Coronary Artery Disease (CAD): Drug Therapy for Lowering LDL-Cholesterol (NQF 0074)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Measurement period"
- AND:
- OR: "Diagnosis, Active: Coronary Artery Disease includes MI"
- OR: "Procedure, Performed: Cardiac Surgery"
- starts before or during
- OR: "Encounter: Encounter Nursing Facility"
- OR: "Encounter: Encounter Outpatient"
- during "Measurement period"
- AND: Count >= 2 of:
- OR: "Encounter: Encounter Nursing Facility"
- OR: "Encounter: Encounter Outpatient"
- during "Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
-
Numerator =
- AND:
- OR: "Medication, Order: Lipid Lowering Therapy"
- OR: "Medication, Active: Lipid Lowering Therapy"
- during "Measurement period"
-
Denominator Exceptions =
- AND:
- OR: MOST RECENT:"Laboratory Test, Result: LDL Laboratory Test (result < 130 mg/dL)" starts before or during
- OR: "Encounter: Encounter Nursing Facility"
- OR: "Encounter: Encounter Outpatient"
- during "Measurement period"
- OR:
- OR:
- OR: "Medication, Order not done: Medical reason" for "Lipid Lowering Therapy RxNorm Value Set"
- OR: "Medication, Order not done: Patient reason" for "Lipid Lowering Therapy RxNorm Value Set"
- OR: "Medication, Order not done: System reason" for "Lipid Lowering Therapy RxNorm Value Set"
- OR:
- OR: "Medication, Active not done: Medical reason" for "Lipid Lowering Therapy RxNorm Value Set"
- OR: "Medication, Active not done: Patient reason" for "Lipid Lowering Therapy RxNorm Value Set"
- OR: "Medication, Active not done: System reason" for "Lipid Lowering Therapy RxNorm Value Set"
- starts before or during "Measurement period"
- OR:
- OR: "Medication, Allergy: Lipid Lowering Therapy"
- OR: "Medication, Adverse Effects: Lipid Lowering Therapy"
- OR: "Medication, Intolerance: Lipid Lowering Therapy"
- starts before or during
- OR: "Encounter: Encounter Nursing Facility"
- OR: "Encounter: Encounter Outpatient"
- during "Measurement period"
-
"Diagnosis, Active: Coronary Artery Disease includes MI" using "Coronary Artery Disease includes MI Value Set GROUPING (2.16.840.1.113883.3.526.03.365)"
-
"Encounter: Encounter Nursing Facility" using "Encounter Nursing Facility CPT Value Set (2.16.840.1.113883.3.526.02.28)"
-
"Encounter: Encounter Outpatient" using "Encounter Outpatient CPT Value Set (2.16.840.1.113883.3.526.02.26)"
-
"Laboratory Test, Result: LDL Laboratory Test" using "LDL Laboratory Test LOINC Value Set (2.16.840.1.113883.3.526.02.260)"
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"Medication, Active: Lipid Lowering Therapy" using "Lipid Lowering Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.134)"
-
"Medication, Active not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
-
"Medication, Active not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.311)"
-
"Medication, Active not done: System reason" using "System reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.310)"
-
"Medication, Adverse Effects: Lipid Lowering Therapy" using "Lipid Lowering Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.134)"
-
"Medication, Allergy: Lipid Lowering Therapy" using "Lipid Lowering Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.134)"
-
"Medication, Intolerance: Lipid Lowering Therapy" using "Lipid Lowering Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.134)"
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"Medication, Order: Lipid Lowering Therapy" using "Lipid Lowering Therapy RxNorm Value Set (2.16.840.1.113883.3.526.02.134)"
-
"Medication, Order not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
-
"Medication, Order not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.311)"
-
"Medication, Order not done: System reason" using "System reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.310)"
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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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"Procedure, Performed: Cardiac Surgery" using "Cardiac Surgery Value Set GROUPING (2.16.840.1.113883.3.526.03.371)"
- "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)"