Appropriate Testing for Children with Pharyngitis (NQF 0002)
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Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 2 year(s) starts before start of "Measurement period"
- AND: "Patient Characteristic: birth date" <= 17 year(s) starts before start of "Measurement period"
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Denominator =
- AND: "Initial Patient Population"
- AND: "Encounter: Encounter ambulatory including pediatrics" during "Measurement period"
- AND: "Diagnosis, Active: pharyngitis" during ("Encounter: Encounter ambulatory including pediatrics" during "Measurement period")
- AND:
- OR: "Encounter: Encounter ambulatory including pediatrics" during "Measurement period"
- <= 3 day(s) starts before start of
- OR: "Medication, Dispensed: pharyngitis antibiotics"
- OR: "Medication, Order: pharyngitis antibiotics"
- OR: "Medication, Active: pharyngitis antibiotics"
- AND NOT:
- OR: "Medication, Dispensed: pharyngitis antibiotics"
- OR: "Medication, Order: pharyngitis antibiotics"
- OR: "Medication, Active: pharyngitis antibiotics"
- <= 30 day(s) starts before start of ("Encounter: Encounter ambulatory including pediatrics" during "Measurement period")
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Denominator Exclusions =
-
Numerator =
- AND: "Laboratory Test, Performed: Group A Streptococcus Test" <= 3 day(s) starts before or during
- AND: "Encounter: Encounter ambulatory including pediatrics" during "Measurement period"
- <= 3 day(s) starts before start of
- OR: "Medication, Dispensed: pharyngitis antibiotics"
- OR: "Medication, Order: pharyngitis antibiotics"
- OR: "Medication, Active: pharyngitis antibiotics"
- AND: "Laboratory Test, Performed: Group A Streptococcus Test" <= 3 day(s) starts after end of
- AND: "Encounter: Encounter ambulatory including pediatrics" during "Measurement period"
- <= 3 day(s) starts before start of
- OR: "Medication, Dispensed: pharyngitis antibiotics"
- OR: "Medication, Order: pharyngitis antibiotics"
- OR: "Medication, Active: pharyngitis antibiotics"
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Denominator Exceptions =
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"Diagnosis, Active: pharyngitis" using "pharyngitis Value Set GROUPING (2.16.840.1.113883.3.464.0001.369)"
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"Encounter: Encounter ambulatory including pediatrics" using "Encounter ambulatory including pediatrics Value Set GROUPING (2.16.840.1.113883.3.464.0001.231)"
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"Laboratory Test, Performed: Group A Streptococcus Test" using "Group A Streptococcus Test Value Set GROUPING (2.16.840.1.113883.3.464.0001.250)"
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"Medication, Active: pharyngitis antibiotics" using "pharyngitis antibiotics Value Set GROUPING (2.16.840.1.113883.3.464.0001.373)"
-
"Medication, Dispensed: pharyngitis antibiotics" using "pharyngitis antibiotics Value Set GROUPING (2.16.840.1.113883.3.464.0001.373)"
-
"Medication, Order: pharyngitis antibiotics" using "pharyngitis antibiotics Value Set GROUPING (2.16.840.1.113883.3.464.0001.373)"
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"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
- "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)"