Breast Cancer Screening (NQF 0031)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 41 year(s) starts before start of "Measurement period"
- AND: "Patient Characteristic: birth date" <= 68 year(s) starts before start of "Measurement period"
- AND: "Patient Characteristic: Gender Female"
-
Denominator =
- AND: "Initial Patient Population"
- AND: "Encounter: Encounter outpatient" <= 2 year(s) starts before or during "Measurement end date"
-
Denominator Exclusions =
- AND:
- OR: "Procedure, Performed: bilateral mastectomy"
- OR:
- AND: "Procedure, Performed: unilateral mastectomy CPT"
- AND: "Procedure, Performed: bilateral mastectomy modifier"
- OR:
- AND: Count > 1 of:"Procedure, Performed: unilateral mastectomy"
- AND NOT: AND: FIRST :"Procedure, Performed: unilateral mastectomy" concurrent with SECOND :"Procedure, Performed: unilateral
mastectomy"
- starts before or during "Measurement end date"
-
Numerator =
- AND: "Diagnostic Study, Performed: breast cancer screening" <= 2 year(s) starts before or during "Measurement end date"
-
Denominator Exceptions =
-
"Diagnostic Study, Performed: breast cancer screening" using "breast cancer screening Value Set GROUPING (2.16.840.1.113883.3.464.0001.16)"
-
"Encounter: Encounter outpatient" using "Encounter outpatient Value Set GROUPING (2.16.840.1.113883.3.464.0001.49)"
-
"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 (2.16.840.1.113883.3.464.0002.1140)"
-
"Procedure, Performed: bilateral mastectomy" using "bilateral mastectomy Value Set GROUPING (2.16.840.1.113883.3.464.0001.11)"
-
"Procedure, Performed: bilateral mastectomy modifier" using "bilateral mastectomy modifier CPT-Mod Value Set (2.16.840.1.113883.3.464.0001.10)"
-
"Procedure, Performed: unilateral mastectomy" using "unilateral mastectomy Value Set GROUPING (2.16.840.1.113883.3.464.0001.136)"
-
"Procedure, Performed: unilateral mastectomy CPT" using "unilateral mastectomy CPT CPT Value Set (2.16.840.1.113883.3.464.0001.135)"
- "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)"