-
Initial Patient Population =
- AND: "Patient Characteristic Birthdate: birth date" >= 12 year(s) starts before start of "Measurement Period"
- AND: "Occurrence A of Encounter, Performed: Depression Screening Denominator Encounter Codes New" during "Measurement Period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- AND:
- OR:
- AND: MOST RECENT:"Occurrence A of Risk Category Assessment: Adolescent Depression Screening (result: 'Depression Screening
Result')" during "Measurement Period"
- AND NOT: "Occurrence A of Diagnosis, Active: Depression diagnosis" ends before start of "Occurrence A of Risk Category Assessment:
Adolescent Depression Screening (result: 'Depression Screening Result')"
- AND: "Occurrence A of Diagnosis, Active: Depression diagnosis" starts before start of "Occurrence A of Risk Category Assessment:
Adolescent Depression Screening (result: 'Depression Screening Result')"
- OR:
- AND: MOST RECENT:"Occurrence A of Risk Category Assessment: Adult Depression Screening (result: 'Depression Screening Result')"
during "Measurement Period"
- AND NOT: "Occurrence A of Diagnosis, Active: Depression diagnosis" ends before start of "Occurrence A of Risk Category Assessment:
Adult Depression Screening (result: 'Depression Screening Result')"
- AND: "Occurrence A of Diagnosis, Active: Depression diagnosis" starts before start of "Occurrence A of Risk Category Assessment:
Adult Depression Screening (result: 'Depression Screening Result')"
- OR:
- AND: MOST RECENT:"Occurrence A of Risk Category Assessment: Adolescent Depression Screening (result: 'Depression Screening
Result')" during "Measurement Period"
- AND NOT: "Occurrence A of Diagnosis, Active: Bipolar Diagnosis" ends before start of "Occurrence A of Risk Category Assessment:
Adolescent Depression Screening (result: 'Depression Screening Result')"
- AND: "Occurrence A of Diagnosis, Active: Bipolar Diagnosis" starts before start of "Occurrence A of Risk Category Assessment:
Adolescent Depression Screening (result: 'Depression Screening Result')"
- OR:
- AND: MOST RECENT:"Occurrence A of Risk Category Assessment: Adult Depression Screening (result: 'Depression Screening Result')"
during "Measurement Period"
- AND NOT: "Occurrence A of Diagnosis, Active: Bipolar Diagnosis" ends before start of "Occurrence A of Risk Category Assessment:
Adult Depression Screening (result: 'Depression Screening Result')"
- AND: "Occurrence A of Diagnosis, Active: Bipolar Diagnosis" starts before start of "Occurrence A of Risk Category Assessment:
Adult Depression Screening (result: 'Depression Screening Result')"
-
Numerator =
- AND:
- OR:
- AND: MOST RECENT:"Occurrence A of Risk Category Assessment: Adolescent Depression Screening (result: 'Depression Screening
Result')" during "Measurement Period"
- AND: "Patient Characteristic Birthdate: birth date" < 18 year(s) starts before start of "Occurrence A of Risk Category Assessment:
Adolescent Depression Screening (result: 'Depression Screening Result')"
- AND:
- OR: "Occurrence A of Risk Category Assessment: Adolescent Depression Screening (result: 'Negative Depression Screening')"
during "Measurement Period"
- OR:
- AND: "Occurrence A of Risk Category Assessment: Adolescent Depression Screening (result: 'Positive Depression Screening')"
during "Measurement Period"
- AND:
- OR: "Intervention, Performed: Additional evaluation for depression - adolescent"
- OR: "Intervention, Order: Referral for Depression Adolescent"
- OR: "Medication, Order: Depression medications - adolescent"
- OR: "Intervention, Performed: Follow-up for depression - adolescent"
- OR: "Procedure, Performed: Suicide Risk Assessment"
- <= 1 day(s) starts after start of "Occurrence A of Risk Category Assessment: Adolescent Depression Screening (result: 'Positive
Depression Screening')"
- OR:
- AND: MOST RECENT:"Occurrence A of Risk Category Assessment: Adult Depression Screening (result: 'Depression Screening Result')"
during "Measurement Period"
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Risk Category Assessment:
Adult Depression Screening (result: 'Depression Screening Result')"
- AND:
- OR: "Occurrence A of Risk Category Assessment: Adult Depression Screening (result: 'Negative Depression Screening')" during
"Measurement Period"
- OR:
- AND: "Occurrence A of Risk Category Assessment: Adult Depression Screening (result: 'Positive Depression Screening')" during
"Measurement Period"
- AND:
- OR: "Intervention, Performed: Additional evaluation for depression - adult"
- OR: "Intervention, Order: Referral for Depression Adult"
- OR: "Medication, Order: Depression medications - adult"
- OR: "Intervention, Performed: Follow-up for depression - adult"
- OR: "Procedure, Performed: Suicide Risk Assessment"
- <= 1 day(s) starts after start of "Occurrence A of Risk Category Assessment: Adult Depression Screening (result: 'Positive
Depression Screening')"
-
Denominator Exceptions =
- AND:
- OR: "Risk Category Assessment not done: Medical reason contraindicated" for "Adolescent Depression Screening LOINC Value Set"
- OR: "Risk Category Assessment not done: Medical reason contraindicated" for "Adult Depression Screening LOINC Value Set"
- OR: "Risk Category Assessment not done: Patient Reason refused" for "Adolescent Depression Screening LOINC Value Set"
- OR: "Risk Category Assessment not done: Patient Reason refused" for "Adult Depression Screening LOINC Value Set"
- during "Measurement Period"
-
"Diagnosis, Active: Bipolar Diagnosis" using "Bipolar Diagnosis Grouping Value Set (2.16.840.1.113883.3.600.450)"
-
"Diagnosis, Active: Depression diagnosis" using "Depression diagnosis Grouping Value Set (2.16.840.1.113883.3.600.145)"
-
"Encounter, Performed: Depression Screening Denominator Encounter Codes New" using "Depression Screening Denominator Encounter Codes New Grouping Value Set (2.16.840.1.113883.3.600.1916)"
-
"Intervention, Order: Referral for Depression Adolescent" using "Referral for Depression Adolescent SNOMED-CT Value Set (2.16.840.1.113883.3.600.537)"
-
"Intervention, Order: Referral for Depression Adult" using "Referral for Depression Adult SNOMED-CT Value Set (2.16.840.1.113883.3.600.538)"
-
"Intervention, Performed: Additional evaluation for depression - adolescent" using "Additional evaluation for depression - adolescent SNOMED-CT Value Set (2.16.840.1.113883.3.600.1542)"
-
"Intervention, Performed: Additional evaluation for depression - adult" using "Additional evaluation for depression - adult SNOMED-CT Value Set (2.16.840.1.113883.3.600.1545)"
-
"Intervention, Performed: Follow-up for depression - adolescent" using "Follow-up for depression - adolescent SNOMED-CT Value Set (2.16.840.1.113883.3.600.467)"
-
"Intervention, Performed: Follow-up for depression - adult" using "Follow-up for depression - adult SNOMED-CT Value Set (2.16.840.1.113883.3.600.468)"
-
"Medication, Order: Depression medications - adolescent" using "Depression medications - adolescent RxNorm Value Set (2.16.840.1.113883.3.600.469)"
-
"Medication, Order: Depression medications - adult" using "Depression medications - adult RxNorm Value Set (2.16.840.1.113883.3.600.470)"
-
"Patient Characteristic Birthdate: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Procedure, Performed: Suicide Risk Assessment" using "Suicide Risk Assessment SNOMED-CT Value Set (2.16.840.1.113883.3.600.559)"
-
"Risk Category Assessment not done: Medical reason contraindicated" using "Medical reason contraindicated SNOMED-CT Value Set (2.16.840.1.113883.3.600.792)"
-
"Risk Category Assessment not done: Medical reason contraindicated" using "Medical reason contraindicated SNOMED-CT Value Set (2.16.840.1.113883.3.600.792)"
-
"Risk Category Assessment not done: Patient Reason refused" using "Patient Reason refused SNOMED-CT Value Set (2.16.840.1.113883.3.600.791)"
-
"Risk Category Assessment not done: Patient Reason refused" using "Patient Reason refused SNOMED-CT Value Set (2.16.840.1.113883.3.600.791)"
-
"Risk Category Assessment: Adolescent Depression Screening" using "Adolescent Depression Screening LOINC Value Set (2.16.840.1.113883.3.600.2452)"
-
"Risk Category Assessment: Adult Depression Screening" using "Adult Depression Screening LOINC Value Set (2.16.840.1.113883.3.600.2449)"
-
Attribute: "Result: Depression Screening Result" using "Depression Screening Result SNOMED-CT Value Set (2.16.840.1.113883.3.600.2454)"
-
Attribute: "Result: Negative Depression Screening" using "Negative Depression Screening SNOMED-CT Value Set (2.16.840.1.113883.3.600.2451)"
-
Attribute: "Result: Positive Depression Screening" using "Positive Depression Screening SNOMED-CT Value Set (2.16.840.1.113883.3.600.2450)"
-
"Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"
-
"Patient Characteristic Payer: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.114222.4.11.3591)"
-
"Patient Characteristic Race: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"
-
"Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex Administrative Sex Value Set (2.16.840.1.113762.1.4.1)"