Depression Utilization of the PHQ-9 Tool (NQF OT3-022-10)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Measurement period"
- AND:
- OR:
- OR: "Diagnosis, Active: Major Depression (ordinality: 'principal')"
- OR: "Diagnosis, Active: Dysthymia (ordinality: 'principal')"
- during ("Encounter: Psychiatric Office Visit/Therapy" during "Measurement period")
- OR:
- OR: "Diagnosis, Active: Major Depression"
- OR: "Diagnosis, Active: Dysthymia"
- during ("Encounter: Primary Care Visit" during "Measurement period")
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- AND:
- OR: "Patient Characteristic: Deceased" during "Measurement period"
- OR:
- AND: "Encounter, Active: Residence (facility location: 'nursing home')" > 1 year(s) starts before start of
- OR: "Encounter: Psychiatric Office Visit/Therapy"
- OR: "Encounter: Primary Care Visit"
- during "Measurement period"
- AND:
- OR: "Encounter: Psychiatric Office Visit/Therapy"
- OR: "Encounter: Primary Care Visit"
- during "Encounter, Active: Residence (facility location: 'nursing home')"
- OR: "Intervention, Order: Care Type (reason: 'hospice')" during "Measurement period"
- OR: "Diagnosis, Active: Bipolar Disorder" during "Measurement period"
- OR: "Diagnosis, Active: Personality Disorder" during "Measurement period"
-
Numerator =
- AND:
- OR:
- OR:
- AND:
- OR: "Diagnosis, Active: Major Depression (ordinality: 'principal')"
- OR: "Diagnosis, Active: Dysthymia (ordinality: 'principal')"
- during
- AND: "Occurrence A of Encounter: Psychiatric Office Visit/Therapy" > 8 month(s) starts before start of "Measurement end date"
- AND: "Occurrence A of Encounter: Psychiatric Office Visit/Therapy" <= 12 month(s) starts before start of "Measurement end
date"
- AND: "Occurrence A of Risk Category Assessment: PHQ-9 Score (result >= 0 )" > 8 month(s) starts before start of "Measurement
end date"
- AND: "Occurrence A of Risk Category Assessment: PHQ-9 Score (result >= 0 )" <= 12 month(s) starts before start of "Measurement
end date"
- OR NOT:
- OR: "Diagnosis, Active: Major Depression (ordinality: 'principal')"
- OR: "Diagnosis, Active: Dysthymia (ordinality: 'principal')"
- during
- AND: "Occurrence A of Encounter: Psychiatric Office Visit/Therapy" > 8 month(s) starts before start of "Measurement end date"
- AND: "Occurrence A of Encounter: Psychiatric Office Visit/Therapy" <= 12 month(s) starts before start of "Measurement end
date"
- OR:
- OR:
- AND:
- OR: "Diagnosis, Active: Major Depression"
- OR: "Diagnosis, Active: Dysthymia"
- during
- AND: "Occurrence A of Encounter: Primary Care Visit" > 8 month(s) starts before start of "Measurement end date"
- AND: "Occurrence A of Encounter: Primary Care Visit" <= 12 month(s) starts before start of "Measurement end date"
- AND: "Occurrence A of Risk Category Assessment: PHQ-9 Score (result >= 0 )" > 8 month(s) starts before start of "Measurement
end date"
- AND: "Occurrence A of Risk Category Assessment: PHQ-9 Score (result >= 0 )" <= 12 month(s) starts before start of "Measurement
end date"
- OR NOT:
- AND: "Diagnosis, Active: Major Depression"
- AND: "Diagnosis, Active: Dysthymia"
- during
- AND: "Occurrence A of Encounter: Primary Care Visit" > 8 month(s) starts before start of "Measurement end date"
- AND: "Occurrence A of Encounter: Primary Care Visit" <= 12 month(s) starts before start of "Measurement end date"
- OR:
- AND NOT:
- OR: "Occurrence A of Encounter: Psychiatric Office Visit/Therapy"
- OR: "Occurrence A of Encounter: Primary Care Visit"
- > 8 month(s) starts before start of "Measurement end date"
- AND NOT:
- OR: "Occurrence A of Encounter: Psychiatric Office Visit/Therapy"
- OR: "Occurrence A of Encounter: Primary Care Visit"
- <= 12 month(s) starts before start of "Measurement end date"
- AND:
- OR:
- OR:
- AND:
- OR: "Diagnosis, Active: Major Depression (ordinality: 'principal')"
- OR: "Diagnosis, Active: Dysthymia (ordinality: 'principal')"
- during
- AND: "Occurrence B of Encounter: Psychiatric Office Visit/Therapy" > 4 month(s) starts before start of "Measurement end date"
- AND: "Occurrence B of Encounter: Psychiatric Office Visit/Therapy" <= 8 month(s) starts before start of "Measurement end
date"
- AND: "Occurrence B of Risk Category Assessment: PHQ-9 Score (result >= 0 )" > 4 month(s) starts before start of "Measurement
end date"
- AND: "Occurrence B of Risk Category Assessment: PHQ-9 Score (result >= 0 )" <= 8 month(s) starts before start of "Measurement
end date"
- OR NOT:
- OR: "Diagnosis, Active: Major Depression (ordinality: 'principal')"
- OR: "Diagnosis, Active: Dysthymia (ordinality: 'principal')"
- during
- AND: "Occurrence B of Encounter: Psychiatric Office Visit/Therapy" > 4 month(s) starts before start of "Measurement end date"
- AND: "Occurrence B of Encounter: Psychiatric Office Visit/Therapy" <= 8 month(s) starts before start of "Measurement end
date"
- OR:
- OR:
- AND:
- OR: "Diagnosis, Active: Major Depression"
- OR: "Diagnosis, Active: Dysthymia"
- during
- AND: "Occurrence B of Encounter: Primary Care Visit" > 4 month(s) starts before start of "Measurement end date"
- AND: "Occurrence B of Encounter: Primary Care Visit" <= 8 month(s) starts before start of "Measurement end date"
- AND: "Occurrence B of Risk Category Assessment: PHQ-9 Score (result >= 0 )" > 4 month(s) starts before start of "Measurement
end date"
- AND: "Occurrence B of Risk Category Assessment: PHQ-9 Score (result >= 0 )" <= 8 month(s) starts before start of "Measurement
end date"
- OR NOT:
- AND: "Diagnosis, Active: Major Depression"
- AND: "Diagnosis, Active: Dysthymia"
- during
- AND: "Occurrence B of Encounter: Primary Care Visit" > 4 month(s) starts before start of "Measurement end date"
- AND: "Occurrence B of Encounter: Primary Care Visit" <= 8 month(s) starts before start of "Measurement end date"
- OR:
- AND NOT:
- OR: "Occurrence B of Encounter: Psychiatric Office Visit/Therapy"
- OR: "Occurrence B of Encounter: Primary Care Visit"
- > 4 month(s) starts before start of "Measurement end date"
- AND NOT:
- OR: "Occurrence B of Encounter: Psychiatric Office Visit/Therapy"
- OR: "Occurrence B of Encounter: Primary Care Visit"
- <= 8 month(s) starts before start of "Measurement end date"
- AND:
- OR:
- OR:
- AND:
- OR: "Diagnosis, Active: Major Depression (ordinality: 'principal')"
- OR: "Diagnosis, Active: Dysthymia (ordinality: 'principal')"
- during ("Encounter: Psychiatric Office Visit/Therapy" <= 4 month(s) starts before start of "Measurement end date")
- AND: "Risk Category Assessment: PHQ-9 Score (result >= 0 )" <= 4 month(s) starts before start of "Measurement end date"
- OR NOT:
- OR: "Diagnosis, Active: Major Depression (ordinality: 'principal')"
- OR: "Diagnosis, Active: Dysthymia (ordinality: 'principal')"
- during ("Encounter: Psychiatric Office Visit/Therapy" <= 4 month(s) starts before start of "Measurement end date")
- OR:
- OR:
- AND:
- OR: "Diagnosis, Active: Major Depression"
- OR: "Diagnosis, Active: Dysthymia"
- during ("Encounter: Primary Care Visit" <= 4 month(s) starts before start of "Measurement end date")
- AND: "Risk Category Assessment: PHQ-9 Score (result >= 0 )" <= 4 month(s) starts before start of "Measurement end date"
- OR NOT:
- AND: "Diagnosis, Active: Major Depression"
- AND: "Diagnosis, Active: Dysthymia"
- during ("Encounter: Primary Care Visit" <= 4 month(s) starts before start of "Measurement end date")
- OR NOT:
- OR: "Encounter: Psychiatric Office Visit/Therapy"
- OR: "Encounter: Primary Care Visit"
- <= 4 month(s) starts before start of "Measurement end date"
-
Denominator Exceptions =
-
"Diagnosis, Active: Bipolar Disorder" using "Bipolar Disorder Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.128)"
-
"Diagnosis, Active: Dysthymia" using "Dysthymia Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.254)"
-
"Diagnosis, Active: Major Depression" using "Major Depression Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.250)"
-
"Diagnosis, Active: Personality Disorder" using "Personality Disorder Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.246)"
-
"Encounter, Active: Residence" using "Residence SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.258)"
-
"Encounter: Primary Care Visit" using "Primary Care Visit CPT Value Set (2.16.840.1.113883.3.526.02.114)"
-
"Encounter: Psychiatric Office Visit/Therapy" using "Psychiatric Office Visit/Therapy CPT Value Set (2.16.840.1.113883.3.67.1.101.1.244)"
-
"Intervention, Order: Care Type" using "Care Type SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.260)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Patient Characteristic: Deceased" using "Deceased SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.262)"
-
"Risk Category Assessment: PHQ-9 Score" using "PHQ-9 Score LOINC Value Set (2.16.840.1.113883.3.67.1.101.1.263)"
-
Attribute: "Ordinality: Principal" using "Principal SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.287)"
-
Attribute: "Facility location: Nursing home" using "Nursing home SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.259)"
-
Attribute: "Reason: Hospice" using "Hospice SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.261)"
- "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)"