Endoscopy & Polyp Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate
Use (NQF ACP-017-10)
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Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Measurement period"
- AND:
- AND: "Diagnosis, Inactive: Colonic Polyps"
- AND: "Procedure, Performed: Colonoscopy"
- during "Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
-
Numerator =
- AND:
- AND: CURRENT "Procedure, Performed: Colonoscopy"
- >= 3 year(s) starts after start of
- OR: IMMEDIATE PRIOR "Procedure, Performed: Colonoscopy"
- OR: IMMEDIATE PRIOR "Procedure, Performed: Colonoscopy, non-high risk screening"
-
Denominator Exceptions =
- AND:
- OR: "Diagnosis, Active: High Risk for Colon CA" starts before or during "Measurement period"
- OR: "Diagnosis, Active: High Risk for Colon CA Current" <= 1 year(s) starts before start of ("Procedure, Performed: Colonoscopy"
during "Measurement period")
- OR: IMMEDIATE PRIOR "Procedure, Result: Colonoscopy (status: 'Final Report', result: 'Incomplete procedure')" < 3 year(s)
starts before start of (CURRENT "Procedure, Performed: Colonoscopy" during "Measurement period")
- OR: IMMEDIATE PRIOR "Procedure, Result: Colonoscopy (status: 'Final Report', result: 'Inadequate bowel preparation')" < 3
year(s) starts before start of (CURRENT "Procedure, Performed: Colonoscopy" during "Measurement period")
- OR: IMMEDIATE PRIOR "Procedure, Result: Colonoscopy (status: 'Final Report', result: 'Adenomatous polyp of colon' > 10 count(s))"
< 3 year(s) starts before start of (CURRENT "Procedure, Performed: Colonoscopy" during "Measurement period")
- OR: IMMEDIATE PRIOR "Procedure, Result: Colonoscopy (status: 'Final Report')" < 3 year(s) starts before start of (CURRENT
"Procedure, Performed: Colonoscopy (reason)" during "Measurement period")
-
"Diagnosis, Active: High Risk for Colon CA" using "High Risk for Colon CA Value Set GROUPING (2.16.840.1.113883.3.526.03.776)"
-
"Diagnosis, Active: High Risk for Colon CA Current" using "High Risk for Colon CA Current Value Set GROUPING (2.16.840.1.113883.3.526.03.788)"
-
"Diagnosis, Inactive: Colonic Polyps" using "Colonic Polyps Value Set GROUPING (2.16.840.1.113883.3.526.03.721)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Procedure, Performed: Colonoscopy" using "Colonoscopy Value Set GROUPING (2.16.840.1.113883.3.526.03.784)"
-
"Procedure, Performed: Colonoscopy, non-high risk screening" using "Colonoscopy, non-high risk screening HCPCS Value Set (2.16.840.1.113883.3.526.02.789)"
-
"Procedure, Result: Colonoscopy" using "Colonoscopy Value Set GROUPING (2.16.840.1.113883.3.526.03.784)"
-
Attribute: "Result: Adenomatous polyp of colon" using "Adenomatous polyp of colon SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.793)"
-
Attribute: "Result: Inadequate bowel preparation" using "Inadequate bowel preparation SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.791)"
-
Attribute: "Result: Incomplete procedure" using "Incomplete procedure SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.792)"
-
Attribute: "Status: Final Report" using "Final Report SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.796)"
- "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)"