Ischemic Vascular Disease (IVD): Blood Pressure Management (NQF 0073)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 17 year(s) starts before start of "Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
- AND:
- OR: "Diagnosis, Active: ischemic vascular disease" during ("Encounter: Encounter acute inpt and outpt" <= 2 year(s) starts
before or during "Measurement end date")
- OR:
- AND: "Procedure, Performed: PTCA" >= 14 month(s) starts before or during "Measurement end date"
- AND: "Procedure, Performed: PTCA" <= 24 month(s) starts before or during "Measurement end date"
- OR:
- AND: "Diagnosis, Active: acute myocardial infarction" during ("Encounter: encounter acute inpt" >= 14 month(s) starts before
or during "Measurement end date")
- AND: "Diagnosis, Active: acute myocardial infarction" during ("Encounter: encounter acute inpt" <= 24 month(s) starts before
or during "Measurement end date")
- OR:
- AND: "Procedure, Performed: CABG" during ("Encounter: encounter acute inpt" >= 14 month(s) starts before or during "Measurement
end date")
- AND: "Procedure, Performed: CABG" during ("Encounter: encounter acute inpt" <= 24 month(s) starts before or during "Measurement
end date")
-
Denominator Exclusions =
-
Numerator =
- AND:
- AND: MAXIMUM:"Physical Exam, Finding: diastolic blood pressure (result < 90 mmHg)"
- AND: MAXIMUM:"Physical Exam, Finding: systolic blood pressure (result < 140 mmHg)"
- during (MOST RECENT:"Encounter: encounter outpatient" during "Measurement period")
-
Denominator Exceptions =
-
"Diagnosis, Active: acute myocardial infarction" using "acute myocardial infarction Value Set GROUPING (2.16.840.1.113883.3.464.0001.01)"
-
"Diagnosis, Active: ischemic vascular disease" using "ischemic vascular disease Value Set GROUPING (2.16.840.1.113883.3.464.0001.84)"
-
"Encounter: encounter acute inpt" using "encounter acute inpt Value Set GROUPING (2.16.840.1.113883.3.464.0001.43)"
-
"Encounter: Encounter acute inpt and outpt" using "Encounter acute inpt and outpt Value Set GROUPING (2.16.840.1.113883.3.464.0001.44)"
-
"Encounter: encounter outpatient" using "encounter outpatient Value Set GROUPING (2.16.840.1.113883.3.464.0001.49)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Physical Exam, Finding: diastolic blood pressure" using "diastolic blood pressure SNOMED-CT Value Set (2.16.840.1.113883.3.464.0001.41)"
-
"Physical Exam, Finding: systolic blood pressure" using "systolic blood pressure SNOMED-CT Value Set (2.16.840.1.113883.3.464.0001.118)"
-
"Procedure, Performed: CABG" using "CABG Value Set GROUPING (2.16.840.1.113883.3.464.0001.22)"
-
"Procedure, Performed: PTCA" using "PTCA Value Set GROUPING (2.16.840.1.113883.3.464.0001.110)"
- "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)"