"
-
"Diagnosis, Active: Influenza Vaccine Contraindicated" using "Influenza Vaccine Contraindicated SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.460)"
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"Encounter: Encounter Influenza" using "Encounter Influenza Value Set GROUPING (2.16.840.1.113883.3.526.03.457)"
-
"Encounter: Encounter Nursing Discharge" using "Encounter Nursing Discharge CPT Value Set (2.16.840.1.113883.3.526.02.454)"
-
"Encounter: Encounter Nursing Facility" using "Encounter Nursing Facility CPT Value Set (2.16.840.1.113883.3.526.02.28)"
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"Encounter: Encounter Outpatient" using "Encounter Outpatient CPT Value Set (2.16.840.1.113883.3.526.02.26)"
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"Encounter: Encounter Prev Med 40 and Older" using "Encounter Prev Med 40 and Older CPT Value Set (2.16.840.1.113883.3.526.02.109)"
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"Encounter: Encounter Prev Med Group Counseling" using "Encounter Prev Med Group Counseling CPT Value Set (2.16.840.1.113883.3.526.02.107)"
-
"Encounter: Encounter Prev Med-Individual counseling" using "Encounter Prev Med-Individual counseling CPT Value Set (2.16.840.1.113883.3.526.02.106)"
-
"Encounter: Encounter Prev Med Other Services" using "Encounter Prev Med Other Services CPT Value Set (2.16.840.1.113883.3.526.02.108)"
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"Medication, Administered: Influenza Vaccine" using "Influenza Vaccine RxNorm Value Set (2.16.840.1.113883.3.526.02.204)"
-
"Medication, Administered not done: Influenza Vaccine Declined" using "Influenza Vaccine Declined SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.461)"
-
"Medication, Administered not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
-
"Medication, Administered not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.311)"
-
"Medication, Administered not done: System reason" using "System reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.310)"
-
"Medication, Adverse Effects: Influenza Vaccine" using "Influenza Vaccine RxNorm Value Set (2.16.840.1.113883.3.526.02.204)"
-
"Medication, Allergy: Influenza Vaccine" using "Influenza Vaccine RxNorm Value Set (2.16.840.1.113883.3.526.02.204)"
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"Medication, Intolerance: Influenza Vaccine" using "Influenza Vaccine RxNorm Value Set (2.16.840.1.113883.3.526.02.204)"
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"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
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"Procedure, Adverse Event: Influenza Vaccination" using "Influenza Vaccination Value Set GROUPING (2.16.840.1.113883.3.526.03.402)"
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"Procedure, Intolerance: Influenza Vaccination" using "Influenza Vaccination Value Set GROUPING (2.16.840.1.113883.3.526.03.402)"
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"Procedure, Performed: Influenza Vaccination" using "Influenza Vaccination Value Set GROUPING (2.16.840.1.113883.3.526.03.402)"
-
"Procedure, Performed not done: Influenza Vaccine Declined" using "Influenza Vaccine Declined SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.461)"
-
"Procedure, Performed not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
-
"Procedure, Performed not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.311)"
-
"Procedure, Performed not done: System reason" using "System reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.310)"
-
"Substance, Allergy: Allergy to eggs" using "Allergy to eggs Value Set GROUPING (2.16.840.1.113883.3.526.03.510)"
- "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)"