-
Initial Patient Population =
- AND: FIRST: "Occurrence A of Diagnosis, Active: Breast Cancer" <= 5 year(s) starts before or during
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- during "Measurement Period"
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Measurement Period"
- AND: Count >= 2 of:
- OR: "Encounter, Performed: Office Visit"
- OR: "Encounter, Performed: Patient Provider Interaction"
- during "Measurement Period"
- AND: "Patient Characteristic Sex: Female"
-
Denominator =
- AND: "Initial Patient Population"
- AND:
- AND: "Occurrence A of Diagnosis, Active: Breast Cancer ER or PR Positive" starts before or during
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Diagnosis, Active: Breast Cancer ER or PR Positive" starts before start of "Occurrence A of Diagnosis,
Active: Breast Cancer"
- AND:
- AND: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Distant Metastasis Status M0')" starts
before or during
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Procedure, Result: Clinical Staging Procedure" starts before start of "Occurrence A of Diagnosis,
Active: Breast Cancer"
- AND:
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N3')"
- OR:
- AND:
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T0')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1a')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1b')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1c')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1mi')"
- AND:
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N1')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status pN1a')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status pN1b')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status pN1c')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status pN1mi')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N2')"
- OR:
- AND:
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T2')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T3')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T4')"
- AND:
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N0')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N1')"
- OR: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N2')"
- OR:
- AND: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1c')"
- AND: "Occurrence A of Procedure, Result: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N0')"
-
Denominator Exclusions =
-
Numerator =
- AND:
- OR: "Medication, Order: Tamoxifen or Aromatase Inhibitor Therapy" during
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- OR:
- AND: "Occurrence A of Medication, Active: Tamoxifen or Aromatase Inhibitor Therapy" starts before or during "Occurrence A
of Encounter, Performed: Office Visit"
- AND NOT: "Occurrence A of Medication, Active: Tamoxifen or Aromatase Inhibitor Therapy" ends before start of "Occurrence A
of Encounter, Performed: Office Visit"
- OR:
- AND: "Occurrence A of Medication, Active: Tamoxifen or Aromatase Inhibitor Therapy" starts before or during "Occurrence A
of Encounter, Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Medication, Active: Tamoxifen or Aromatase Inhibitor Therapy" ends before start of "Occurrence A
of Encounter, Performed: Face-to-Face Interaction"
-
Denominator Exceptions =
- AND:
- OR: "Occurrence A of Diagnosis, Active: Breast Cancer" <= 120 day(s) starts before or during "Measurement End Date"
- OR: "Procedure, Performed: Radiation Therapy II" during "Measurement Period"
- OR: "Procedure, Performed: Chemotherapy" during "Measurement Period"
- OR: "Procedure, Performed: Bilateral Oophorectomy" starts before or during
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- OR:
- OR: "Medication, Order not done: Medical Reason" for "Tamoxifen or Aromatase Inhibitor Therapy Ingredient"
- OR: "Medication, Order not done: Patient Reason" for "Tamoxifen or Aromatase Inhibitor Therapy Ingredient"
- OR: "Medication, Order not done: System Reason" for "Tamoxifen or Aromatase Inhibitor Therapy Ingredient"
- starts during
- OR: "Occurrence A of Encounter, Performed: Office Visit"
- OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- OR:
- AND: "Occurrence A of Medication, Allergy: Tamoxifen or Aromatase Inhibitor Therapy Ingredient" starts before or during "Occurrence
A of Encounter, Performed: Office Visit"
- AND NOT: "Occurrence A of Medication, Allergy: Tamoxifen or Aromatase Inhibitor Therapy Ingredient" ends before start of "Occurrence
A of Encounter, Performed: Office Visit"
- OR:
- AND: "Occurrence A of Medication, Allergy: Tamoxifen or Aromatase Inhibitor Therapy Ingredient" starts before or during "Occurrence
A of Encounter, Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Medication, Allergy: Tamoxifen or Aromatase Inhibitor Therapy Ingredient" ends before start of "Occurrence
A of Encounter, Performed: Face-to-Face Interaction"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Allergy to Tamoxifen or Aromatase Inhibitor Therapy" starts before or during "Occurrence
A of Encounter, Performed: Office Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Allergy to Tamoxifen or Aromatase Inhibitor Therapy" ends before start of "Occurrence
A of Encounter, Performed: Office Visit"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Allergy to Tamoxifen or Aromatase Inhibitor Therapy" starts before or during "Occurrence
A of Encounter, Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Diagnosis, Active: Allergy to Tamoxifen or Aromatase Inhibitor Therapy" ends before start of "Occurrence
A of Encounter, Performed: Face-to-Face Interaction"
- OR:
- AND: "Occurrence A of Medication, Intolerance: Tamoxifen or Aromatase Inhibitor Therapy" starts before or during "Occurrence
A of Encounter, Performed: Office Visit"
- AND NOT: "Occurrence A of Medication, Intolerance: Tamoxifen or Aromatase Inhibitor Therapy" ends before start of "Occurrence
A of Encounter, Performed: Office Visit"
- OR:
- AND: "Occurrence A of Medication, Intolerance: Tamoxifen or Aromatase Inhibitor Therapy" starts before or during "Occurrence
A of Encounter, Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Medication, Intolerance: Tamoxifen or Aromatase Inhibitor Therapy" ends before start of "Occurrence
A of Encounter, Performed: Face-to-Face Interaction"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Intolerance to Tamoxifen or Aromatase Inhibitor Therapy" starts before or during
"Occurrence A of Encounter, Performed: Office Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Intolerance to Tamoxifen or Aromatase Inhibitor Therapy" ends before start of
"Occurrence A of Encounter, Performed: Office Visit"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Intolerance to Tamoxifen or Aromatase Inhibitor Therapy" starts before or during
"Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Diagnosis, Active: Intolerance to Tamoxifen or Aromatase Inhibitor Therapy" ends before start of
"Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- OR:
- AND: "Occurrence A of Medication, Active: Gonadotropin-Releasing Hormone Analogue Medication" starts before or during "Occurrence
A of Encounter, Performed: Office Visit"
- AND NOT: "Occurrence A of Medication, Active: Gonadotropin-Releasing Hormone Analogue Medication" ends before start of "Occurrence
A of Encounter, Performed: Office Visit"
- OR:
- AND: "Occurrence A of Medication, Active: Gonadotropin-Releasing Hormone Analogue Medication" starts before or during "Occurrence
A of Encounter, Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Medication, Active: Gonadotropin-Releasing Hormone Analogue Medication" ends before start of "Occurrence
A of Encounter, Performed: Face-to-Face Interaction"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Metastatic Sites Common to Breast Cancer" starts before or during "Occurrence A of
Encounter, Performed: Office Visit"
- AND NOT: "Occurrence A of Diagnosis, Active: Metastatic Sites Common to Breast Cancer" ends before start of "Occurrence A
of Encounter, Performed: Office Visit"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Metastatic Sites Common to Breast Cancer" starts before or during "Occurrence A of
Encounter, Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Diagnosis, Active: Metastatic Sites Common to Breast Cancer" ends before start of "Occurrence A
of Encounter, Performed: Face-to-Face Interaction"
- OR:
- AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during
"Occurrence A of Encounter, Performed: Office Visit"
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start
of "Occurrence A of Encounter, Performed: Office Visit"
- OR:
- AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during
"Occurrence A of Encounter, Performed: Face-to-Face Interaction"
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start
of "Occurrence A of Encounter, Performed: Face-to-Face Interaction"
-
"Diagnosis, Active: Allergy to Tamoxifen or Aromatase Inhibitor Therapy" using "Allergy to Tamoxifen or Aromatase Inhibitor Therapy Grouping Value Set (2.16.840.1.113883.3.526.3.1317)"
-
"Diagnosis, Active: Breast Cancer" using "Breast Cancer Grouping Value Set (2.16.840.1.113883.3.526.3.389)"
-
"Diagnosis, Active: Breast Cancer ER or PR Positive" using "Breast Cancer ER or PR Positive Grouping Value Set (2.16.840.1.113883.3.526.3.1303)"
-
"Diagnosis, Active: Intolerance to Tamoxifen or Aromatase Inhibitor Therapy" using "Intolerance to Tamoxifen or Aromatase Inhibitor Therapy Grouping Value Set (2.16.840.1.113883.3.526.3.1318)"
-
"Diagnosis, Active: Metastatic Sites Common to Breast Cancer" using "Metastatic Sites Common to Breast Cancer Grouping Value Set (2.16.840.1.113883.3.526.3.447)"
-
"Encounter, Performed: Face-to-Face Interaction" using "Face-to-Face Interaction Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1048)"
-
"Encounter, Performed: Office Visit" using "Office Visit Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1001)"
-
"Encounter, Performed: Patient Provider Interaction" using "Patient Provider Interaction Grouping Value Set (2.16.840.1.113883.3.526.3.1012)"
-
"Medication, Active: Gonadotropin-Releasing Hormone Analogue Medication" using "Gonadotropin-Releasing Hormone Analogue Medication Grouping Value Set (2.16.840.1.113883.3.526.3.1316)"
-
"Medication, Active: Tamoxifen or Aromatase Inhibitor Therapy" using "Tamoxifen or Aromatase Inhibitor Therapy Grouping Value Set (2.16.840.1.113883.3.526.3.1315)"
-
"Medication, Allergy: Tamoxifen or Aromatase Inhibitor Therapy Ingredient" using "Tamoxifen or Aromatase Inhibitor Therapy Ingredient Grouping Value Set (2.16.840.1.113883.3.526.3.1487)"
-
"Medication, Intolerance: Tamoxifen or Aromatase Inhibitor Therapy" using "Tamoxifen or Aromatase Inhibitor Therapy Grouping Value Set (2.16.840.1.113883.3.526.3.1315)"
-
"Medication, Order not done: Medical Reason" using "Medical Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1007)"
-
"Medication, Order not done: Patient Reason" using "Patient Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1008)"
-
"Medication, Order not done: System Reason" using "System Reason Grouping Value Set (2.16.840.1.113883.3.526.3.1009)"
-
"Medication, Order: Tamoxifen or Aromatase Inhibitor Therapy" using "Tamoxifen or Aromatase Inhibitor Therapy Grouping Value Set (2.16.840.1.113883.3.526.3.1315)"
-
"Medication, Order: Tamoxifen or Aromatase Inhibitor Therapy Ingredient" using "Tamoxifen or Aromatase Inhibitor Therapy Ingredient Grouping Value Set (2.16.840.1.113883.3.526.3.1487)"
-
"Patient Characteristic Birthdate: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" using "Clinical Trial Participant Grouping Value Set (2.16.840.1.113883.3.526.3.1125)"
-
"Patient Characteristic Sex: Female" using "Female AdministrativeSex Value Set (2.16.840.1.113883.3.560.100.2)"
-
"Procedure, Performed: Bilateral Oophorectomy" using "Bilateral Oophorectomy Grouping Value Set (2.16.840.1.113883.3.526.3.471)"
-
"Procedure, Performed: Chemotherapy" using "Chemotherapy Grouping Value Set (2.16.840.1.113883.3.526.3.485)"
-
"Procedure, Performed: Radiation Therapy II" using "Radiation Therapy II Grouping Value Set (2.16.840.1.113883.3.526.3.1339)"
-
"Procedure, Result: Clinical Staging Procedure" using "Clinical Staging Procedure Grouping Value Set (2.16.840.1.113883.3.526.3.1098)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T0" using "Breast Cancer Primary Tumor Size T0 Grouping Value Set (2.16.840.1.113883.3.526.3.1304)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T1" using "Breast Cancer Primary Tumor Size T1 Grouping Value Set (2.16.840.1.113883.3.526.3.1305)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T1a" using "Breast Cancer Primary Tumor Size T1a Grouping Value Set (2.16.840.1.113883.3.526.3.1164)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T1b" using "Breast Cancer Primary Tumor Size T1b Grouping Value Set (2.16.840.1.113883.3.526.3.1270)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T1c" using "Breast Cancer Primary Tumor Size T1c Grouping Value Set (2.16.840.1.113883.3.526.3.1306)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T1mi" using "Breast Cancer Primary Tumor Size T1mi Grouping Value Set (2.16.840.1.113883.3.526.3.1197)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T2" using "Breast Cancer Primary Tumor Size T2 Grouping Value Set (2.16.840.1.113883.3.526.3.1307)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T3" using "Breast Cancer Primary Tumor Size T3 Grouping Value Set (2.16.840.1.113883.3.526.3.1308)"
-
Attribute: "Result: Breast Cancer Primary Tumor Size T4" using "Breast Cancer Primary Tumor Size T4 Grouping Value Set (2.16.840.1.113883.3.526.3.1309)"
-
Attribute: "Result: Breast Cancer Regional Lymph Node Status N0" using "Breast Cancer Regional Lymph Node Status N0 Grouping Value Set (2.16.840.1.113883.3.526.3.1310)"
-
Attribute: "Result: Breast Cancer Regional Lymph Node Status N1" using "Breast Cancer Regional Lymph Node Status N1 Grouping Value Set (2.16.840.1.113883.3.526.3.1329)"
-
Attribute: "Result: Breast Cancer Regional Lymph Node Status N2" using "Breast Cancer Regional Lymph Node Status N2 Grouping Value Set (2.16.840.1.113883.3.526.3.1313)"
-
Attribute: "Result: Breast Cancer Regional Lymph Node Status N3" using "Breast Cancer Regional Lymph Node Status N3 Grouping Value Set (2.16.840.1.113883.3.526.3.1314)"
-
Attribute: "Result: Breast Cancer Regional Lymph Node Status pN1a" using "Breast Cancer Regional Lymph Node Status pN1a Grouping Value Set (2.16.840.1.113883.3.526.3.1311)"
-
Attribute: "Result: Breast Cancer Regional Lymph Node Status pN1b" using "Breast Cancer Regional Lymph Node Status pN1b Grouping Value Set (2.16.840.1.113883.3.526.3.1330)"
-
Attribute: "Result: Breast Cancer Regional Lymph Node Status pN1c" using "Breast Cancer Regional Lymph Node Status pN1c Grouping Value Set (2.16.840.1.113883.3.526.3.1331)"
-
Attribute: "Result: Breast Cancer Regional Lymph Node Status pN1mi" using "Breast Cancer Regional Lymph Node Status pN1mi Grouping Value Set (2.16.840.1.113883.3.526.3.1312)"
-
Attribute: "Result: Breast Distant Metastasis Status M0" using "Breast Distant Metastasis Status M0 Grouping Value Set (2.16.840.1.113883.3.526.3.1302)"
-
"Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDCREC Value Set (2.16.840.1.114222.4.11.837)"
-
"Patient Characteristic Payer: Payer" using "Payer SOP Value Set (2.16.840.1.114222.4.11.3591)"
-
"Patient Characteristic Race: Race" using "Race CDCREC Value Set (2.16.840.1.114222.4.11.836)"
-
"Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex AdministrativeSex Value Set (2.16.840.1.113762.1.4.1)"