Oncology Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast
Cancer (NQF 0387)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Measurement period"
- AND: FIRST: "Diagnosis, Active: Breast Cancer" <= 5 year(s) starts before or during ("Encounter: Encounter Office Visit"
during "Measurement period")
- AND: Count >= 2 of:"Encounter: Encounter Office Visit" during "Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
- AND: "Patient Characteristic: Gender Female"
- AND: "Procedure, Result: Breast Cancer ER or PR Positive"
- AND:
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1c')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N0')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1c')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N1mi')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T0')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N1')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N1')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T2')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N0')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T2')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N1')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T3')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N0')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T0')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N2')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N2')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T2')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N2')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T3')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N1')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T3')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N2')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T4')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N0')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T4')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N1')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T4')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N2')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- OR:
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status
N3')"
- AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Distant Metastasis Status M0')"
- starts before or during ("Encounter: Encounter Office Visit" during "Measurement period")
-
Denominator Exclusions =
-
Numerator =
- AND:
- OR: "Medication, Order: Tamoxifen or Aromatase Inhibitor Therapy"
- OR: "Medication, Active: Tamoxifen or Aromatase Inhibitor Therapy"
- during "Measurement period"
-
Denominator Exceptions =
- AND:
- OR:
- OR:
- OR: "Medication, Order not done: System reason" for "Tamoxifen or Aromatase Inhibitor Therapy RxNorm Value Set"
- OR: "Medication, Order not done: Patient reason" for "Tamoxifen or Aromatase Inhibitor Therapy RxNorm Value Set"
- OR: "Medication, Order not done: Medical reason" for "Tamoxifen or Aromatase Inhibitor Therapy RxNorm Value Set"
- OR:
- OR: "Medication, Active not done: System reason" for "Tamoxifen or Aromatase Inhibitor Therapy RxNorm Value Set"
- OR: "Medication, Active not done: Patient reason" for "Tamoxifen or Aromatase Inhibitor Therapy RxNorm Value Set"
- OR: "Medication, Active not done: Medical reason" for "Tamoxifen or Aromatase Inhibitor Therapy RxNorm Value Set"
- OR:
- OR: "Medication, Intolerance: Tamoxifen or Aromatase Inhibitor Therapy"
- OR: "Medication, Adverse Effects: Tamoxifen or Aromatase Inhibitor Therapy"
- OR: "Medication, Allergy: Tamoxifen or Aromatase Inhibitor Therapy"
- OR: "Medication, Active: Gonadotropin-releasing hormone analogue medication"
- OR: "Procedure, Performed: Bilateral Oophorectomy"
- OR: "Diagnosis, Active: Metastatic Sites Common to Breast Cancer"
- starts before or during ("Encounter: Encounter Office Visit" during "Measurement period")
- OR:
- OR: "Procedure, Performed: Radiation Therapy"
- OR: "Procedure, Performed: Chemotherapy"
- during "Measurement period"
-
"Diagnosis, Active: Breast Cancer" using "Breast Cancer Value Set GROUPING (2.16.840.1.113883.3.526.03.389)"
-
"Diagnosis, Active: Metastatic Sites Common to Breast Cancer" using "Metastatic Sites Common to Breast Cancer Value Set GROUPING (2.16.840.1.113883.3.526.03.447)"
-
"Encounter: Encounter Office Visit" using "Encounter Office Visit CPT Value Set (2.16.840.1.113883.3.526.02.114)"
-
"Medication, Active: Gonadotropin-releasing hormone analogue medication" using "Gonadotropin-releasing hormone analogue medication Value Set (2.16.840.1.113883.3.526.02.467)"
-
"Medication, Active: Tamoxifen or Aromatase Inhibitor Therapy" using "Tamoxifen or Aromatase Inhibitor Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.285)"
-
"Medication, Active not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
-
"Medication, Active not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.311)"
-
"Medication, Active not done: System reason" using "System reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.310)"
-
"Medication, Adverse Effects: Tamoxifen or Aromatase Inhibitor Therapy" using "Tamoxifen or Aromatase Inhibitor Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.285)"
-
"Medication, Allergy: Tamoxifen or Aromatase Inhibitor Therapy" using "Tamoxifen or Aromatase Inhibitor Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.285)"
-
"Medication, Intolerance: Tamoxifen or Aromatase Inhibitor Therapy" using "Tamoxifen or Aromatase Inhibitor Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.285)"
-
"Medication, Order: Tamoxifen or Aromatase Inhibitor Therapy" using "Tamoxifen or Aromatase Inhibitor Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.285)"
-
"Medication, Order not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
-
"Medication, Order not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.311)"
-
"Medication, Order not done: System reason" using "System reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.310)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Patient Characteristic: Gender Female" using "Gender Female HL7 Value Set (2.16.840.1.113883.1.11.1)"
-
"Procedure, Performed: Bilateral Oophorectomy" using "Bilateral Oophorectomy Value Set GROUPING (2.16.840.1.113883.3.526.03.471)"
-
"Procedure, Performed: Chemotherapy" using "Chemotherapy Value Set GROUPING (2.16.840.1.113883.3.526.03.485)"
-
"Procedure, Performed: Clinical Staging Procedure" using "Clinical Staging Procedure SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1027)"
-
"Procedure, Performed: Radiation Therapy" using "Radiation Therapy Value Set GROUPING (2.16.840.1.113883.3.526.03.482)"
-
"Procedure, Result: Breast Cancer ER or PR Positive" using "Breast Cancer ER or PR Positive SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.284)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T0" using "Breast Cancer Primary Tumor Size T0 SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1013)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T1c" using "Breast Cancer Primary Tumor Size T1c SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1014)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T1" using "Breast Cancer Primary Tumor Size T1 SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1015)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T2" using "Breast Cancer Primary Tumor Size T2 SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1016)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T3" using "Breast Cancer Primary Tumor Size T3 SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1017)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T4" using "Breast Cancer Primary Tumor Size T4 SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1018)"
-
Attribute: "Result: Breast Cancer Regional Lymph Node Status N0" using "Breast Cancer Regional Lymph Node Status N0 SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1019)"
-
Attribute: "Result: Breast Cancer Regional Lymph Node Status N1mi" using "Breast Cancer Regional Lymph Node Status N1mi SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1020)"
-
Attribute: "Result: Breast Cancer Regional Lymph Node Status N1" using "Breast Cancer Regional Lymph Node Status N1 SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1021)"
-
Attribute: "Result: Breast Cancer Regional Lymph Node Status N2" using "Breast Cancer Regional Lymph Node Status N2 SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1022)"
-
Attribute: "Result: Breast Cancer Regional Lymph Node Status N3" using "Breast Cancer Regional Lymph Node Status N3 SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1028)"
-
Attribute: "Result: Distant Metastasis Status M0" using "Distant Metastasis Status M0 SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1012)"
- "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)"