Osteoporosis: Management Following Fracture of Hip, Spine or Distal radius for Men and Women Aged 50 Years and Older (NQF 0048)
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Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 50 year(s) starts before start of "Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
- AND:
- AND: "Diagnosis, Active: Hip, Spine, or Distal Radial Fracture Diagnosis"
- AND:
- OR: "Encounter: Encounter for Hip, Spine, or Distal Radial Fracture Treatment"
- OR: "Procedure, Performed: Hip, Spine, or Distal Radial Fracture Treatment"
- during "Measurement period"
-
Denominator Exclusions =
- AND:
- OR:
- OR:
- OR: "Diagnostic Study, Order not done: Medical reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Diagnostic Study, Performed not done: Medical reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Medication, Order not done: Medical reason" for "Osteoporosis meds Value Set GROUPING"
- OR: "Medication, Active not done: Medical reason" for "Osteoporosis meds Value Set GROUPING"
- <= 60 day(s) starts after start of "Diagnosis, Active: Hip, Spine, or Distal Radial Fracture Diagnosis"
- OR:
- OR: "Diagnostic Study, Order not done: Medical reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Diagnostic Study, Performed not done: Medical reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Medication, Order not done: Medical reason" for "Osteoporosis meds Value Set GROUPING"
- OR: "Medication, Active not done: Medical reason" for "Osteoporosis meds Value Set GROUPING"
- <= 12 month(s) starts before or during "Diagnosis, Active: Hip, Spine, or Distal Radial Fracture Diagnosis"
- OR:
- OR:
- OR: "Diagnostic Study, Order not done: Patient reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Diagnostic Study, Performed not done: Patient reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Medication, Order not done: Patient reason" for "Osteoporosis meds Value Set GROUPING"
- OR: "Medication, Active not done: Patient reason" for "Osteoporosis meds Value Set GROUPING"
- <= 60 day(s) starts after start of "Diagnosis, Active: Hip, Spine, or Distal Radial Fracture Diagnosis"
- OR:
- OR: "Diagnostic Study, Order not done: Patient reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Diagnostic Study, Performed not done: Patient reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Medication, Order not done: Patient reason" for "Osteoporosis meds Value Set GROUPING"
- OR: "Medication, Active not done: Patient reason" for "Osteoporosis meds Value Set GROUPING"
- <= 12 month(s) starts before or during "Diagnosis, Active: Hip, Spine, or Distal Radial Fracture Diagnosis"
- OR:
- OR:
- OR: "Diagnostic Study, Order not done: System reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Diagnostic Study, Performed not done: System reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Medication, Order not done: System reason" for "Osteoporosis meds Value Set GROUPING"
- OR: "Medication, Active not done: System reason" for "Osteoporosis meds Value Set GROUPING"
- <= 60 day(s) starts after start of "Diagnosis, Active: Hip, Spine, or Distal Radial Fracture Diagnosis"
- OR:
- OR: "Diagnostic Study, Order not done: System reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Diagnostic Study, Performed not done: System reason" for "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING"
- OR: "Medication, Order not done: System reason" for "Osteoporosis meds Value Set GROUPING"
- OR: "Medication, Active not done: System reason" for "Osteoporosis meds Value Set GROUPING"
- <= 12 month(s) starts before or during "Diagnosis, Active: Hip, Spine, or Distal Radial Fracture Diagnosis"
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Numerator =
- OR:
- OR: "Diagnostic Study, Order: DXA (Dual-energy X-ray Absorptiometry) Scan"
- OR: "Diagnostic Study, Performed: DXA (Dual-energy X-ray Absorptiometry) Scan"
- OR: "Medication, Order: Osteoporosis meds"
- OR: "Medication, Active: Osteoporosis meds"
- <= 60 day(s) starts after start of "Diagnosis, Active: Hip, Spine, or Distal Radial Fracture Diagnosis"
- OR:
- OR: "Diagnostic Study, Order: DXA (Dual-energy X-ray Absorptiometry) Scan"
- OR: "Diagnostic Study, Performed: DXA (Dual-energy X-ray Absorptiometry) Scan"
- OR: "Medication, Order: Osteoporosis meds"
- OR: "Medication, Active: Osteoporosis meds"
- <= 12 month(s) starts before or during "Diagnosis, Active: Hip, Spine, or Distal Radial Fracture Diagnosis"
-
Denominator Exceptions =
-
"Diagnosis, Active: Hip, Spine, or Distal Radial Fracture Diagnosis" using "Hip, Spine, or Distal Radial Fracture Diagnosis Value Set GROUPING (2.16.840.1.113883.3.464.0003.1094)"
-
"Diagnostic Study, Order: DXA (Dual-energy X-ray Absorptiometry) Scan" using "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING (2.16.840.1.113883.3.464.0003.1109)"
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"Diagnostic Study, Order not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.464.0002.1106)"
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"Diagnostic Study, Order not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.464.0002.1107)"
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"Diagnostic Study, Order not done: System reason" using "System reason SNOMED-CT Value Set (2.16.840.1.113883.3.464.0002.1113)"
-
"Diagnostic Study, Performed: DXA (Dual-energy X-ray Absorptiometry) Scan" using "DXA (Dual-energy X-ray Absorptiometry) Scan Value Set GROUPING (2.16.840.1.113883.3.464.0003.1109)"
-
"Diagnostic Study, Performed not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.464.0002.1106)"
-
"Diagnostic Study, Performed not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.464.0002.1107)"
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"Diagnostic Study, Performed not done: System reason" using "System reason SNOMED-CT Value Set (2.16.840.1.113883.3.464.0002.1113)"
-
"Encounter: Encounter for Hip, Spine, or Distal Radial Fracture Treatment" using "Encounter for Hip, Spine, or Distal Radial Fracture Treatment CPT Value Set (2.16.840.1.113883.3.464.0002.1099)"
-
"Medication, Active: Osteoporosis meds" using "Osteoporosis meds Value Set GROUPING (2.16.840.1.113883.3.464.0003.1100)"
-
"Medication, Active not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.464.0002.1106)"
-
"Medication, Active not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.464.0002.1107)"
-
"Medication, Active not done: System reason" using "System reason SNOMED-CT Value Set (2.16.840.1.113883.3.464.0002.1113)"
-
"Medication, Order: Osteoporosis meds" using "Osteoporosis meds Value Set GROUPING (2.16.840.1.113883.3.464.0003.1100)"
-
"Medication, Order not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.464.0002.1106)"
-
"Medication, Order not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.464.0002.1107)"
-
"Medication, Order not done: System reason" using "System reason SNOMED-CT Value Set (2.16.840.1.113883.3.464.0002.1113)"
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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: Hip, Spine, or Distal Radial Fracture Treatment" using "Hip, Spine, or Distal Radial Fracture Treatment CPT Value Set (2.16.840.1.113883.3.464.0002.1098)"
- "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)"