Osteoporosis: Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older (NQF 0046)
-
Initial Patient Population =
- AND:
- AND: "Patient Characteristic: birth date"
- >= 65 year(s) starts before start of "Measurement period"
- AND: "Patient Characteristic: Gender Female"
-
Denominator =
- AND: "Initial Patient Population"
- AND:
- AND: "Encounter: Encounters ALL inpatient and ambulatory"
- during "Measurement period"
-
Denominator Exclusions =
-
Numerator =
- AND:
- OR:
- AND:
- OR: "Diagnostic Study, Performed: DXA (Dual-energy X-ray Absorptiometry) Scan"
- OR: "Diagnostic Study, Order: DXA (Dual-energy X-ray Absorptiometry) Scan"
- >= 60 year(s) starts after start of "Patient Characteristic: birth date"
- AND:
- OR: "Diagnostic Study, Performed: DXA (Dual-energy X-ray Absorptiometry) Scan"
- OR: "Diagnostic Study, Order: DXA (Dual-energy X-ray Absorptiometry) Scan"
- starts before or during "Measurement period"
- OR:
- OR: "Medication, Order: Osteoporosis meds"
- OR: "Medication, Active: Osteoporosis meds"
- during "Measurement period"
-
Denominator Exceptions =
- AND:
- OR:
- AND:
- OR: "Diagnostic Study, Performed not done: Medical reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Diagnostic Study, Order not done: Medical reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- >= 60 year(s) starts after start of "Patient Characteristic: birth date"
- AND:
- OR: "Diagnostic Study, Performed not done: Medical reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Diagnostic Study, Order not done: Medical reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- starts before or during "Measurement period"
- OR:
- OR: "Medication, Order not done: Medical reason" for "Osteoporosis meds Value Set GROUPING"
- OR: "Medication, Active not done: Medical reason" for "Osteoporosis meds Value Set GROUPING"
- during "Measurement period"
- OR:
- AND:
- OR: "Diagnostic Study, Performed not done: Patient reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Diagnostic Study, Order not done: Patient reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- >= 60 year(s) starts after start of "Patient Characteristic: birth date"
- AND:
- OR: "Diagnostic Study, Performed not done: Patient reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Diagnostic Study, Order not done: Patient reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- starts before or during "Measurement period"
- OR:
- OR: "Medication, Order not done: Patient reason" for "Osteoporosis meds Value Set GROUPING"
- OR: "Medication, Active not done: Patient reason" for "Osteoporosis meds Value Set GROUPING"
- during "Measurement period"
- OR:
- AND:
- OR: "Diagnostic Study, Performed not done: System reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Diagnostic Study, Order not done: System reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- >= 60 year(s) starts after start of "Patient Characteristic: birth date"
- AND:
- OR: "Diagnostic Study, Performed not done: System reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Diagnostic Study, Order not done: System reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- starts before or during "Measurement period"
- OR:
- OR: "Medication, Order not done: System reason" for "Osteoporosis meds Value Set GROUPING"
- OR: "Medication, Active not done: System reason" for "Osteoporosis meds Value Set GROUPING"
- during "Measurement period"
-
"Diagnostic Study, Order: DXA (Dual-energy X-ray Absorptiometry) Scan" using "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING (2.16.840.1.113883.3.464.0003.1109)"
-
"Diagnostic Study, Order not done: Medical reason" using "Medical reason HL7 Value Set (2.16.840.1.113883.3.464.0002.1106)"
-
"Diagnostic Study, Order not done: Patient reason" using "Patient reason HL7 Value Set (2.16.840.1.113883.3.464.0002.1107)"
-
"Diagnostic Study, Order not done: System reason" using "System reason HL7 Value Set (2.16.840.1.113883.3.464.0002.1113)"
-
"Diagnostic Study, Performed: DXA (Dual-energy X-ray Absorptiometry) Scan" using "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING (2.16.840.1.113883.3.464.0003.1109)"
-
"Diagnostic Study, Performed not done: Medical reason" using "Medical reason HL7 Value Set (2.16.840.1.113883.3.464.0002.1106)"
-
"Diagnostic Study, Performed not done: Patient reason" using "Patient reason HL7 Value Set (2.16.840.1.113883.3.464.0002.1107)"
-
"Diagnostic Study, Performed not done: System reason" using "System reason HL7 Value Set (2.16.840.1.113883.3.464.0002.1113)"
-
"Encounter: Encounters ALL inpatient and ambulatory" using "Encounters ALL inpatient and ambulatory CPT Value Set (2.16.840.1.113883.3.464.0002.1138)"
-
"Medication, Active: Osteoporosis meds" using "Osteoporosis meds Value Set GROUPING (2.16.840.1.113883.3.464.0003.1100)"
-
"Medication, Active not done: Medical reason" using "Medical reason HL7 Value Set (2.16.840.1.113883.3.464.0002.1106)"
-
"Medication, Active not done: Patient reason" using "Patient reason HL7 Value Set (2.16.840.1.113883.3.464.0002.1107)"
-
"Medication, Active not done: System reason" using "System reason HL7 Value Set (2.16.840.1.113883.3.464.0002.1113)"
-
"Medication, Order: Osteoporosis meds" using "Osteoporosis meds Value Set GROUPING (2.16.840.1.113883.3.464.0003.1100)"
-
"Medication, Order not done: Medical reason" using "Medical reason HL7 Value Set (2.16.840.1.113883.3.464.0002.1106)"
-
"Medication, Order not done: Patient reason" using "Patient reason HL7 Value Set (2.16.840.1.113883.3.464.0002.1107)"
-
"Medication, Order not done: System reason" using "System reason HL7 Value Set (2.16.840.1.113883.3.464.0002.1113)"
-
"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)"
- "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)"