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"