------ Population Criteria 1 ------
- Initial Population =
- AND: Age >= 20 year(s) at: "Measurement Period"
- AND: Age < 79 year(s) at: "Measurement Period"
- AND: "Encounter, Performed: Cholesterol Measure Encounter Codes" during "Measurement Period"
- Denominator =
- AND:
- OR: $CHDandCHDRiskIndicators
- OR: "Risk Category Assessment: Framingham coronary heart disease 10 year risk (result > 20 %)" during "Measurement Period"
- Denominator Exclusions =
- OR: $PalliativeCareorPregnancyExclusion
- Numerator =
- AND:
- OR: "Laboratory Test, Performed: LDL Code" during "Measurement Period"
- OR:
- AND: "Laboratory Test, Performed: Total Cholesterol" during "Measurement Period"
- AND: "Laboratory Test, Performed: High Density Lipoprotein (HDL)" during "Measurement Period"
- AND: "Laboratory Test, Performed: Triglycerides" during "Measurement Period"
- Numerator Exclusions =
- Denominator Exceptions =
- OR: "Laboratory Test, Performed not done: Patient Reason refused" for "LDL Code" during "Measurement Period"
- Stratification =
------ Population Criteria 2 ------
- Initial Population =
- AND: Age >= 20 year(s) at: "Measurement Period"
- AND: Age < 79 year(s) at: "Measurement Period"
- AND: "Encounter, Performed: Cholesterol Measure Encounter Codes" during "Measurement Period"
- Denominator =
- AND NOT: $CHDandCHDRiskIndicators
- AND NOT: "Risk Category Assessment: Framingham coronary heart disease 10 year risk (result > 20 %)" during "Measurement Period"
- AND:
- OR: "Risk Category Assessment: Framingham coronary heart disease 10 year risk (result >= 10 %)" during "Measurement Period"
- OR: Count >= 3 of: $FraminghamCADRiskfactors
- OR:
- AND: Count = 2 of: $FraminghamCADRiskfactors
- AND:
- OR: $RecentLowHDLResult
- OR NOT: "Laboratory Test, Performed: High Density Lipoprotein (HDL)" during "Measurement Period"
- OR:
- AND:
- AND: Count = 1 of: $FraminghamCADRiskfactors
- AND:
- OR: $RecentLowHDLResult
- OR NOT: "Laboratory Test, Performed: High Density Lipoprotein (HDL)" during "Measurement Period"
- AND:
- OR:
- AND: "Patient Characteristic Sex: Male"
- AND: Age >= 45 year(s) at: "Measurement Period"
- OR:
- AND: "Patient Characteristic Sex: Female"
- AND: Age >= 55 year(s) at: "Measurement Period"
- OR:
- AND: Count = 2 of: $FraminghamCADRiskfactors
- AND:
- OR:
- AND: "Patient Characteristic Sex: Male"
- AND: Age >= 45 year(s) at: "Measurement Period"
- OR:
- AND: "Patient Characteristic Sex: Female"
- AND: Age >= 55 year(s) at: "Measurement Period"
- Denominator Exclusions =
- OR: $PalliativeCareorPregnancyExclusion
- Numerator =
- AND:
- OR: "Laboratory Test, Performed: LDL Code" during "Measurement Period"
- OR:
- AND: "Laboratory Test, Performed: Total Cholesterol" during "Measurement Period"
- AND: "Laboratory Test, Performed: High Density Lipoprotein (HDL)" during "Measurement Period"
- AND: "Laboratory Test, Performed: Triglycerides" during "Measurement Period"
- Numerator Exclusions =
- Denominator Exceptions =
- OR: "Laboratory Test, Performed not done: Patient Reason refused" for "LDL Code" during "Measurement Period"
- Stratification =
------ Population Criteria 3 ------
- Initial Population =
- AND: Age >= 20 year(s) at: "Measurement Period"
- AND: Age < 79 year(s) at: "Measurement Period"
- AND: "Encounter, Performed: Cholesterol Measure Encounter Codes" during "Measurement Period"
- Denominator =
- AND NOT: $CHDandCHDRiskIndicators
- AND NOT: "Risk Category Assessment: Framingham coronary heart disease 10 year risk (result >= 10 %)" during "Measurement Period"
- AND:
- OR: "Risk Category Assessment: Framingham coronary heart disease 10 year risk (result < 10 %)" during "Measurement Period"
- OR: Count = 0 of: $FraminghamCADRiskfactors
- OR:
- AND:
- AND: Count = 1 of: $FraminghamCADRiskfactors
- AND: $RecentHighHDLResult
- AND:
- OR:
- AND: "Patient Characteristic Sex: Male"
- AND: Age >= 45 year(s) at: "Measurement Period"
- OR:
- AND: "Patient Characteristic Sex: Female"
- AND: Age >= 55 year(s) at: "Measurement Period"
- OR:
- AND:
- AND: Count = 2 of: $FraminghamCADRiskfactors
- AND: $RecentHighHDLResult
- AND:
- OR:
- AND: "Patient Characteristic Sex: Female"
- AND: Age < 55 year(s) at: "Measurement Period"
- OR:
- AND: "Patient Characteristic Sex: Male"
- AND: Age < 45 year(s) at: "Measurement Period"
- OR:
- AND: Count = 1 of: $FraminghamCADRiskfactors
- AND:
- OR:
- AND: "Patient Characteristic Sex: Female"
- AND: Age < 55 year(s) at: "Measurement Period"
- OR:
- AND: "Patient Characteristic Sex: Male"
- AND: Age < 45 year(s) at: "Measurement Period"
- Denominator Exclusions =
- OR: $PalliativeCareorPregnancyExclusion
- Numerator =
- AND:
- OR:
- AND: "Laboratory Test, Performed: Total Cholesterol" <= 4 year(s) starts before end of "Measurement Period"
- AND: "Laboratory Test, Performed: High Density Lipoprotein (HDL)" <= 4 year(s) starts before end of "Measurement Period"
- AND: "Laboratory Test, Performed: Triglycerides" <= 4 year(s) starts before end of "Measurement Period"
- OR: "Laboratory Test, Performed: LDL Code" <= 4 year(s) starts before end of "Measurement Period"
- Numerator Exclusions =
- Denominator Exceptions =
- OR: "Laboratory Test, Performed not done: Patient Reason refused" for "LDL Code" during "Measurement Period"
- Stratification =
- $RecentHighHDLResult =
- "Laboratory Test, Performed: High Density Lipoprotein (HDL)" satisfies all
- Most recent: (result) during "Measurement Period"
- (result >= 60 mg/dL)
- $RecentLowHDLResult =
- "Laboratory Test, Performed: High Density Lipoprotein (HDL)" satisfies all
- Most recent: (result) during "Measurement Period"
- (result < 60 mg/dL)
- $FraminghamCADRiskfactors =
- Union of:
- First: "Patient Characteristic: Current Tobacco Smoker" starts before end of "Measurement Period"
- First: "Diagnosis, Family History: Family History CHD" starts before end of "Measurement Period"
- First: "Laboratory Test, Performed: High Density Lipoprotein (HDL) (result < 40 mg/dL)" during "Measurement Period"
- First: Union of:
- "Diagnosis, Active: Diagnosis of hypertension" starts before end of "Measurement Period"
- "Medication, Active: Anti-Hypertensive Pharmacologic Therapy" during "Measurement Period"
- $CHDandCHDRiskIndicators =
- Union of:
- "Diagnosis, Active: Acute Myocardial Infarction"
- "Diagnosis, Active: Hemorrhagic Stroke"
- "Diagnosis, Active: Ischemic Stroke"
- "Diagnosis, Active: Ischemic Vascular Disease"
- "Diagnosis, Active: Coronary Artery Disease No MI"
- "Diagnosis, Active: Diabetes"
- "Diagnosis, Active: Abdominal Aortic Aneurysm"
- "Diagnosis, Active: Peripheral Arterial or Vascular Disease"
- "Procedure, Performed: PCI"
- "Procedure, Performed: CABG Surgeries"
- "Procedure, Performed: Carotid Intervention"
- starts before end of "Measurement Period"
- $PalliativeCareorPregnancyExclusion =
- Union of:
- "Procedure, Order: Palliative Care" during "Measurement Period"
- "Diagnosis, Active: Pregnancy Dx" overlaps "Measurement Period"
- "Diagnosis, Active: Abdominal Aortic Aneurysm" using "Abdominal Aortic Aneurysm Grouping Value Set (2.16.840.1.113762.1.4.1047.17)"
- "Diagnosis, Active: Acute Myocardial Infarction" using "Acute Myocardial Infarction Grouping Value Set (2.16.840.1.113883.3.464.1003.104.12.1001)"
- "Diagnosis, Active: Coronary Artery Disease No MI" using "Coronary Artery Disease No MI Grouping Value Set (2.16.840.1.113883.3.526.3.369)"
- "Diagnosis, Active: Diabetes" using "Diabetes Grouping Value Set (2.16.840.1.113883.3.464.1003.103.12.1001)"
- "Diagnosis, Active: Diagnosis of hypertension " using "Diagnosis of hypertension Grouping Value Set (2.16.840.1.113883.3.600.263)"
- "Diagnosis, Active: Hemorrhagic Stroke" using "Hemorrhagic Stroke Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.212)"
- "Diagnosis, Active: Ischemic Stroke" using "Ischemic Stroke Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.247)"
- "Diagnosis, Active: Ischemic Vascular Disease" using "Ischemic Vascular Disease Grouping Value Set (2.16.840.1.113883.3.464.1003.104.12.1003)"
- "Diagnosis, Active: Peripheral Arterial or Vascular Disease" using "Peripheral Arterial or Vascular Disease Grouping Value Set (2.16.840.1.113762.1.4.1047.21)"
- "Diagnosis, Active: Pregnancy Dx" using "Pregnancy Dx Grouping Value Set (2.16.840.1.113883.3.600.1.1623)"
- "Diagnosis, Family History: Family History CHD" using "Family History CHD SNOMEDCT Value Set (2.16.840.1.113883.3.600.1557)"
- "Encounter, Performed: Cholesterol Measure Encounter Codes" using "Cholesterol Measure Encounter Codes Grouping Value Set (2.16.840.1.113883.3.600.1951)"
- "Laboratory Test, Performed: High Density Lipoprotein (HDL)" using "High Density Lipoprotein (HDL) Grouping Value Set (2.16.840.1.113883.3.600.875)"
- "Laboratory Test, Performed: LDL Code" using "LDL Code Grouping Value Set (2.16.840.1.113883.3.600.872)"
- "Laboratory Test, Performed: Total Cholesterol" using "Total Cholesterol Grouping Value Set (2.16.840.1.113883.3.600.879)"
- "Laboratory Test, Performed: Triglycerides" using "Triglycerides Grouping Value Set (2.16.840.1.113883.3.600.883)"
- "Laboratory Test, Performed not done: Patient Reason refused" using "Patient Reason refused SNOMEDCT Value Set (2.16.840.1.113883.3.600.791)"
- "Medication, Active: Anti-Hypertensive Pharmacologic Therapy" using "Anti-Hypertensive Pharmacologic Therapy RXNORM Value Set (2.16.840.1.113883.3.600.1476)"
- "Patient Characteristic: Current Tobacco Smoker" using "Current Tobacco Smoker SNOMEDCT Value Set (2.16.840.1.113883.3.600.2390)"
- "Patient Characteristic Sex: Female" using "Female AdministrativeSex Value Set (2.16.840.1.113883.3.560.100.2)"
- "Patient Characteristic Sex: Male" using "Male AdministrativeSex Value Set (2.16.840.1.113883.3.560.100.1)"
- "Procedure, Order: Palliative Care" using "Palliative Care Grouping Value Set (2.16.840.1.113883.3.600.1.1579)"
- "Procedure, Performed: CABG Surgeries" using "CABG Surgeries Grouping Value Set (2.16.840.1.113883.3.666.5.694)"
- "Procedure, Performed: Carotid Intervention" using "Carotid Intervention Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.204)"
- "Procedure, Performed: PCI" using "PCI Grouping Value Set (2.16.840.1.113762.1.4.1045.67)"
- "Risk Category Assessment: Framingham coronary heart disease 10 year risk" using "Framingham coronary heart disease 10 year risk Grouping Value Set (2.16.840.1.113883.3.600.1561)"
- "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 AdministrativeGender Value Set (2.16.840.1.113762.1.4.1)"