Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients (NQF 0389)
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Initial Patient Population =
- AND:
- AND: "Diagnosis, Active: Prostate Cancer"
- AND: "Patient Characteristic: Gender Male"
- starts before or during "Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
- AND: "Procedure, Performed: Prostate Cancer Treatment" during "Measurement period"
- AND: "Procedure, Performed: Clinical Staging Procedure (result: 'Tumor Stage T1c, T2a')" starts before or during ("Procedure,
Performed: Prostate Cancer Treatment" during "Measurement period")
- AND: "Laboratory Test, Result: Prostate Specific Antigen Test (result <= 20.0 ng/mL)" starts before or during ("Procedure,
Performed: Prostate Cancer Treatment" during "Measurement period")
- AND:
- OR: "Laboratory Test, Result: Gleason Score <= 6" starts before or during ("Procedure, Performed: Prostate Cancer Treatment"
during "Measurement period")
- OR: "Laboratory Test, Result: Gleason Score (result <= 6 )" starts before or during ("Procedure, Performed: Prostate Cancer
Treatment" during "Measurement period")
-
Denominator Exclusions =
-
Numerator =
- AND NOT: "Diagnostic Study, Performed: Bone Scan" starts after start of ("Diagnosis, Active: Prostate Cancer" starts before
or during "Measurement period")
-
Denominator Exceptions =
- AND:
- OR: "Diagnosis, Active: Pain Related to prostate cancer"
- OR: "Procedure, Performed: Salvage Therapy"
- OR: "Diagnostic Study, Performed: Bone Scan (reason)"
- starts after start of ("Diagnosis, Active: Prostate Cancer" starts before or during "Measurement period")
-
"Diagnosis, Active: Pain Related to prostate cancer" using "Pain Related to prostate cancer Value Set GROUPING (2.16.840.1.113883.3.526.03.451)"
-
"Diagnosis, Active: Prostate Cancer" using "Prostate Cancer Value Set GROUPING (2.16.840.1.113883.3.526.03.319)"
-
"Diagnostic Study, Performed: Bone Scan" using "Bone Scan Value Set GROUPING (2.16.840.1.113883.3.526.03.320)"
-
"Laboratory Test, Result: Gleason Score" using "Gleason Score Value Set GROUPING (2.16.840.1.113883.3.526.03.397)"
-
"Laboratory Test, Result: Gleason Score <= 6" using "Gleason Score <= 6 SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.280)"
-
"Laboratory Test, Result: Prostate Specific Antigen Test" using "Prostate Specific Antigen Test Value Set GROUPING (2.16.840.1.113883.3.526.03.401)"
-
"Patient Characteristic: Gender Male" using "Gender Male HL7 Value Set (2.16.840.1.113883.1.11.1)"
-
"Procedure, Performed: Clinical Staging Procedure" using "Clinical Staging Procedure SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1027)"
-
"Procedure, Performed: Prostate Cancer Treatment" using "Prostate Cancer Treatment Value Set GROUPING (2.16.840.1.113883.3.526.03.398)"
-
"Procedure, Performed: Salvage Therapy" using "Salvage Therapy Value Set GROUPING (2.16.840.1.113883.3.526.03.399)"
-
Attribute: "Result: Tumor Stage T1c, T2a" using "Tumor Stage T1c, T2a SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.286)"
- "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)"