PCSDepressionScreenAndFollowUpFHIR
type: Measure
node role: treeRoot
id:
  v: PCSDepressionScreenAndFollowUpFHIR
meta:
  profile:
    v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm
    l: computable-measure-cqfm
  profile:
    v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm
    l: publishable-measure-cqfm
  profile:
    v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/executable-measure-cqfm
    l: executable-measure-cqfm
text:
  status:
    v: extensions
  div:
    v: Title: Preventive Care and Screening: Screening for Depression and Follow-Up PlanFHIR Id: PCSDepressionScreenAndFollowUpFHIR Download cql: PCSDepressionScreenAndFollowUpFHIR.cql Version: 0.1.000 Url: Preventive Care and Screening: Screening for Depression and Follow-Up PlanFHIR short-name identifier: CMS2FHIR version-independent identifier: urn:uuid:deb30835-dbec-4f11-aab0-3a282040e37c version-specific identifier: urn:uuid:872451cb-46ce-477d-9df1-ad7526d9aeff publisher (CMS) identifier: 2FHIR Effective Period: 2024-01-01 ..2024-12-31 Status: draft Date: 2023-08-28 19:19:59+0000 Approval Date: 2023-08-28 Last Review Date: 2023-08-28 Name: PCSDepressionScreenAndFollowUpFHIR Publisher: Centers for Medicare & Medicaid Services (CMS) Author: Mathematica: https://www.mathematica.org/ Description: Percentage of patients aged 12 years and older screened for depression on the date of the encounter or up to 14 days prior to the date of the encounter using an age-appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of or up to two days after the date of the qualifying encounter Use Context: code value program Purpose: UNKNOWN Copyright: Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. CPT(R) contained in the Measure specifications is copyright 2004-2022 American Medical Association. LOINC(R) is copyright 2004-2022 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2022 International Health Terminology Standards Development Organisation. ICD-10 is copyright 2022 World Health Organization. All Rights Reserved. Disclaimer: These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. THE MEASURES AND SPECIFICATIONS ARE PROVIDED …
contained: Library
  id:
    v: effective-data-requirements
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode
      l: cqfm-directReferenceCode
    value: Coding
      type: https://loinc.org/rdf/73831-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 73831-0
      display:
        v: Adolescent depression screening assessment
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode
      l: cqfm-directReferenceCode
    value: Coding
      type: http://snomed.info/id/428171000124102
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 428171000124102
      display:
        v: Depression screening negative (finding)
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode
      l: cqfm-directReferenceCode
    value: Coding
      type: http://snomed.info/id/428181000124104
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 428181000124104
      display:
        v: Depression screening positive (finding)
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode
      l: cqfm-directReferenceCode
    value: Coding
      type: https://loinc.org/rdf/73832-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 73832-8
      display:
        v: Adult depression screening assessment
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode
      l: cqfm-directReferenceCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/condition-category
        l: condition-category
      code:
        v: problem-list-item
      display:
        v: Problem List Item
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode
      l: cqfm-directReferenceCode
    value: Coding
      system:
        v: http://hl7.org/fhir/us/core/CodeSystem/condition-category
        l: condition-category
      code:
        v: health-concern
      display:
        v: Health Concern
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode
      l: cqfm-directReferenceCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/condition-clinical
        l: condition-clinical
      code:
        v: active
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode
      l: cqfm-directReferenceCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/condition-clinical
        l: condition-clinical
      code:
        v: recurrence
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode
      l: cqfm-directReferenceCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/condition-clinical
        l: condition-clinical
      code:
        v: relapse
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode
      l: cqfm-directReferenceCode
    value: Coding
      system:
        v: http://terminology.hl7.org/CodeSystem/condition-clinical
        l: condition-clinical
      code:
        v: remission
  extension:
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-directReferenceCode
      l: cqfm-directReferenceCode
    value: Coding
      type: http://snomed.info/id/720834000
      system:
        v: http://snomed.info/sct
        l: sct
      code:
        v: 720834000
      display:
        v: Depression screening declined (situation)
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: SupplementalDataElements
    extension:
      url:
        v: name
        l: name
      value: String
        v: SDE Sex
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: define "SDE Sex": case when Patient.gender = 'male' then Code { code: 'M', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Male' } when Patient.gender = 'female' then Code { code: 'F', system: 'http://hl7.org/fhir/v3/AdministrativeGender', display: 'Female' } else null end
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 0
    url:
      v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
      l: cqfm-logicDefinition
  extension:
    extension:
      url:
        v: libraryName
        l: libraryName
      value: String
        v: PCSDepressionScreenAndFollowUpFHIR
    extension:
      url:
        v: name
        l: name
      value: String
        v: SDE Sex
    extension:
      url:
        v: statement
        l: statement
      value: String
        v: define "SDE Sex": SDE."SDE Sex"
    extension:
      url:
        v: displaySequence
        l: displaySequence
      value: Integer
        v: 1

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Patient Age 12 to 16 Years at Start of Measurement Period
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Patient Age 12 to 16 Years at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") in Interval[12, 16]
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 2
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Qualifying Encounter During Measurement Period
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Qualifying Encounter During Measurement Period": ( [Encounter: "Encounter to Screen for Depression"] union [Encounter: "Physical Therapy Evaluation"] union [Encounter: "Telephone Visits"] ) QualifyingEncounter where QualifyingEncounter.period during day of "Measurement Period" and QualifyingEncounter.status = 'finished'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 3
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Most Recent Adolescent Depression Screening
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Most Recent Adolescent Depression Screening": Last([Observation: "Adolescent depression screening assessment"] AdolescentDepressionScreening with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that AdolescentDepressionScreening.effective.toInterval() 14 days or less on or before day of start of QualifyingEncounter.period and AdolescentDepressionScreening.value is not null and AdolescentDepressionScreening.status = 'final' sort by start of effective.toInterval() )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 4
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Has Most Recent Adolescent Screening Negative
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Has Most Recent Adolescent Screening Negative": ( "Most Recent Adolescent Depression Screening" AdolescentScreen where AdolescentScreen.value ~ "Depression screening negative (finding)" ) is not null
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 5
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Follow Up Intervention for Positive Adolescent Depression Screening
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Follow Up Intervention for Positive Adolescent Depression Screening": ( ( [MedicationRequest: "Adolescent Depression Medications"] AdolescentMed where AdolescentMed.status in { 'active', 'completed' } and AdolescentMed.intent = 'order' and AdolescentMed.doNotPerform is not true ) union ( [ServiceRequest: "Referral for Adolescent Depression"] AdolescentReferral where AdolescentReferral.status in { 'active', 'completed' } and AdolescentReferral.doNotPerform is not true ) union ( [Procedure: "Follow Up for Adolescent Depression"] AdolescentFollowUp where AdolescentFollowUp.status = 'completed' ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 6
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Most Recent Adolescent Depression Screening Positive and Follow Up Provided
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Most Recent Adolescent Depression Screening Positive and Follow Up Provided": from "Most Recent Adolescent Depression Screening" LastAdolescentScreen, "Follow Up Intervention for Positive Adolescent Depression Screening" FollowUpPositiveAdolescentScreen, "Qualifying Encounter During Measurement Period" QualifyingEncounter where LastAdolescentScreen.effective.toInterval ( ) starts 14 days or less on or before day of start of QualifyingEncounter.period and LastAdolescentScreen.value ~ "Depression screening positive (finding)" and ( start of FollowUpPositiveAdolescentScreen.performed.toInterval ( ) during QualifyingEncounter.period or FollowUpPositiveAdolescentScreen.authoredOn 2 days or less on or after day of end of QualifyingEncounter.period ) and ( Coalesce(start of FollowUpPositiveAdolescentScreen.performed.toInterval(), FollowUpPositiveAdolescentScreen.authoredOn) during day of "Measurement Period" )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 7
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Patient Age 17 Years at Start of Measurement Period
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Patient Age 17 Years at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") = 17
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 8
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Most Recent Adult Depression Screening
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Most Recent Adult Depression Screening": Last([Observation: "Adult depression screening assessment"] AdultDepressionScreening with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that AdultDepressionScreening.effective.toInterval() 14 days or less on or before day of start of QualifyingEncounter.period and AdultDepressionScreening.value is not null and AdultDepressionScreening.status = 'final' sort by start of effective.toInterval() )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 9
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Has Most Recent Adult Screening Negative
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Has Most Recent Adult Screening Negative": ( "Most Recent Adult Depression Screening" AdultScreen where AdultScreen.value ~ "Depression screening negative (finding)" ) is not null
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 10
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Follow Up Intervention for Positive Adult Depression Screening
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Follow Up Intervention for Positive Adult Depression Screening": ( ( [MedicationRequest: "Adult Depression Medications"] AdultMed where AdultMed.status in { 'active', 'completed' } and AdultMed.intent = 'order' and AdultMed.doNotPerform is not true ) union ( [ServiceRequest: "Referral for Adult Depression"] AdultReferral where AdultReferral.status in { 'active', 'completed' } and AdultReferral.doNotPerform is not true ) union ( [Procedure: "Follow Up for Adult Depression"] AdultFollowUp where AdultFollowUp.status = 'completed' ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 11
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Most Recent Adult Depression Screening Positive and Follow Up Provided
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Most Recent Adult Depression Screening Positive and Follow Up Provided": from "Most Recent Adult Depression Screening" LastAdultScreen, "Follow Up Intervention for Positive Adult Depression Screening" FollowUpPositiveAdultScreen, "Qualifying Encounter During Measurement Period" QualifyingEncounter where LastAdultScreen.effective.toInterval ( ) starts 14 days or less on or before day of start of QualifyingEncounter.period and LastAdultScreen.value ~ "Depression screening positive (finding)" and ( start of FollowUpPositiveAdultScreen.performed.toInterval ( ) during QualifyingEncounter.period or FollowUpPositiveAdultScreen.authoredOn 2 days or less on or after day of end of QualifyingEncounter.period ) and ( Coalesce(start of FollowUpPositiveAdultScreen.performed.toInterval(), FollowUpPositiveAdultScreen.authoredOn) during day of "Measurement Period" )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 12
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Patient Age 18 Years or Older at Start of Measurement Period
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Patient Age 18 Years or Older at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") >= 18
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 13
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Numerator
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Numerator": ( "Patient Age 12 to 16 Years at Start of Measurement Period" and ( "Has Most Recent Adolescent Screening Negative" or exists "Most Recent Adolescent Depression Screening Positive and Follow Up Provided" ) ) or ( "Patient Age 17 Years at Start of Measurement Period" and ( "Has Most Recent Adolescent Screening Negative" or exists "Most Recent Adolescent Depression Screening Positive and Follow Up Provided" or "Has Most Recent Adult Screening Negative" or exists "Most Recent Adult Depression Screening Positive and Follow Up Provided" ) ) or ( "Patient Age 18 Years or Older at Start of Measurement Period" and ( "Has Most Recent Adult Screening Negative" or exists "Most Recent Adult Depression Screening Positive and Follow Up Provided" ) )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 14
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Patient Age 12 Years or Older at Start of Measurement Period
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Patient Age 12 Years or Older at Start of Measurement Period": AgeInYearsAt(date from start of "Measurement Period") >= 12
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 15
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Initial Population
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Initial Population": "Patient Age 12 Years or Older at Start of Measurement Period" and exists ( "Qualifying Encounter During Measurement Period" )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 16
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Denominator
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Denominator": "Initial Population"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 17
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SupplementalDataElements
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Payer
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Payer": [Coverage: type in "Payer Type"] Payer return { code: Payer.type, period: Payer.period }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 18
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Payer
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Payer": SDE."SDE Payer"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 19
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SupplementalDataElements
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Ethnicity
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Ethnicity": Patient.ethnicity E return Tuple { codes: { E.ombCategory } union E.detailed, display: E.text }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 20
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Ethnicity
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Ethnicity": SDE."SDE Ethnicity"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 21
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: History of Bipolar Diagnosis Before Qualifying Encounter
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "History of Bipolar Diagnosis Before Qualifying Encounter": [Condition: "Bipolar Disorder"] BipolarDiagnosis with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that ( BipolarDiagnosis.isProblemListItem ( ) or BipolarDiagnosis.isHealthConcern ( ) ) and BipolarDiagnosis.prevalenceInterval ( ) starts before QualifyingEncounter.period and ( BipolarDiagnosis.isActive ( ) or BipolarDiagnosis.clinicalStatus ~ QICoreCommon."remission" )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 22
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Denominator Exclusions
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Denominator Exclusions": exists "History of Bipolar Diagnosis Before Qualifying Encounter"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 23
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: SupplementalDataElements
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Race
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Race": Patient.race R return Tuple { codes: R.ombCategory union R.detailed, display: R.text }
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 24
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: SDE Race
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "SDE Race": SDE."SDE Race"
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 25
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Medical or Patient Reason for Not Screening Adolescent for Depression
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Medical or Patient Reason for Not Screening Adolescent for Depression": [ObservationNotDone: code ~ "Adolescent depression screening assessment"] NoAdolescentScreen with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that NoAdolescentScreen.issued during QualifyingEncounter.period where ( NoAdolescentScreen.notDoneReason ~ "Depression screening declined (situation)" or NoAdolescentScreen.notDoneReason in "Medical Reason" ) and NoAdolescentScreen.status = 'cancelled'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 26
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Has Adolescent Depression Screening
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Has Adolescent Depression Screening": exists ( [Observation: "Adolescent depression screening assessment"] AdolescentScreening with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that AdolescentScreening.effective.toInterval ( ) 14 days or less on or before day of start of QualifyingEncounter.period and AdolescentScreening.value is not null and AdolescentScreening.status = 'final' )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 27
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Medical or Patient Reason for Not Screening Adult for Depression
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Medical or Patient Reason for Not Screening Adult for Depression": [ObservationNotDone: code ~ "Adult depression screening assessment"] NoAdultScreen with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that NoAdultScreen.issued during QualifyingEncounter.period where ( NoAdultScreen.notDoneReason ~ "Depression screening declined (situation)" or NoAdultScreen.notDoneReason in "Medical Reason" ) and NoAdultScreen.status = 'cancelled'
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 28
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Has Adult Depression Screening
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Has Adult Depression Screening": exists ( [Observation: "Adult depression screening assessment"] AdultScreening with "Qualifying Encounter During Measurement Period" QualifyingEncounter such that AdultScreening.effective.toInterval ( ) 14 days or less on or before day of start of QualifyingEncounter.period and AdultScreening.value is not null and AdultScreening.status = 'final' )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 29
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

extension:
  url:
    v: libraryName
    l: libraryName
  value: String
    v: PCSDepressionScreenAndFollowUpFHIR
extension:
  url:
    v: name
    l: name
  value: String
    v: Denominator Exceptions
extension:
  url:
    v: statement
    l: statement
  value: String
    v: define "Denominator Exceptions": ( exists "Medical or Patient Reason for Not Screening Adolescent for Depression" and not "Has Adolescent Depression Screening" ) or ( exists "Medical or Patient Reason for Not Screening Adult for Depression" and not "Has Adult Depression Screening" )
extension:
  url:
    v: displaySequence
    l: displaySequence
  value: Integer
    v: 30
url:
  v: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition
  l: cqfm-logicDefinition

v: active

coding:
  system:
    v: http://terminology.hl7.org/CodeSystem/library-type
    l: library-type
  code:
    v: module-definition

type:
  v: depends-on
display:
  v: Library SDE
resource:
  v: Library/SupplementalDataElements|3.4.000
  l: http://ecqi.healthit.gov/ecqms/Library/SupplementalDataElements

type:
  v: depends-on
display:
  v: Library FHIRHelpers
resource:
  v: Library/FHIRHelpers|4.3.000
  l: http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers

type:
  v: depends-on
display:
  v: Library QICoreCommon
resource:
  v: Library/QICoreCommon|1.5.000
  l: http://ecqi.healthit.gov/ecqms/Library/QICoreCommon

type:
  v: depends-on
display:
  v: Library FHIRHelpers
resource:
  v: Library/FHIRHelpers|4.3.000
  l: http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers

type:
  v: depends-on
display:
  v: Library FHIRHelpers
resource:
  v: Library/FHIRHelpers|4.3.000
  l: http://ecqi.healthit.gov/ecqms/Library/FHIRHelpers

type:
  v: depends-on
display:
  v: Code system LOINC
resource:
  v: http://loinc.org
  l: loinc.org

type:
  v: depends-on
display:
  v: Code system SNOMEDCT
resource:
  v: http://snomed.info/sct
  l: sct

type:
  v: depends-on
display:
  v: Code system ConditionCategory
resource:
  v: http://terminology.hl7.org/CodeSystem/condition-category
  l: condition-category

type:
  v: depends-on
display:
  v: Code system USCoreConditionCategoryExtensionCodes
resource:
  v: http://hl7.org/fhir/us/core/CodeSystem/condition-category
  l: condition-category

type:
  v: depends-on
display:
  v: Code system ConditionClinicalStatusCodes
resource:
  v: http://terminology.hl7.org/CodeSystem/condition-clinical
  l: condition-clinical

type:
  v: depends-on
display:
  v: Value set Encounter to Screen for Depression
resource:
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  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1916

type:
  v: depends-on
display:
  v: Value set Physical Therapy Evaluation
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022

type:
  v: depends-on
display:
  v: Value set Telephone Visits
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080

type:
  v: depends-on
display:
  v: Value set Adolescent Depression Medications
resource:
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  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1567

type:
  v: depends-on
display:
  v: Value set Referral for Adolescent Depression
resource:
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  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1570

type:
  v: depends-on
display:
  v: Value set Follow Up for Adolescent Depression
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1569
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1569

type:
  v: depends-on
display:
  v: Value set Adult Depression Medications
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1566
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1566

type:
  v: depends-on
display:
  v: Value set Referral for Adult Depression
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1571
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1571

type:
  v: depends-on
display:
  v: Value set Follow Up for Adult Depression
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1568
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1568

type:
  v: depends-on
display:
  v: Value set Payer Type
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591

type:
  v: depends-on
display:
  v: Value set Bipolar Disorder
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.128
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.67.1.101.1.128

type:
  v: depends-on
display:
  v: Value set Medical Reason
resource:
  v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007
  l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1007

name:
  v: Measurement Period
use:
  v: in
min:
  v: 0
max:
  v: 1
type:
  v: Period

name:
  v: SDE Sex
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: Coding

name:
  v: Numerator
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: Denominator
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: SDE Payer
use:
  v: out
min:
  v: 0
max:
  v: *
type:
  v: Resource

name:
  v: Initial Population
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: SDE Ethnicity
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: Resource

name:
  v: Denominator Exclusions
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

name:
  v: SDE Race
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: Resource

name:
  v: Denominator Exceptions
use:
  v: out
min:
  v: 0
max:
  v: 1
type:
  v: boolean

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/Patient
  l: Patient
must support:
  v: gender
must support:
  v: gender.value
must support:
  v: birthDate
must support:
  v: birthDate.value

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
  l: qicore-encounter
must support:
  v: type
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1916
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.600.1916

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
  l: qicore-encounter
must support:
  v: type
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1022

type:
  v: Encounter
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter
  l: qicore-encounter
must support:
  v: type
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1080

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation
  l: qicore-observation
must support:
  v: code
must support:
  v: effective
must support:
  v: value
must support:
  v: status
must support:
  v: status.value
code filter:
  path:
    v: code
  code: https://loinc.org/rdf/73831-0
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 73831-0
    display:
      v: Adolescent depression screening assessment

type:
  v: MedicationRequest
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
  l: qicore-medicationrequest
must support:
  v: medication
code filter:
  path:
    v: medication
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1567
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1567

type:
  v: MedicationRequest
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
  l: qicore-medicationrequest
must support:
  v: medication
code filter:
  path:
    v: medication
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1567
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1567

type:
  v: ServiceRequest
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
  l: qicore-servicerequest
must support:
  v: code
must support:
  v: status
must support:
  v: status.value
must support:
  v: doNotPerform
must support:
  v: doNotPerform.value
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1570
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1570

type:
  v: Procedure
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
  l: qicore-procedure
must support:
  v: code
must support:
  v: status
must support:
  v: status.value
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1569
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1569

type:
  v: Observation
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation
  l: qicore-observation
must support:
  v: code
must support:
  v: effective
must support:
  v: value
must support:
  v: status
must support:
  v: status.value
code filter:
  path:
    v: code
  code: https://loinc.org/rdf/73832-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 73832-8
    display:
      v: Adult depression screening assessment

type:
  v: MedicationRequest
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
  l: qicore-medicationrequest
must support:
  v: medication
code filter:
  path:
    v: medication
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1566
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1566

type:
  v: MedicationRequest
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
  l: qicore-medicationrequest
must support:
  v: medication
code filter:
  path:
    v: medication
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1566
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1566

type:
  v: ServiceRequest
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-servicerequest
  l: qicore-servicerequest
must support:
  v: code
must support:
  v: status
must support:
  v: status.value
must support:
  v: doNotPerform
must support:
  v: doNotPerform.value
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1571
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1571

type:
  v: Procedure
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-procedure
  l: qicore-procedure
must support:
  v: code
must support:
  v: status
must support:
  v: status.value
code filter:
  path:
    v: code
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1568
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.1568

type:
  v: Coverage
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage
  l: qicore-coverage
must support:
  v: type
must support:
  v: period
code filter:
  path:
    v: type
  value set:
    v: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591
    l: http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591

type:
  v: uri
profile:
  v: http://hl7.org/fhir/uri
  l: uri
must support:
  v: value

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient
must support:
  v: url
must support:
  v: extension

type:
  v: Patient
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient
  l: qicore-patient
must support:
  v: url
must support:
  v: extension

type:
  v: Condition
profile:
  v: http://hl7.org/fhir/Condition
  l: Condition
must support:
  v: clinicalStatus

type:
  v: Condition
profile:
  v: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition
  l: qicore-condition
must support:
  v: code
must support:
  v: clinicalStatus
code filter:
  path:
    v: code
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v: PCSDepressionScreenAndFollowUpFHIR

v: Preventive Care and Screening: Screening for Depression and Follow-Up PlanFHIR

v: draft

v: false

v: 2023-08-28T19:19:59+00:00

v: Centers for Medicare & Medicaid Services (CMS)

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v: Percentage of patients aged 12 years and older screened for depression on the date of the encounter or up to 14 days prior to the date of the encounter using an age-appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of or up to two days after the date of the qualifying encounter

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v: UNKNOWN

v: The intent of the measure is to screen for new cases of depression in patients who have never had a diagnosis of bipolar disorder. Patients who have ever been diagnosed with bipolar disorder prior to the qualifying encounter used to evaluate the numerator will be excluded from the measure regardless of whether the diagnosis is active or not. A depression screen is completed on the date of the encounter or up to 14 calendar days prior to the date of the encounter using an age-appropriate standardized depression screening tool AND if positive, a follow-up plan must be documented on the date of or up to two calendar days after the date of the encounter, such as referral to a provider for additional evaluation, pharmacological interventions, or other interventions for the treatment of depression. An example to illustrate the follow-up plan documentation timing: if the encounter is on a Monday from 3-4 pm (day 0) and the patient screens positive, the clinician has through anytime on Wednesday (day 2) to complete follow-up plan documentation. This measure does not require documentation of a specific score, just whether results of the normalized and validated depression screening tool used are considered positive or negative. Each standardized screening tool provides guidance on whether a particular score is considered positive for depression. This eCQM is a patient-based measure. Depression screening is required once per measurement period, not at all encounters. Screening Tools: - An age-appropriate, standardized, and validated depression screening tool must be used for numerator compliance. - The name of the age-appropriate standardized depression screening tool utilized must be documented in the medical record. - The depression screening must be reviewed and addressed by the provider, filing the code, on the date of the encounter. Positive pre-screening results indicating a patient is at high risk for self-harm should receive more urgent intervention as determined by t…

v: Limited proprietary coding is contained in the measure specifications for convenience. Users of the proprietary code sets should obtain all necessary licenses from the owners of these code sets. CPT(R) contained in the Measure specifications is copyright 2004-2022 American Medical Association. LOINC(R) is copyright 2004-2022 Regenstrief Institute, Inc. This material contains SNOMED Clinical Terms(R) (SNOMED CT[R]) copyright 2004-2022 International Health Terminology Standards Development Organisation. ICD-10 is copyright 2022 World Health Organization. All Rights Reserved.

v: 2023-08-28

v: 2023-08-28

start:
  v: 2024-01-01
end:
  v: 2024-12-31

name:
  v: Mathematica
telecom:
  system:
    v: url
  value:
    v: https://www.mathematica.org/

v: These performance measures are not clinical guidelines and do not establish a standard of medical care, and have not been tested for all potential applications. THE MEASURES AND SPECIFICATIONS ARE PROVIDED “AS IS” WITHOUT WARRANTY OF ANY KIND. Due to technical limitations, registered trademarks are indicated by (R) or [R] and unregistered trademarks are indicated by (TM) or [TM].

v: Depression affects more than two hundred sixty million people across the world and is a leading cause of disability, with a variety of depressive disorders that are independent risk factors for chronic diseases, such as cardiovascular disease and diabetes, lending screening for depression as paramount to identify depressive disorders that can affect the most vulnerable populations (Constantini et al., 2021). Results from a 2018 U.S. survey indicated that 14.4 percent of adolescents (3.5 million adolescents) had a major depressive episode (MDE) in the past year, with nine percent of adolescents (2.4 million adolescents) having one MDE with severe impairment (Substance Abuse and Mental Health Services Administration, 2019). The odds of a diagnosis of depression are believed to be 2.6 times greater for children and adolescents exposed to trauma as compared to those unexposed or less exposed (Vibhakar et al., 2019). Children and teens with major depressive disorder (MDD) have been found to have difficulty carrying out their daily activities, relating to others, growing up healthy, and are at an increased risk of suicide (Siu on behalf of the U.S. Preventive Services Task Force [USPSTF], 2016). The same 2018 study indicated that 7.2 percent of adults aged 18 or older (17.7 million adults) had at least one MDE with 4.7 percent of adults (11.5 million adults) having one MDE with severe impairment in the past year (Substance Abuse and Mental Health Services Administration, 2019). Moreover, it is estimated 22.9 percent of adult patients with chronic pain (2.2 million adults) were diagnosed with comorbid depression from 2011 to 2015, with an upward trend of prevalence among Black Americans, patients aged 65 to 84 years old, Medicare and Medicaid insured patients, and patients from zip code areas with low annual household incomes (Orhurhu et al., 2019). Depression and other mood disorders, such as bipolar disorder and anxiety disorders, especially during the perinatal period, …

v: Adolescent Recommendation (12-18 years): "The USPSTF recommends screening for MDD in adolescents aged 12 to 18 years. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up (B recommendation)" (Siu on behalf of USPSTF, 2016, p. 360). Adult Recommendation (18 years and older): "The USPSTF recommends screening for depression in the general adult population, including pregnant and postpartum women. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up (B recommendation)" (Siu & USPSTF, 2016, p. 380). “The USPSTF recommends that clinicians provide or refer pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions. (B recommendation)” (U.S. Preventive Services Task Force, 2019). The American College of Obstetricians and Gynecologists (ACOG) provides the following recommendation: "All obstetrician–gynecologists and other obstetric care providers should complete a full assessment of mood and emotional well-being (including screening for postpartum depression and anxiety with a validated instrument) during the comprehensive postpartum visit for each patient" (American College of Obstetricians and Gynecologists, 2018). The Institute for Clinical Systems Improvement (ICSI) health care guideline, Adult Depression in Primary Care, provides the following recommendations: 1. "Clinicians should routinely screen all adults for depression using a standardized instrument." 2. "Clinicians should establish and maintain follow-up with patients." 3. "Clinicians should screen and monitor depression in pregnant and post-partum women" (Trangle et al., 2016, p. 8-10).

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