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Proposed solution:
//Header - before
Definition: Index Prescription Start Date (IPSD): The earliest prescription date for an ADHD medication where the date is in the Intake Period and an ADHD medication was not prescribed during the 120 days prior.
Initial Population 1: Children 6-12 years of age as of the Intake Period who were prescribed an ADHD medication during the Intake Period and […]. Children are removed if they were actively on ADHD medication in the 120 days prior to the IPSD, or had an acute inpatient stay […].
Initial Population 2: Children 6-12 years of age as of the Intake Period who were prescribed an ADHD medication during the Intake Period and […]. Children are removed if they were actively on ADHD medication in the 120 days prior to the IPSD, or had an acute inpatient stay […].
//Header - after
Definition: Index Prescription Start Date (IPSD): The earliest prescription date for an ADHD medication where the date is in the Intake Period and the patient is not actively on ADHD medication during the 120 days prior.
Initial Population 1: Children 6-12 years of age as of the Intake Period who had an IPSD and […]. Children are removed if they had an acute inpatient stay […].
Initial Population 2: Children 6-12 years of age as of the Intake Period who had an IPSD and […]. Children are removed if they had an acute inpatient stay […].
//Logic – before
define "Initial Population 1":
[…]
and "First ADHD Medication Prescribed During Intake Period" is not null
and not exists "Previously on ADHD Medication"
and […]
define "Initial Population 2":
[…]
and "First ADHD Medication Prescribed During Intake Period" is not null
and […]
and not exists "Previously on ADHD Medication"
and […]
define “First ADHD Medication Prescribed During Intake Period”:
First("ADHD Medication Prescribed During Intake Period”)
define "ADHD Medication Prescribed During Intake Period ":
["Medication, Order": "ADHD Medications"] ADHDMedicationOrder
where Coalesce(ADHDMedicationOrder.relevantPeriod.low, ADHDMedicationOrder.authorDatetime)during "Intake Period"
sort by Coalesce(relevantPeriod.low, authorDatetime)asc
define "Previously on ADHD Medication":
["Medication, Active": "ADHD Medications"] ActiveADHDMedication
with "First ADHD Medication Prescribed During Intake Period" InitialADHDMedication
such that Global."ToDateInterval" ( Global."NormalizeInterval" ( ActiveADHDMedication.relevantDatetime, ActiveADHDMedication.relevantPeriod ) ) overlaps Interval[date from Coalesce(InitialADHDMedication.relevantPeriod.low, InitialADHDMedication.authorDatetime)- 120 days, date from Coalesce(InitialADHDMedication.relevantPeriod.low, InitialADHDMedication.authorDatetime))
//Logic – after
define "Initial Population 1":
[…]
and "First ADHD Medication Prescribed During Intake Period" is not null
and […]
define "Initial Population 2":
[…]
and "First ADHD Medication Prescribed During Intake Period" is not null
and […]
define “First ADHD Medication Prescribed During Intake Period”:
First("ADHD Medication Prescribed During Intake Period and Not Previously on ADHD Medication")
define "ADHD Medication Prescribed During Intake Period and Not Previously on ADHD Medication":
( ( ["Medication, Order": "ADHD Medications"] ) ADHDMedicationsOrder
where Coalesce(ADHDMedicationsOrder.relevantPeriod.low, ADHDMedicationsOrder.authorDatetime) during "Intake Period" ) QualifyingADHDMedication
without ( ["Medication, Active": "ADHD Medications"] ) ActiveADHDMedication
such that Global."ToDateInterval" ( Global."NormalizeInterval" ( ActiveADHDMedication.relevantDatetime, ActiveADHDMedication.relevantPeriod ) ) overlaps Interval[date from Coalesce(QualifyingADHDMedication.relevantPeriod.low, QualifyingADHDMedication.authorDatetime) - 120 days, date from Coalesce(QualifyingADHDMedication.relevantPeriod.low, QualifyingADHDMedication.authorDatetime) )
sort by Coalesce(relevantPeriod.low, authorDatetime) asc
Rationale for change:
The purpose of this change is to more accurately reflect the measure intent of the measure, and align the eCQM specification with the HEDIS parent measure.
While this change may result in the identification of a slightly larger denominator, the Measure Developer does not consider this a substantive change.
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Proposed solution:
//Header - before
Definition: Index Prescription Start Date (IPSD): The earliest prescription date for an ADHD medication where the date is in the Intake Period and an ADHD medication was not prescribed during the 120 days prior.
Initial Population 1: Children 6-12 years of age as of the Intake Period who were prescribed an ADHD medication during the Intake Period and […]. Children are removed if they were actively on ADHD medication in the 120 days prior to the IPSD, or had an acute inpatient stay […].
Initial Population 2: Children 6-12 years of age as of the Intake Period who were prescribed an ADHD medication during the Intake Period and […]. Children are removed if they were actively on ADHD medication in the 120 days prior to the IPSD, or had an acute inpatient stay […].
//Header - after
Definition: Index Prescription Start Date (IPSD): The earliest prescription date for an ADHD medication where the date is in the Intake Period and the patient is not actively on ADHD medication during the 120 days prior.
Initial Population 1: Children 6-12 years of age as of the Intake Period who had an IPSD and […]. Children are removed if they had an acute inpatient stay […].
Initial Population 2: Children 6-12 years of age as of the Intake Period who had an IPSD and […]. Children are removed if they had an acute inpatient stay […].
//Logic – before
define "Initial Population 1":
[…]
and "First ADHD Medication Prescribed During Intake Period" is not null
and not exists "Previously on ADHD Medication"
and […]
define "Initial Population 2":
[…]
and "First ADHD Medication Prescribed During Intake Period" is not null
and […]
and not exists "Previously on ADHD Medication"
and […]
define “First ADHD Medication Prescribed During Intake Period”:
First("ADHD Medication Prescribed During Intake Period”)
define "ADHD Medication Prescribed During Intake Period ":
["Medication, Order": "ADHD Medications"] ADHDMedicationOrder
where Coalesce(ADHDMedicationOrder.relevantPeriod.low, ADHDMedicationOrder.authorDatetime)during "Intake Period"
sort by Coalesce(relevantPeriod.low, authorDatetime)asc
define "Previously on ADHD Medication":
["Medication, Active": "ADHD Medications"] ActiveADHDMedication
with "First ADHD Medication Prescribed During Intake Period" InitialADHDMedication
such that Global."ToDateInterval" ( Global."NormalizeInterval" ( ActiveADHDMedication.relevantDatetime, ActiveADHDMedication.relevantPeriod ) ) overlaps Interval[date from Coalesce(InitialADHDMedication.relevantPeriod.low, InitialADHDMedication.authorDatetime)- 120 days, date from Coalesce(InitialADHDMedication.relevantPeriod.low, InitialADHDMedication.authorDatetime))
//Logic – after
define "Initial Population 1":
[…]
and "First ADHD Medication Prescribed During Intake Period" is not null
and […]
define "Initial Population 2":
[…]
and "First ADHD Medication Prescribed During Intake Period" is not null
and […]
define “First ADHD Medication Prescribed During Intake Period”:
First("ADHD Medication Prescribed During Intake Period and Not Previously on ADHD Medication")
define "ADHD Medication Prescribed During Intake Period and Not Previously on ADHD Medication":
( ( ["Medication, Order": "ADHD Medications"] ) ADHDMedicationsOrder
where Coalesce(ADHDMedicationsOrder.relevantPeriod.low, ADHDMedicationsOrder.authorDatetime) during "Intake Period" ) QualifyingADHDMedication
without ( ["Medication, Active": "ADHD Medications"] ) ActiveADHDMedication
such that Global."ToDateInterval" ( Global."NormalizeInterval" ( ActiveADHDMedication.relevantDatetime, ActiveADHDMedication.relevantPeriod ) ) overlaps Interval[date from Coalesce(QualifyingADHDMedication.relevantPeriod.low, QualifyingADHDMedication.authorDatetime) - 120 days, date from Coalesce(QualifyingADHDMedication.relevantPeriod.low, QualifyingADHDMedication.authorDatetime) )
sort by Coalesce(relevantPeriod.low, authorDatetime) asc
Rationale for change:
The purpose of this change is to more accurately reflect the measure intent of the measure, and align the eCQM specification with the HEDIS parent measure.
While this change may result in the identification of a slightly larger denominator, the Measure Developer does not consider this a substantive change.