Id: StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR Url: http://ecqi.healthit.gov/ecqms/Library/StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR Version: 0.1.000 Identifier: value: StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR Name: StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR Title: StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR Status: active Experimental: false Type: system: http://terminology.hl7.org/CodeSystem/library-type code: logic-library Date: 2023-08-28T21:02:00+00:00 Description: StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR Use Context: code value display program ep-ec EP/EC Related Artifacts: Dependencies Data Requirements: Type Profile MS Code Filter Condition http://hl7.org/fhir/Condition ; Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.403 Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.44 Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.21 Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.46 Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.47 Procedure http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.67 Procedure http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.694 Procedure http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.204 Procedure http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1138.566 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1576 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1150 Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient Patient http://hl7.org/fhir/Patient ;;;; Observation http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation ;;;;; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1573 Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.100 Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient uri http://hl7.org/fhir/uri ; Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient ;; Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient ;; Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1001 Observation http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation ; code filter: path: code system: http://loinc.org code: 99055-6 display: Cardiovascular disease 10Y risk [Likelihood] Observation http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation ; code filter: path: code system: http://loinc.org code: 79423-0 display: Cardiovascular disease 10Y risk [Likelihood] ACC-AHA Pooled Cohort by Goff 2013 MedicationRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest ; code filter: path: medication value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1574 MedicationRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest ; code filter: path: medication value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1574 MedicationRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest ; code filter: path: medication value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1575 MedicationRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest ; code filter: path: medication value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1575 MedicationRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest ; code filter: path: medication value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1572 MedicationRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest ; code filter: path: medication value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1572 Coverage http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage ;; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591 Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient ;; Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient ;; Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.73 Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.102 AllergyIntolerance http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-allergyintolerance ;;; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.42 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ;;;; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.307 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ;; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1003 Observation http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation ; code filter: path: code system: http://loinc.org code: 45755-6 display: Hospice care [Minimum Data Set] Observation http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation ;;; code filter: path: code system: http://loinc.org code: 45755-6 display: Hospice care [Minimum Data Set] ServiceRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584 ServiceRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest ;;; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584 Procedure http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584 Procedure http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure ;; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1584 Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1165 Observation http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation ; code filter: path: code system: http://loinc.org code: 71007-9 display: Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal) Observation http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation ;; code filter: path: code system: http://loinc.org code: 71007-9 display: Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal) Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.1167 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090 Encounter http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter ;; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1090 Procedure http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135 Procedure http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure ;; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1135 Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1024 Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.269 Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.42 Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.85 Condition http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition ; code filter: path: code value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.353 AdverseEvent http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-adverseevent ;;; code filter: path: event value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.42 MedicationRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested ; code filter: path: medication value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1574 MedicationRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested ; code filter: path: medication value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1574 MedicationRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested ; code filter: path: medication value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1575 MedicationRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested ; code filter: path: medication value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1575 MedicationRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested ; code filter: path: medication value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1572 MedicationRequest http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-mednotrequested ; code filter: path: medication value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1572 Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient ;; Coverage http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage ;; code filter: path: type value set: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591 Patient http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient ;; Content: text/cql library StatinTherapyforthePreventionandTreatmentofCardiovascularDiseaseFHIR version '0.1.000'#xD; #xD; using QICore version '4.1.1'#xD; #xD; include FHIRHelpers version '4.3.000' called FHIRHelpers#xD; include Hospice version '6.7.000' called Hospice#xD; include PalliativeCare version '1.7.000' called PalliativeCare#xD; include QICoreCommon version '1.5.000' called QICoreCommon#xD; include SupplementalDataElements version '3.4.000' called SDE#xD; #xD; codesystem "CPT": 'http://www.ama-assn.org/go/cpt'#xD; codesystem "LOINC": 'http://loinc.org'#xD; codesystem "ObservationCategoryCodes": 'http://terminology.hl7.org/CodeSystem/observation-category'#xD; codesystem "RxNorm": 'https://www.nlm.nih.gov/research/umls/rxnorm/index.html'#xD; codesystem "SNOMEDCT": 'http://snomed.info/sct'#xD; #xD; valueset "Annual Wellness Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1240'#xD; valueset "Atherosclerosis and Peripheral Arterial Disease": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.21'#xD; valueset "Breastfeeding": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.73'#xD; valueset "CABG Surgeries": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.694'#xD; valueset "CABG or PCI Procedure": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1138.566'#xD; valueset "Carotid Intervention": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.204'#xD; valueset "Cerebrovascular Disease Stroke or TIA": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.44'#xD; valueset "Diabetes": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.103.12.1001'#xD; valueset "End Stage Renal Disease": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.353'#xD; valueset "Familial Hypercholesterolemia": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.100'#xD; valueset "Hepatitis A": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.110.12.1024'#xD; valueset "Hepatitis B": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.269'#xD; valueset "High Intensity Statin Therapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1572'#xD; valueset "Ischemic Heart Disease or Other Related Diagnoses": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.46'#xD; valueset "LDL Cholesterol": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1573'#xD; valueset "Liver Disease": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.42'#xD; valueset "Low Intensity Statin Therapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1574'#xD; valueset "Medical Reason": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007'#xD; valueset "Moderate Intensity Statin Therapy": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1575'#xD; valueset "Myocardial Infarction": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.403'#xD; valueset "Office Visit": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1001'#xD; valueset "Outpatient Consultation": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008'#xD; valueset "Outpatient Encounters for Preventive Care": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1576'#xD; valueset "PCI": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1045.67'#xD; valueset "Preventive Care Services Established Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1025'#xD; valueset "Preventive Care Services Individual Counseling": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1026'#xD; valueset "Preventive Care Services Initial Office Visit, 18 and Up": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1023'#xD; valueset "Rhabdomyolysis": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.102'#xD; valueset "Stable and Unstable Angina": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1047.47'#xD; valueset "Statin Allergen": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1110.42'#xD; valueset "Statin Associated Muscle Symptoms": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.85'#xD; valueset "Preventive Care Services Other": 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1150'#xD; #xD; code "Cardiovascular disease 10Y risk [Likelihood]": '99055-6' from "LOINC" display 'Cardiovascular disease 10Y risk [Likelihood]'#xD; code "Cardiovascular disease 10Y risk [Likelihood] ACC-AHA Pooled Cohort by Goff 2013": '79423-0' from "LOINC" display 'Cardiovascular disease 10Y risk [Likelihood] ACC-AHA Pooled Cohort by Goff 2013' //code "Unlisted preventive medicine service": '99429' from "CPT" display 'Unlisted preventive medicine service'#xD; #xD; #xD; parameter "Measurement Period" Interval<DateTime>#xD; #xD; context Patient#xD; #xD; define "Initial Population 1":#xD; exists "ASVCD Diagnosis or Procedure before End of Measurement Period"#xD; and exists "Qualifying Encounter during day of Measurement Period"#xD; #xD; define "Initial Population 2":#xD; "Patients Aged 20 to 75 with LDL Cholesterol Result Greater than or Equal to 190 or Hypercholesterolemia without ASCVD"#xD; and exists "Qualifying Encounter during day of Measurement Period"#xD; #xD; define "Initial Population 3":#xD; "Patients Aged 40 to 75 Years with Diabetes without ASCVD or LDL Greater than 190 or Hypercholesterolemia"#xD; and exists "Qualifying Encounter during day of Measurement Period"#xD; #xD; define "Initial Population 4":#xD; "Patients Age 40 to 75 Years and have a 10 Year CVD Risk of High without ASCVD and High LDL and Diabetes"#xD; and exists "Qualifying Encounter during day of Measurement Period"#xD; #xD; define "Denominator 1":#xD; "Initial Population 1"#xD; #xD; define "Denominator 2":#xD; "Initial Population 2"#xD; #xD; define "Denominator 3":#xD; "Initial Population 3"#xD; #xD; define "Denominator 4":#xD; "Initial Population 4"#xD; #xD; define "Denominator Exclusions":#xD; exists ( ( [Condition: "Breastfeeding"]#xD; union [Condition: "Rhabdomyolysis"] ) ExclusionDiagnosis#xD; where ( ExclusionDiagnosis.isProblemListItem ( )#xD; or ExclusionDiagnosis.isHealthConcern ( )#xD; )#xD; and ExclusionDiagnosis.prevalenceInterval ( ) overlaps day of "Measurement Period"#xD; and ExclusionDiagnosis.isActive ( )#xD; )#xD; #xD; define "Denominator Exceptions":#xD; "Has Allergy to Statin"#xD; or Hospice."Has Hospice Services"#xD; or PalliativeCare."Has Palliative Care in the Measurement Period"#xD; or "Has Hepatitis or Liver Disease Diagnosis"#xD; or "Has Statin Associated Muscle Symptoms"#xD; or "Has ESRD Diagnosis"#xD; or "Has Adverse Reaction to Statin"#xD; or "Has Medical Reason for Not Ordering Statin Therapy"#xD; #xD; define "Numerator":#xD; exists "Statin Therapy Prescribed Anytime during day of Measurement Period"#xD; #xD; define "ASVCD Diagnosis or Procedure before End of Measurement Period":#xD; ( ( [Condition: "Myocardial Infarction"]#xD; union [Condition: "Cerebrovascular Disease Stroke or TIA"]#xD; union [Condition: "Atherosclerosis and Peripheral Arterial Disease"]#xD; union [Condition: "Ischemic Heart Disease or Other Related Diagnoses"]#xD; union [Condition: "Stable and Unstable Angina"] ) ASCVDDiagnosis#xD; where ( ASCVDDiagnosis.isProblemListItem ( )#xD; or ASCVDDiagnosis.isHealthConcern ( )#xD; )#xD; and ASCVDDiagnosis.prevalenceInterval ( ) starts on or before day of end of "Measurement Period"#xD; and ASCVDDiagnosis.isActive ( )#xD; )#xD; union ( ( [Procedure: "PCI"]#xD; union [Procedure: "CABG Surgeries"]#xD; union [Procedure: "Carotid Intervention"]#xD; union [Procedure: "CABG or PCI Procedure"] ) ASCVDProcedure#xD; where ASCVDProcedure.performed.toInterval ( ) starts on or before day of end of "Measurement Period"#xD; and ASCVDProcedure.status = 'completed'#xD; )#xD; #xD; define "Has Adverse Reaction to Statin":#xD; exists ( [AdverseEvent: event in "Statin Allergen"] StatinReaction#xD; where StatinReaction.recordedDate during day of "Measurement Period"#xD; )#xD; #xD; define "Has Allergy to Statin":#xD; exists ( [AllergyIntolerance: "Statin Allergen"] StatinAllergy#xD; where QICoreCommon."ToInterval" ( StatinAllergy.onset ) overlaps day of "Measurement Period"#xD; and StatinAllergy.clinicalStatus ~ QICoreCommon."allergy-active"#xD; or StatinAllergy.clinicalStatus is null#xD; )#xD; #xD; define "Has Diabetes Diagnosis":#xD; exists ( [Condition: "Diabetes"] Diabetes#xD; where ( Diabetes.isProblemListItem ( )#xD; or Diabetes.isHealthConcern ( )#xD; )#xD; and Diabetes.prevalenceInterval ( ) overlaps day of "Measurement Period"#xD; and Diabetes.isActive ( )#xD; )#xD; #xD; define "Has ESRD Diagnosis":#xD; exists ( [Condition: "End Stage Renal Disease"] ESRD#xD; where ( ESRD.isProblemListItem ( )#xD; or ESRD.isHealthConcern ( )#xD; )#xD; and ESRD.prevalenceInterval ( ) overlaps day of "Measurement Period"#xD; and ESRD.isActive ( )#xD; )#xD; #xD; define "Has Hepatitis or Liver Disease Diagnosis":#xD; exists ( ( [Condition: "Hepatitis A"]#xD; union [Condition: "Hepatitis B"]#xD; union [Condition: "Liver Disease"] ) HepatitisLiverDisease#xD; where ( HepatitisLiverDisease.isProblemListItem ( )#xD; or HepatitisLiverDisease.isHealthConcern ( )#xD; )#xD; and HepatitisLiverDisease.prevalenceInterval ( ) overlaps day of "Measurement Period"#xD; and HepatitisLiverDisease.isActive ( )#xD; )#xD; #xD; define "Has Medical Reason for Not Ordering Statin Therapy":#xD; exists ( ( [MedicationNotRequested: "Low Intensity Statin Therapy"]#xD; union [MedicationNotRequested: "Moderate Intensity Statin Therapy"]#xD; union [MedicationNotRequested: "High Intensity Statin Therapy"] ) NoStatinTherapyOrdered#xD; with "Qualifying Encounter during day of Measurement Period" QualifyingEncounter#xD; such that NoStatinTherapyOrdered.authoredOn during QualifyingEncounter.period#xD; and NoStatinTherapyOrdered.status = 'completed'#xD; and NoStatinTherapyOrdered.reasonCode in "Medical Reason"#xD; )#xD; #xD; define "Has Statin Associated Muscle Symptoms":#xD; exists ( [Condition: "Statin Associated Muscle Symptoms"] StatinMuscleSymptom#xD; where ( StatinMuscleSymptom.isProblemListItem ( )#xD; or StatinMuscleSymptom.isHealthConcern ( )#xD; )#xD; and StatinMuscleSymptom.prevalenceInterval ( ) overlaps day of "Measurement Period"#xD; and StatinMuscleSymptom.isActive ( )#xD; )#xD; #xD; define "Hypercholesterolemia Diagnosis":#xD; ( [Condition: "Familial Hypercholesterolemia"] Hypercholesterolemia#xD; where ( Hypercholesterolemia.isProblemListItem ( )#xD; or Hypercholesterolemia.isHealthConcern ( )#xD; )#xD; and Hypercholesterolemia.prevalenceInterval ( ) starts on or before day of end of "Measurement Period"#xD; and Hypercholesterolemia.isActive ( )#xD; )#xD; #xD; define "LDL Result Greater Than or Equal To 190":#xD; [Observation: "LDL Cholesterol"] LDL190#xD; where LDL190.value as Quantity >= 190 'mg/dL'#xD; and LDL190.effective.toInterval ( ) starts before end of "Measurement Period"#xD; and LDL190.status in { 'final', 'amended', 'corrected', 'appended' }#xD; #xD; define "Patients Aged 20 to 75 with LDL Cholesterol Result Greater than or Equal to 190 or Hypercholesterolemia without ASCVD":#xD; "Patients Aged 20 to 75 at Start of Measurement Period"#xD; and exists ( "LDL Result Greater Than or Equal To 190"#xD; union "Hypercholesterolemia Diagnosis"#xD; )#xD; and not exists ( "ASVCD Diagnosis or Procedure before End of Measurement Period" )#xD; #xD; define "Patients Aged 20 to 75 at Start of Measurement Period":#xD; AgeInYearsAt(date from start of "Measurement Period") in Interval[20, 75]#xD; #xD; define "Patients Aged 40 to 75 Years with Diabetes without ASCVD or LDL Greater than 190 or Hypercholesterolemia":#xD; AgeInYearsAt(date from start of "Measurement Period") >= 40#xD; and AgeInYearsAt(date from start of "Measurement Period") <= 75#xD; and "Has Diabetes Diagnosis"#xD; and ( not exists "ASVCD Diagnosis or Procedure before End of Measurement Period"#xD; and not exists "LDL Result Greater Than or Equal To 190"#xD; and not exists "Hypercholesterolemia Diagnosis"#xD; )#xD; #xD; define "Patients Age 40 to 75 Years and have a 10 Year CVD Risk of High without ASCVD and High LDL and Diabetes":#xD; AgeInYearsAt(date from start of "Measurement Period") in Interval[40, 75]#xD; and "Ten Year CVD Risk is High"#xD; and not ( exists "ASVCD Diagnosis or Procedure before End of Measurement Period"#xD; or exists "Hypercholesterolemia Diagnosis"#xD; or exists "LDL Result Greater Than or Equal To 190"#xD; or "Has Diabetes Diagnosis"#xD; )#xD; #xD; define "Statin Therapy Prescribed Anytime during day of Measurement Period":#xD; ( [MedicationRequest: "Low Intensity Statin Therapy"]#xD; union [MedicationRequest: "Moderate Intensity Statin Therapy"]#xD; union [MedicationRequest: "High Intensity Statin Therapy"] ) StatinPrescribed#xD; where StatinPrescribed.status in { 'active', 'completed' }#xD; and StatinPrescribed.intent ~ 'order'#xD; and StatinPrescribed.doNotPerform is not true#xD; and ( StatinPrescribed.authoredOn during day of "Measurement Period"#xD; or exists ( StatinPrescribed.dosageInstruction.timing T#xD; where T.repeat.bounds.toInterval ( ) overlaps day of "Measurement Period"#xD; )#xD; )#xD; #xD; define "Qualifying Encounter during day of Measurement Period":#xD; ( [Encounter: "Annual Wellness Visit"]#xD; union [Encounter: "Office Visit"]#xD; union [Encounter: "Outpatient Consultation"]#xD; union [Encounter: "Outpatient Encounters for Preventive Care"]#xD; union [Encounter: "Preventive Care Services Established Office Visit, 18 and Up"]#xD; union [Encounter: "Preventive Care Services Individual Counseling"]#xD; union [Encounter: "Preventive Care Services Initial Office Visit, 18 and Up"]#xD; union [Encounter: "Preventive Care Services Other"] /*union [Encounter: "UnlistedEncounter"This will change with a future standards update CQLIT-368*/#xD; ) QualifyingEncounter#xD; where QualifyingEncounter.period during day of "Measurement Period"#xD; and QualifyingEncounter.status = 'finished'#xD; #xD; define "Ten Year CVD Risk is High":#xD; ( exists ( [Observation: "Cardiovascular disease 10Y risk [Likelihood]"]#xD; union [Observation: "Cardiovascular disease 10Y risk [Likelihood] ACC-AHA Pooled Cohort by Goff 2013"] ) AtRiskCVD#xD; where AtRiskCVD.value as Quantity >= 20 '%'#xD; and AtRiskCVD.effective.toInterval ( ) during day of "Measurement Period"#xD; )#xD; #xD; define "SDE Ethnicity":#xD; SDE."SDE Ethnicity"#xD; #xD; define "SDE Payer":#xD; SDE."SDE Payer"#xD; #xD; define "SDE Race":#xD; SDE."SDE Race"#xD; #xD; define "SDE Sex":#xD; SDE."SDE Sex" Content: application/elm+xml Encoded data (357416 characters) Content: application/elm+json Encoded data (512632 characters)
Cardiovascular disease 10Y risk [Likelihood]
Cardiovascular disease 10Y risk [Likelihood] ACC-AHA Pooled Cohort by Goff 2013
Code system USCoreConditionCategoryExtensionCodes
Code system ConditionClinicalStatusCodes
Code system AllergyIntoleranceClinicalStatusCodes
Value set Atherosclerosis and Peripheral Arterial Disease
Value set Cerebrovascular Disease Stroke or TIA
Value set Ischemic Heart Disease or Other Related Diagnoses
Value set Moderate Intensity Statin Therapy
Value set Outpatient Encounters for Preventive Care
Value set Preventive Care Services Established Office Visit, 18 and Up
Value set Preventive Care Services Individual Counseling
Value set Preventive Care Services Initial Office Visit, 18 and Up
Value set Statin Associated Muscle Symptoms
Value set Preventive Care Services Other
ASVCD Diagnosis or Procedure before End of Measurement Period
Qualifying Encounter during day of Measurement Period
Patients Aged 20 to 75 at Start of Measurement Period
Patients Aged 20 to 75 with LDL Cholesterol Result Greater than or Equal to 190 or Hypercholesterolemia without ASCVD
Patients Aged 40 to 75 Years with Diabetes without ASCVD or LDL Greater than 190 or Hypercholesterolemia
Patients Age 40 to 75 Years and have a 10 Year CVD Risk of High without ASCVD and High LDL and Diabetes
Has Hepatitis or Liver Disease Diagnosis
Has Medical Reason for Not Ordering Statin Therapy
Statin Therapy Prescribed Anytime during day of Measurement Period
Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)