- Initial Population =
- AND: Age>= 12 year(s) at: "Measurement Period"
- AND: "Encounter, Performed: Depression Screening Encounter Codes" during "Measurement Period"
- Denominator =
- Denominator Exclusions =
- OR: "Diagnosis: Depression diagnosis" satisfies all:
- starts before start of ("Encounter, Performed: Depression Screening Encounter Codes" during "Measurement Period" )
- overlaps ("Encounter, Performed: Depression Screening Encounter Codes" during "Measurement Period" )
- OR: "Diagnosis: Bipolar Diagnosis" satisfies all:
- starts before start of ("Encounter, Performed: Depression Screening Encounter Codes" during "Measurement Period" )
- overlaps ("Encounter, Performed: Depression Screening Encounter Codes" during "Measurement Period" )
- Numerator =
- AND:
- OR:
- AND: Most Recent: "Occurrence A of Risk Category Assessment: Adolescent Depression Screening (result)" during ("Encounter, Performed: Depression Screening Encounter Codes" during "Measurement Period" )
- AND: "Occurrence A of Risk Category Assessment: Adolescent Depression Screening (result: Negative Depression Screening)"
- AND: Age< 18 year(s) at: "Measurement Period"
- OR:
- AND: Most Recent: "Occurrence A of Risk Category Assessment: Adolescent Depression Screening (result)" during ("Encounter, Performed: Depression Screening Encounter Codes" during "Measurement Period" )
- AND: "Occurrence A of Risk Category Assessment: Adolescent Depression Screening (result: Positive Depression Screening)"
- AND: Union of:
- "Intervention, Performed: Additional evaluation for depression - adolescent"
- "Intervention, Order: Referral for Depression Adolescent"
- "Medication, Order: Depression medications - adolescent"
- "Intervention, Performed: Follow-up for depression - adolescent"
- "Procedure, Performed: Suicide Risk Assessment"
- <= 1 day(s) starts after or concurrent with start of "Occurrence A of Risk Category Assessment: Adolescent Depression Screening"
- AND: Age< 18 year(s) at: "Measurement Period"
- OR:
- AND: Most Recent: "Occurrence A of Risk Category Assessment: Adult Depression Screening (result)" during ("Encounter, Performed: Depression Screening Encounter Codes" during "Measurement Period" )
- AND: "Occurrence A of Risk Category Assessment: Adult Depression Screening (result: Negative Depression Screening)"
- AND: Age>= 18 year(s) at: "Measurement Period"
- OR:
- AND: Most Recent: "Occurrence A of Risk Category Assessment: Adult Depression Screening (result)" during ("Encounter, Performed: Depression Screening Encounter Codes" during "Measurement Period" )
- AND: "Occurrence A of Risk Category Assessment: Adult Depression Screening (result: Positive Depression Screening)"
- AND: Union of:
- "Intervention, Performed: Additional evaluation for depression - adult"
- "Intervention, Order: Referral for Depression Adult"
- "Medication, Order: Depression medications - adult"
- "Intervention, Performed: Follow-up for depression - adult"
- "Procedure, Performed: Suicide Risk Assessment"
- <= 1 day(s) starts after or concurrent with start of "Occurrence A of Risk Category Assessment: Adult Depression Screening"
- AND: Age>= 18 year(s) at: "Measurement Period"
- Numerator Exclusions =
- Denominator Exceptions =
- OR:
- AND: Union of:
- "Risk Category Assessment not done: Medical or Other reason not done" for "Adolescent Depression Screening"
- "Risk Category Assessment not done: Patient Reason refused" for "Adolescent Depression Screening"
- during "Encounter, Performed: Depression Screening Encounter Codes"
- AND NOT: "Risk Category Assessment: Adolescent Depression Screening" during "Measurement Period"
- OR:
- AND: Union of:
- "Risk Category Assessment not done: Medical or Other reason not done" for "Adult Depression Screening"
- "Risk Category Assessment not done: Patient Reason refused" for "Adult Depression Screening"
- during "Encounter, Performed: Depression Screening Encounter Codes"
- AND NOT: "Risk Category Assessment: Adult Depression Screening" during "Measurement Period"
- Stratification =
- "Diagnosis: Bipolar Diagnosis" using "Bipolar Diagnosis Grouping Value Set (2.16.840.1.113883.3.600.450)"
- "Diagnosis: Depression diagnosis" using "Depression diagnosis Grouping Value Set (2.16.840.1.113883.3.600.145)"
- "Encounter, Performed: Depression Screening Encounter Codes" using "Depression Screening Encounter Codes Grouping Value Set (2.16.840.1.113883.3.600.1916)"
- "Intervention, Order: Referral for Depression Adolescent" using "Referral for Depression Adolescent SNOMEDCT Value Set (2.16.840.1.113883.3.600.537)"
- "Intervention, Order: Referral for Depression Adult" using "Referral for Depression Adult SNOMEDCT Value Set (2.16.840.1.113883.3.600.538)"
- "Intervention, Performed: Additional evaluation for depression - adolescent" using "Additional evaluation for depression - adolescent SNOMEDCT Value Set (2.16.840.1.113883.3.600.1542)"
- "Intervention, Performed: Additional evaluation for depression - adult" using "Additional evaluation for depression - adult SNOMEDCT Value Set (2.16.840.1.113883.3.600.1545)"
- "Intervention, Performed: Follow-up for depression - adolescent" using "Follow-up for depression - adolescent SNOMEDCT Value Set (2.16.840.1.113883.3.600.467)"
- "Intervention, Performed: Follow-up for depression - adult" using "Follow-up for depression - adult SNOMEDCT Value Set (2.16.840.1.113883.3.600.468)"
- "Medication, Order: Depression medications - adolescent" using "Depression medications - adolescent RXNORM Value Set (2.16.840.1.113883.3.600.469)"
- "Medication, Order: Depression medications - adult" using "Depression medications - adult RXNORM Value Set (2.16.840.1.113883.3.600.470)"
- "Procedure, Performed: Suicide Risk Assessment" using "Suicide Risk Assessment SNOMEDCT Value Set (2.16.840.1.113883.3.600.559)"
- "Risk Category Assessment: Adolescent Depression Screening" using "Adolescent Depression Screening LOINC Value Set (2.16.840.1.113883.3.600.2452)"
- "Risk Category Assessment: Adult Depression Screening" using "Adult Depression Screening LOINC Value Set (2.16.840.1.113883.3.600.2449)"
- "Risk Category Assessment not done: Medical or Other reason not done" using "Medical or Other reason not done SNOMEDCT Value Set (2.16.840.1.113883.3.600.1.1502)"
- "Risk Category Assessment not done: Patient Reason refused" using "Patient Reason refused SNOMEDCT Value Set (2.16.840.1.113883.3.600.791)"
- Attribute: "Result: Negative Depression Screening" using "Negative Depression Screening SNOMEDCT Value Set (2.16.840.1.113883.3.600.2451)"
- Attribute: "Result: Positive Depression Screening" using "Positive Depression Screening SNOMEDCT Value Set (2.16.840.1.113883.3.600.2450)"
- "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)"