Bipolar Disorder: Monitoring change in level-of-functioning (NQF 0112)
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Initial Patient Population =
- AND: "Encounter: Psychiatric Office Visit/Therapy" during "Measurement period"
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of ("Encounter: Psychiatric Office Visit/Therapy"
during "Measurement period")
- AND: FIRST: "Occurrence A of Diagnosis active: Bipolar Disorder (ordinality: 'principal')" during ("Encounter: Psychiatric
Office Visit/Therapy" during "Measurement period")
- AND:
- OR: "Medication, Active: Mood Stabilizing Agents" during "Measurement period"
- OR: "Medication, Active: Antipsychotic Agents" during "Measurement period"
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Denominator =
- AND: "Initial Patient Population"
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Denominator Exclusions =
- AND: "Risk Category Assessment not done: Patient Reason - any" for "Level-of-Functioning Assessment SNOMED-CT Value Set"
- AND NOT: CURRENT "Occurrence A of Diagnosis active: Bipolar Disorder" < 6 month(s) starts after end of
- OR: IMMEDIATE PRIOR "Diagnosis, Active: Bipolar Disorder (ordinality: 'principal')"
- OR: IMMEDIATE PRIOR "Diagnosis, Active: Unipolar Depression (ordinality: 'principal')"
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Numerator 1 =
- AND: FIRST: "Risk Category Assessment: Level-of-Functioning Assessment" < 1 day(s) starts after start of (FIRST :"Occurrence
A of Diagnosis active: Bipolar Disorder (ordinality: 'principal')" during "Measurement period")
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Numerator 2 =
- AND: SECOND: "Risk Category Assessment: Level-of-Functioning Assessment" > 1 day(s) starts after start of (FIRST :"Occurrence
A of Diagnosis active: Bipolar Disorder (ordinality: 'principal')" during "Measurement period")
- AND: SECOND: "Risk Category Assessment: Level-of-Functioning Assessment" <= 12 week(s) starts after start of (FIRST :"Occurrence
A of Diagnosis active: Bipolar Disorder (ordinality: 'principal')" during "Measurement period")
- AND NOT: "Encounter: Inpatient hospitalization" <= 12 week(s) starts after end of ("Encounter: Psychiatric Office Visit/Therapy"
during "Measurement period")
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Denominator Exceptions =
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"Diagnosis, Active: Bipolar Disorder" using "Bipolar Disorder Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.128)"
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"Diagnosis, Active: Unipolar Depression" using "Unipolar Depression Value Set GROUPING (2.16.840.1.113883.3.67.1.101.1.129)"
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"Encounter: Inpatient hospitalization" using "Inpatient hospitalization SNOMED Value Set (2.16.840.1.113883.3.67.1.101.1.106)"
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"Encounter: Psychiatric Office Visit/Therapy" using "Psychiatric Office Visit/Therapy CPT Value Set (2.16.840.1.113883.3.67.1.101.1.39)"
-
"Medication, Active: Antipsychotic Agents" using "Antipsychotic Agents RxNorm Value Set (2.16.840.1.113883.3.67.1.101.1.48)"
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"Medication, Active: Mood Stabilizing Agents" using "Mood Stabilizing Agents RxNorm Value Set (2.16.840.1.113883.3.67.1.101.1.47)"
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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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"Risk Category Assessment: Level-of-Functioning Assessment" using "Level-of-Functioning Assessment SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.46)"
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"Risk Category Assessment not done: Patient Reason - any" using "Patient Reason - any SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.377)"
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Attribute: "Ordinality: Principal" using "Principal SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.287)"
- "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)"