This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v1.0.0: STU 1) based on FHIR R3. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions 
| Measure Title | Breast Cancer Screening | Measure ID | EXM125 |
| Description | |||
| Measurement Period | January 1 - December 31 | ||
| Copyright and Disclaimer Notice | |||
| Clinical Recommendation Statement | |||
| References | |||
| Characteristics | |||
| Scoring | Proportion | ||
| Type | Process | ||
| Improvement Notation | A higher rate indicates better performance. | ||
| Guidance | |||
| Definitions | |||
Patient.gender = 'female'
and Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period") in Interval[51, 74]
and exists AdultOutpatientEncounters."Qualifying Encounters"("Measurement Period")
exists (
[DiagnosticReport: "Mammography"] Mammogram
where ( Mammogram.effective ends 27 months or less before day of end of "Measurement Period" )
and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' }
)
"Initial Population"
Hospice."Has Hospice"("Measurement Period")
or ( Count("Unilateral Mastectomy Procedure") = 2 )
or ( exists "Right Mastectomy" and exists "Left Mastectomy" )
or exists "History Bilateral Mastectomy"
or exists "Bilateral Mastectomy Procedure"
[Procedure: "Bilateral Mastectomy"] BilateralMastectomyPerformed where BilateralMastectomyPerformed.performed ends before day of end of "Measurement Period" and BilateralMastectomyPerformed.status = 'completed'
"Initial Population"
Hospice."Has Hospice"("Measurement Period")
or ( Count("Unilateral Mastectomy Procedure") = 2 )
or ( exists "Right Mastectomy" and exists "Left Mastectomy" )
or exists "History Bilateral Mastectomy"
or exists "Bilateral Mastectomy Procedure"
[Condition: "History of bilateral mastectomy"] BilateralMastectomyHistory where Global."Normalize Onset"(BilateralMastectomyHistory.onset) starts before day of end of "Measurement Period" and BilateralMastectomyHistory.clinicalStatus = 'active'
Patient.gender = 'female'
and Global."CalendarAgeInYearsAt"(FHIRHelpers.ToDate(Patient.birthDate), start of "Measurement Period") in Interval[51, 74]
and exists AdultOutpatientEncounters."Qualifying Encounters"("Measurement Period")
( ( [Condition: "Status Post Left Mastectomy"] C where C.clinicalStatus = 'active' ) union ( [Condition: "Unilateral Mastectomy, Unspecified Laterality"] UnilateralMastectomyDiagnosis where UnilateralMastectomyDiagnosis.bodySite in "Left" and UnilateralMastectomyDiagnosis.clinicalStatus = 'active' ) ) LeftMastectomy where Global."Normalize Onset"(LeftMastectomy.onset) starts before day of end of "Measurement Period"
exists (
[DiagnosticReport: "Mammography"] Mammogram
where ( Mammogram.effective ends 27 months or less before day of end of "Measurement Period" )
and Mammogram.status in { 'final', 'amended', 'corrected', 'appended' }
)
( ( [Condition: "Status Post Right Mastectomy"] C where C.clinicalStatus = 'active' ) union ( [Condition: "Unilateral Mastectomy, Unspecified Laterality"] UnilateralMastectomyDiagnosis where UnilateralMastectomyDiagnosis.bodySite in "Right" and UnilateralMastectomyDiagnosis.clinicalStatus = 'active' ) ) RightMastectomy where Global."Normalize Onset"(RightMastectomy.onset) starts before day of end of "Measurement Period"
SDE."SDE Ethnicity"
SDE."SDE Payer"
SDE."SDE Race"
SDE."SDE Sex"
[Procedure: "Unilateral Mastectomy"] UnilateralMastectomyProcedure where UnilateralMastectomyProcedure.performed ends before day of end of "Measurement Period" and UnilateralMastectomyProcedure.status = 'completed'
SDE."SDE Ethnicity"
SDE."SDE Payer"
SDE."SDE Race"
SDE."SDE Sex"