Chronic Obstructive Pulmonary Disease (COPD): Bronchodilator Therapy (NQF 0102)
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Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Measurement period"
- AND: "Diagnosis, Active: COPD" starts before or during ("Encounter: Encounter Office & Outpatient Consult" during "Measurement
period")
- AND: Count >= 2 of:"Encounter: Encounter Office & Outpatient Consult" during "Measurement period"
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Denominator =
- AND: "Initial Patient Population"
- AND: MOST RECENT: "Diagnostic Study, Result: FEV1/FVC Ratio (result < 70 %)"
- AND:
- OR: "Symptom, Active: COPD Symptoms Dyspnea"
- OR: "Symptom, Active: COPD Symptoms Wheezing"
- OR: "Symptom, Active: COPD Symptoms Cough/Sputum Production"
- during "Measurement period"
-
Denominator Exclusions =
-
Numerator =
- AND:
- OR: "Medication, Order: Inhaled Bronchodilator"
- OR: "Medication, Active: Inhaled Bronchodilator"
- during "Measurement period"
-
Denominator Exceptions =
- AND:
- OR:
- OR: "Medication, Allergy: Inhaled Bronchodilator"
- OR: "Medication, Adverse Effects: Inhaled Bronchodilator"
- OR: "Medication, Intolerance: Inhaled Bronchodilator"
- starts before or during "Measurement period"
- OR:
- OR:
- OR: "Medication, Order not done: Medical reason" for "Inhaled Bronchodilator RxNorm Value Set"
- OR: "Medication, Order not done: System reason" for "Inhaled Bronchodilator RxNorm Value Set"
- OR: "Medication, Order not done: Patient reason" for "Inhaled Bronchodilator RxNorm Value Set"
- OR:
- OR: "Medication, Active not done: Medical reason" for "Inhaled Bronchodilator RxNorm Value Set"
- OR: "Medication, Active not done: System reason" for "Inhaled Bronchodilator RxNorm Value Set"
- OR: "Medication, Active not done: Patient reason" for "Inhaled Bronchodilator RxNorm Value Set"
- during "Measurement period"
-
"Diagnosis, Active: COPD" using "COPD Value Set GROUPING (2.16.840.1.113883.3.526.03.702)"
-
"Diagnostic Study, Result: FEV1/FVC Ratio" using "FEV1/FVC Ratio Value Set GROUPING (2.16.840.1.113883.3.526.03.754)"
-
"Encounter: Encounter Office & Outpatient Consult" using "Encounter Office & Outpatient Consult CPT Value Set (2.16.840.1.113883.3.526.02.99)"
-
"Medication, Active: Inhaled Bronchodilator" using "Inhaled Bronchodilator RxNorm Value Set (2.16.840.1.113883.3.526.02.703)"
-
"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: Inhaled Bronchodilator" using "Inhaled Bronchodilator RxNorm Value Set (2.16.840.1.113883.3.526.02.703)"
-
"Medication, Allergy: Inhaled Bronchodilator" using "Inhaled Bronchodilator RxNorm Value Set (2.16.840.1.113883.3.526.02.703)"
-
"Medication, Intolerance: Inhaled Bronchodilator" using "Inhaled Bronchodilator RxNorm Value Set (2.16.840.1.113883.3.526.02.703)"
-
"Medication, Order: Inhaled Bronchodilator" using "Inhaled Bronchodilator RxNorm Value Set (2.16.840.1.113883.3.526.02.703)"
-
"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)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Symptom, Active: COPD Symptoms Cough/Sputum Production" using "COPD Symptoms Cough/Sputum Production Value Set GROUPING (2.16.840.1.113883.3.526.03.747)"
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"Symptom, Active: COPD Symptoms Dyspnea" using "COPD Symptoms Dyspnea Value Set GROUPING (2.16.840.1.113883.3.526.03.739)"
-
"Symptom, Active: COPD Symptoms Wheezing" using "COPD Symptoms Wheezing Value Set GROUPING (2.16.840.1.113883.3.526.03.743)"
- "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)"