- Initial Population =
- AND: Age>= 3 year(s) at: "Measurement Period"
- AND: Age< 18 year(s) at: "Measurement Period"
- AND: "Occurrence A of Encounter, Performed: Ambulatory/ED Visit" during "Measurement Period"
- AND: "Medication, Order: Antibiotic Medications for Pharyngitis" <= 3 day(s) starts after start of "Occurrence A of Encounter, Performed: Ambulatory/ED Visit"
- AND: Union of:
- "Occurrence A of Diagnosis: Acute Pharyngitis" satisfies any:
- starts during "Occurrence A of Encounter, Performed: Ambulatory/ED Visit"
- satisfies all:
- starts before or concurrent with start of "Occurrence A of Encounter, Performed: Ambulatory/ED Visit"
- ends after or concurrent with end of "Occurrence A of Encounter, Performed: Ambulatory/ED Visit"
- "Occurrence A of Diagnosis: Acute Tonsillitis" satisfies any:
- starts during "Occurrence A of Encounter, Performed: Ambulatory/ED Visit"
- satisfies all:
- starts before or concurrent with start of "Occurrence A of Encounter, Performed: Ambulatory/ED Visit"
- ends after or concurrent with end of "Occurrence A of Encounter, Performed: Ambulatory/ED Visit"
- Denominator =
- Denominator Exclusions =
- OR: "Medication, Active: Antibiotic Medications for Pharyngitis" < 30 day(s) starts before start of Union of:
- "Occurrence A of Diagnosis: Acute Pharyngitis"
- "Occurrence A of Diagnosis: Acute Tonsillitis"
- OR:
- AND: "Occurrence A of Medication, Active: Antibiotic Medications for Pharyngitis" > 30 day(s) starts before start of "Occurrence A of Diagnosis: Acute Pharyngitis"
- AND NOT: "Occurrence A of Medication, Active: Antibiotic Medications for Pharyngitis" > 30 day(s) ends before start of "Occurrence A of Diagnosis: Acute Pharyngitis"
- OR:
- AND: "Occurrence A of Medication, Active: Antibiotic Medications for Pharyngitis" > 30 day(s) starts before start of "Occurrence A of Diagnosis: Acute Tonsillitis"
- AND NOT: "Occurrence A of Medication, Active: Antibiotic Medications for Pharyngitis" > 30 day(s) ends before start of "Occurrence A of Diagnosis: Acute Tonsillitis"
- Numerator =
- AND: Union of:
- "Laboratory Test, Performed: Group A Streptococcus Test (result)" <= 3 day(s) starts before end of "Occurrence A of Encounter, Performed: Ambulatory/ED Visit"
- "Laboratory Test, Performed: Group A Streptococcus Test (result)" <= 3 day(s) starts after end of "Occurrence A of Encounter, Performed: Ambulatory/ED Visit"
- Numerator Exclusions =
- Denominator Exceptions =
- Stratification =
- "Diagnosis: Acute Pharyngitis" using "Acute Pharyngitis Grouping Value Set (2.16.840.1.113883.3.464.1003.102.12.1011)"
- "Diagnosis: Acute Tonsillitis" using "Acute Tonsillitis Grouping Value Set (2.16.840.1.113883.3.464.1003.102.12.1012)"
- "Encounter, Performed: Ambulatory/ED Visit" using "Ambulatory/ED Visit Grouping Value Set (2.16.840.1.113883.3.464.1003.101.12.1061)"
- "Laboratory Test, Performed: Group A Streptococcus Test" using "Group A Streptococcus Test Grouping Value Set (2.16.840.1.113883.3.464.1003.198.12.1012)"
- "Medication, Active: Antibiotic Medications for Pharyngitis" using "Antibiotic Medications for Pharyngitis Grouping Value Set (2.16.840.1.113883.3.464.1003.196.12.1001)"
- "Medication, Order: Antibiotic Medications for Pharyngitis" using "Antibiotic Medications for Pharyngitis Grouping Value Set (2.16.840.1.113883.3.464.1003.196.12.1001)"
- "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)"