Hepatitis C: Hepatitis A Vaccination in Patients with HCV (NQF 0399)
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Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Measurement period"
- AND:
- OR: "Diagnosis, Active: Chronic Hepatitis C"
- OR: "Diagnosis, Active: Acute Hepatitis C"
- OR: "Diagnosis, Active: Unspecified Hepatitis C"
- 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"
-
Denominator Exclusions =
-
Numerator =
- AND: Count >= 1 of:
- OR: "Procedure, Performed: Hepatitis A Vaccination"
- OR: "Medication, Administered: Hepatitis A Vaccine"
- starts before or during "Measurement period"
- AND:
- OR: "Laboratory Test, Result: HAV Antibody Test (result: 'positive')"
- OR: "Laboratory Test, Result: IgM anti-HAV Test (result: 'negative')"
- OR: "Laboratory Test, Result: IgG anti-HAV Test (result: 'positive')"
- starts before or during "Measurement period"
-
Denominator Exceptions =
- AND:
- OR:
- OR: "Procedure, Performed not done: Medical reason" for "Hepatitis A Vaccination Value Set GROUPING"
- OR: "Procedure, Performed not done: Patient reason" for "Hepatitis A Vaccination Value Set GROUPING"
- OR: "Procedure, Performed not done: Medical Reason Vaccine Not Given" for "Hepatitis A Vaccination Value Set GROUPING"
- OR: "Procedure, Performed not done: Patient Reason Vaccine Not Given" for "Hepatitis A Vaccination Value Set GROUPING"
- during "Measurement period"
- OR:
- OR: "Medication, Administered not done: Medical reason" for "Hepatitis A Vaccine RxNorm Value Set"
- OR: "Medication, Administered not done: Patient reason" for "Hepatitis A Vaccine RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason Vaccine Not Given" for "Hepatitis A Vaccine RxNorm Value Set"
- OR: "Medication, Administered not done: Patient Reason Vaccine Not Given" for "Hepatitis A Vaccine RxNorm Value Set"
- during "Measurement period"
- OR:
- OR: "Medication, Allergy: Hepatitis A Vaccine"
- OR: "Medication, Intolerance: Hepatitis A Vaccine"
- OR: "Medication, Adverse Effects: Hepatitis A Vaccine"
- starts before or during ("Encounter: Encounter Office & Outpatient Consult" during "Measurement period")
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"Diagnosis, Active: Acute Hepatitis C" using "Acute Hepatitis C Value Set GROUPING (2.16.840.1.113883.3.526.03.630)"
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"Diagnosis, Active: Chronic Hepatitis C" using "Chronic Hepatitis C Value Set GROUPING (2.16.840.1.113883.3.526.03.624)"
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"Diagnosis, Active: Unspecified Hepatitis C" using "Unspecified Hepatitis C Value Set GROUPING (2.16.840.1.113883.3.526.03.634)"
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"Encounter: Encounter Office & Outpatient Consult" using "Encounter Office & Outpatient Consult CPT Value Set (2.16.840.1.113883.3.526.02.99)"
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"Laboratory Test, Result: HAV Antibody Test" using "HAV Antibody Test LOINC Value Set (2.16.840.1.113883.3.526.02.647)"
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"Laboratory Test, Result: IgG anti-HAV Test" using "IgG anti-HAV Test LOINC Value Set (2.16.840.1.113883.3.526.02.656)"
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"Laboratory Test, Result: IgM anti-HAV Test" using "IgM anti-HAV Test LOINC Value Set (2.16.840.1.113883.3.526.02.649)"
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"Medication, Administered: Hepatitis A Vaccine" using "Hepatitis A Vaccine RxNorm Value Set (2.16.840.1.113883.3.526.02.646)"
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"Medication, Administered not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
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"Medication, Administered not done: Medical Reason Vaccine Not Given" using "Medical Reason Vaccine Not Given SNOMED-CT Value Set (2.16.840.1.113883.3.526.03.665)"
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"Medication, Administered not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.311)"
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"Medication, Administered not done: Patient Reason Vaccine Not Given" using "Patient Reason Vaccine Not Given SNOMED-CT Value Set (2.16.840.1.113883.3.526.03.664)"
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"Medication, Adverse Effects: Hepatitis A Vaccine" using "Hepatitis A Vaccine RxNorm Value Set (2.16.840.1.113883.3.526.02.646)"
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"Medication, Allergy: Hepatitis A Vaccine" using "Hepatitis A Vaccine RxNorm Value Set (2.16.840.1.113883.3.526.02.646)"
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"Medication, Intolerance: Hepatitis A Vaccine" using "Hepatitis A Vaccine RxNorm Value Set (2.16.840.1.113883.3.526.02.646)"
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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: Hepatitis A Vaccination" using "Hepatitis A Vaccination Value Set GROUPING (2.16.840.1.113883.3.526.03.645)"
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"Procedure, Performed not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
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"Procedure, Performed not done: Medical Reason Vaccine Not Given" using "Medical Reason Vaccine Not Given SNOMED-CT Value Set (2.16.840.1.113883.3.526.03.665)"
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"Procedure, Performed not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.311)"
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"Procedure, Performed not done: Patient Reason Vaccine Not Given" using "Patient Reason Vaccine Not Given SNOMED-CT Value Set (2.16.840.1.113883.3.526.03.664)"
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Attribute: "Result: Negative" using "Negative SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.8501)"
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Attribute: "Result: Positive" using "Positive SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.8502)"
- "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)"