Definition |
Answer to Proceed |
Details |
Data (Terminology) Requirement |
Age < 18 years? |
No |
Calculate age from date of birth; exclude patients with age less than 18 years at the time of the prescription |
Date of birth |
Limited life expectancy conditions present? |
No |
Look for documented findings consistent with those listed in the limited life expectancy value set (terminal illness, bad prognosis, pre-terminal) |
Limited life expectancy conditions |
Order for therapies indicating end of life care in past 90 days? |
No |
Look for patients with an existing order for therapies indicating end of life care written within past 90 days |
Therapies indicating end of life care |
Active cancer treatment? |
No |
See Active Cancer Treatment sub-routine |
See Active Cancer Treatment sub-routine |
Conditions Likely Terminal for opioid prescribing present? |
No |
Look for patients with active conditions in the value set end-of-life-conditions |
Conditions likely terminal for opioid prescribing |
Definition |
Answer to Proceed |
Details |
Data (Terminology) Requirement |
Two office visits within the past 12 months? |
No |
Look for a minimum of two distinct encounters within 12 months of the date of the current visit for which each of the following is true:
• the encounter diagnosis (primary or secondary or co-morbidity diagnosis) is listed in the CDC Malignant Cancer Conditions value set |
Office Visit |
Office visits with an oncology specialist present? |
No |
• The encounter is performed by an oncologist as defined in the oncology specialty designations using the National Uniform Claim Committee (NUCC) classifications |
Oncology specialty designations (NUCC) |
Office visits including CDC malignant cancer condition? |
No |
• The encounter diagnosis (primary or secondary or co-morbidity diagnosis) is listed in the CDC Malignant Cancer Conditions value set |
CDC malignant cancer conditions |