AccountableCareOrganizationRegistry
DM_ACO is a data mart table that stores information related to ACOs. This table consolidates patient information from many subject areas including demographics, PCP, patient status, lab values, encounters, vitals, medications, diagnoses, and social history. Only patients that meet specific inclusion criteria have information stored in this table.
| Column Name | Type | Description |
|---|---|---|
| DeprecatedLastAspirinOrderIdentification | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The unique ID of the last medication order for an aspirin which is also on the patient's current medication list in the specified time frame. Rule: DEPRECATED ACO Med Last Current Aspirin (18663) |
| PatientRecordIdentifier | VARCHAR | The unique ID of the patient record for this row. This column is frequently used to link to the PATIENT table. |
| PatientHadMajorDepressionInPeriodIndicator | VARCHAR | Indicates whether there is an unreconciled diagnosis of major depression that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: ACO Depression Remission: Patient Had Major Depression External (28859) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Depression Remission: Patient Had Major Depression (19339), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedHasBmiFollowUpPlan | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-9. Consider removing the metric from the ACO Registry Indicates whether the patient has a BMI follow-up plan in the specified time frame. "Y" indicates the patient has a BMI follow-up plan. "N" indicates the patient does not have a BMI follow-up plan. Rule: DEPRECATED ACO BMI Has Follow-Up Plan (18680) |
| HealthMaintenanceOrganizationEnrollmentDate | DATETIME | The date the patient's primary coverage became a Health Maintenance Organization (HMO). Rule: ACO HMO Enrollment Date (19866) |
| DeprecatedLastPercutaneousCoronaryInterventionDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure IVD-2. Consider removing the metric from the ACO Registry The date of a patient's most recent percutaneous coronary intervention in the year prior to the measurement period. Rule: DEPRECATED ACO Qualifying Procedure PCI (18715) |
| HasExternalAtheroscleroticCardiovascularDiseaseDiagnosis | VARCHAR | Indicates whether there is an unreconciled diagnosis of ASCVD not documented in the patient's chart. Rule: ACO Diagnosis Has Patient Had Atherosclerotic Cardiovascular Disease Ever External (82196) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Diagnosis Has Patient Had Atherosclerotic Cardiovascular Disease Ever (18727), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedHasDiabetesForCoronaryArteryDiseaseMeasure | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CAD-7. Consider removing the metric from the ACO Registry Indicates whether the patient has an unreconciled diabetes encounter diagnosis in the specified time frame, as defined for coronary artery disease (CAD) measures. "Y" indicates the patient has diabetes as defined by the CAD measures. "N" indicates the patient does not have diabetes as defined by the CAD measures. Rule: DEPRECATED ACO Diagnosis for CAD Does Patient Have Diabetes External (28873) |
| DeprecatedLastLeftVentricularEjectionFractionBelowFortyDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measures CAD-7 and HF-6. Consider removing the metric from the ACO Registry The date of the patient's most recent left ventricular ejection fraction (LVEF) value less than 40%. Rule: DEPRECATED ACO Lab Last LVEF < 40% Date (19149) |
| DeprecatedLastCalculatedLowDensityLipoproteinNumericValue | FLOAT | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The patient's most recent calculated low-density lipoprotein (LDL) value. Only numeric lab values are stored in this column. Non-numeric lab values entered are displayed as null, and can be found in LDL_CALC_LAST. If the data is an inequality sign followed by a number, then an estimate value is returned instead. If the inequality is > or >=, then the number plus 10% is returned (e.g. “>10” becomes “11”). If the inequality is < or <=, then the number minus 10% is returned (e.g. “<10” becomes “9”). Other non-numeric data is not returned. |
| DeprecatedLastBodyMassIndexDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-9. Consider removing the metric from the ACO Registry The date of the last encounter in the specified time frame that a BMI was recorded. Rule: DEPRECATED ACO Vitals Last BMI (18656) |
| DeprecatedIsOnAntiplateletMedicationYesNoIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether an antiplatelet medication is on the patient's current medication list. "Y" indicates an antiplatelet medication is on the patient's current medication list. "N" indicates an antiplatelet medication is not on the patient's current medication list. Rule: DEPRECATED ACO Med Prescribed Antiplatelets (18674) |
| DeprecatedLastPneumoniaImmunizationDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-8. Consider removing the metric from the ACO Registry The date the patient's most recent pneumonia vaccine was administered. Rule: DEPRECATED ACO Imm Pneumonia Vaccine Administration Date (18655) |
| DeprecatedUnreconciledHospitalAdmissionCount | NUMERIC | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The number of unreconciled hospital admissions that are not documented in the patient's chart. Rule: DM ENCOUNTER NUMBER OF HOSPITAL ADMISSIONS EXTERNAL (28521) |
| IsDepressionFollowUpUnreconciled | VARCHAR | Indicates whether there is an unreconciled follow-up plan for depression not documented in the patient's chart. Rule: ACO Has Depression Follow-Up Plan External (83283) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Has Depression Follow-Up Plan (18683), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| HasUnreconciledExternalDiabetesDiagnosisForPrev13Indicator | VARCHAR | Indicates whether there is an unreconciled diagnosis of diabetes for PREV-13 not documented in the patient's chart. Rule: ACO Diagnosis Does Patient Have Diabetes for Prev-13 External (82199) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Diagnosis Does Patient Have Diabetes for Prev-13 (18737), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| LastBreastCancerScreeningServiceDate | DATETIME | The date of the patient's most recent breast cancer screening in the specified time frame. Rule: ACO PROCEDURE LAST BREAST CANCER SCREENING DATE (CER 19177) |
| CommunityLogOwnerInstanceIdentifier | VARCHAR | The Community ID (CID) of the instance from which this record or line was extracted. This is only populated if you use IntraConnect. |
| DeprecatedHasDepressionScreeningIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether the patient has had depression screening in the specified time frame. "Y" indicates the patient has had depression screening. "N" indicates the patient has not had depression screening. Rule: DEPRECATED ACO Has Depression Screening (18682) |
| DeprecatedLastBetaBlockerOrderDateTime | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The ordering date of the last medication order for any beta blocker medication which is also on the patient's current medication list in the specified time frame. Rule: DEPRECATED ACO Med Last Current Beta Blocker (18664) |
| HadPositiveExternalDepressionScreeningIndicator | VARCHAR | Indicates whether the patient has had a positive depression screening not documented in the patient's chart. Rule: ACO Depression Screening Is Positive External (83388) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Depression Screening Is Positive (18707), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedIschemicVascularDiseaseAnticoagulantExclusionIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure IVD-2. Consider removing the metric from the ACO Registry Indicates whether an anticoagulant was prescribed during the measurement period. "Y" indicates an anticoagulant was prescribed. "N" indicates an aspirin or antiplatelet was not prescribed. Rule: DEPRECATED ACO Exclusion: Ischemic Vascular Disease: Use of Aspirin or Another Antiplatelet (84124) |
| LastQualifyingSpringInfluenzaVaccineAdministrationDate | DATETIME | Latest date a flu vaccine was administered during the measurement period's Spring influenza season. Rule: ACO QUALIFYING IMM INFLUENZA VACCINE ADMINISTRATION DATE DURING SPRING INFLUENZA SEASON (CER 18720) |
| DeprecatedLastPercutaneousCoronaryInterventionUnreconciledOrderContactSerialNumber | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The contact serial number (CSN) of the patient's most recent unreconciled order for any percutaneous coronary intervention (PCI) not documented in the patient's chart. Rule: DEPRECATED ACO Procedure Last PCI External (82193) |
| FirstHighPhqNineScore | NUMERIC | The score of a patient's first PHQ-9 questionnaire with a score greater than 9 during the identification period. Rule: ACO Depression Remission: First High PHQ-9 Score External (83416) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Depression Remission: First High PHQ-9 Score (19715), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedAcoLabLastLeftVentricularEjectionFractionComponentIdentifier | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The unique ID of the component associated with the patient's most recent left ventricular ejection fraction (LVEF) in the specified time frame. Rule: DEPRECATED ACO Lab Last LVEF (18685) |
| HadVisitDuringFallInfluenzaSeason | VARCHAR | Whether or not a patient has had at least one visit during or acceptably prior to the Fall influenza season. Rule: ACO Had Visit During Fall Influenza Season (CER 83491) |
| LastFrailtyEvidenceEncounterDate | DATETIME | Latest date of an encounter where the patient has exhibited evidence of frailty. Rule: ACO Last Date of Frailty (CER 83494) |
| HadUnreconciledFecalOccultBloodTestInPeriodIndicator | VARCHAR | Indicates whether or not there is an unreconciled fecal occult blood test in the patient's chart. "Y" indicates there is. "N" indicates there is not. Rule: ACO SCREENING HAS PATIENT HAD FOBT EXTERNAL (28996) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO SCREENING HAS PATIENT HAD FOBT (18710), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| ExternalLastDepressionScreeningDate | DATETIME | The date of the most recent unreconciled depression screening not documented in the patient's chart. Rule: ACO Qualifying Depression Date of Last Screening External (83389) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Qualifying Depression Date of Last Screening (18719), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| HadFecalOccultBloodTestInPeriodIndicator | VARCHAR | Whether or not a patient has had a fecal occult blood test in the current measurement period. Rule: ACO SCREENING HAS PATIENT HAD FOBT (CER 18710) |
| DenominatorExclusionFrailtyCategory | INTEGER | The category value of a patient's denominator exclusion. The patient is excluded if they are aged 66 years and older and have evidence of frailty with a medication for dementia or diagnosis of advanced illness. Rule: ACO Exclusion: Has Frailty and Dementia or Advanced Illness External (97678) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule : ACO Exclusion: Has Frailty and Dementia or Advanced Illness (97677), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| HadFlexibleSigmoidoscopyInPeriod | VARCHAR | Whether or not a patient has had a flexible sigmoidoscopy in the current measurement period or in the four years prior. Rule: ACO SCREENING HAS PATIENT HAD FLEXIBLE SIGMOIDOSCOPY (CER 18711) |
| LastQualifyingSmokelessTobaccoUseStatus | INTEGER | The category value of the patient's last qualifying smokeless tobacco use status during the measurement period or the year prior. Rule: ACO History Last Smokeless Tobacco Use Status (19868) |
| DeprecatedBmiScreeningExclusionReasonCategory | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-9. Consider removing the metric from the ACO Registry The category value of a patient's exclusion or exception from "Preventive Care and Screening: BMI Screening and Follow-Up Plan". Rule: DEPRECATED ACO Exclusion: BMI Screening and Follow-Up Plan (18698) |
| DeprecatedPatientCountry | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The category value of the country in which the patient lives. Rule: DEPRECATED ACO Demographics Country (18668) |
| DeprecatedLastExternalLeftVentricularEjectionFractionUnit | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The unit of the patient's most recent unreconciled left ventricular ejection fraction (LVEF) result not documented in the patient's chart. Rule: DEPRECATED ACO Lab Last LVEF External (82194) |
| ExclusionReasonForControllingHighBloodPressureCategory | INTEGER | The category value of a patient's exclusion or exception from "Controlling High Blood Pressure". Rule: ACO EXCLUSION: CONTROLLING HIGH BLOOD PRESSURE (CER 18693) |
| DepressionScreeningExclusionReasonCategory | INTEGER | The category value of a patient's exclusion or exception from "Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan". Rule: ACO Exclusion: Screening for Clinical Depression (CER 18701) |
| DeprecatedLastExternalInpatientAdmissionDate | DATETIME | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The date of the patient's most recent unreconciled inpatient admission not documented in the patient's chart. Rule: DM ENCOUNTER LAST INPATIENT ADMISSION DATE EXTERNAL (82328) |
| DeprecatedLastBetaBlockerExternalDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The start or dispense date of the last unreconciled beta blocker medication order that is not documented in the patient's chart. Rule: DEPRECATED ACO Med Last Current Beta Blocker External (28508) |
| DeprecatedPatientAge | FLOAT | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The patient's age. Rule: DM GENERAL AGE (CER 82005) |
| HasDepressionFollowUpPlan | VARCHAR | Indicates whether the patient has a follow-up plan for depression in the specified time frame. "Y" indicates the patient has a follow-up plan for depression. "N" indicates the patient does not have a follow-up plan for depression. Rule: ACO Has Depression Follow-Up Plan (18683) |
| HadExternalFecalImmunochemicalDnaTest | VARCHAR | Indicates whether there is an unreconciled fecal immunochemical DNA test (FIT-DNA) during the measurement period or the two years prior not documented in the patient's chart. Rule: ACO Screening Has Patient Had Fecal Immunochemical DNA Test External (18759) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Screening Has Patient Had Fecal Immunochemical DNA Test (18725), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| LastUnreconciledSystolicBloodPressureDate | DATETIME | The date of the most recent unreconciled systolic blood pressure not documented in the patient's chart. Rule: ACO Vitals Lowest Systolic BP on Last Reading Date External (18763) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Vitals Lowest Systolic BP on Last Reading Date (18761), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| ColorectalCancerScreeningExclusionCategory | INTEGER | The category value of a patient's exclusion or exception from "Colorectal Cancer Screening" not documented in the patient's chart. Rule: ACO Exclusion: Colorectal Cancer Screening External (83377) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Exclusion: Colorectal Cancer Screening (18696), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedCurrentPrimaryCarePhysicianProviderIdentifier | VARCHAR | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The unique ID of the patient's primary care physician. Rule: DM GENERAL CURRENT PCP (82000) |
| DeprecatedHasLeftVentricularSystolicDysfunctionDiagnosisIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure HF-6. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled diagnosis of left ventricular systolic dysfunction (LVSD) that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: DEPRECATED ACO Diagnosis Does Patient Have LVSD External (28864) |
| DeprecatedCoronaryArteryDiseaseLeftVentricularSystolicDysfunctionIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CAD-7. Consider removing the metric from the ACO Registry Indicates whether the patient has left ventricular systolic dysfunction (LVSD), as defined for CAD measures. Rule: DEPRECATED ACO Diagnosis for CAD Does Patient Have LVSD (19044) |
| LowestUnreconciledSystolicBloodPressureOnLastReadingDate | NUMERIC | The lowest unreconciled systolic blood pressure on the most recent reading date not documented in the patient's chart. Rule: ACO Vitals Lowest Systolic BP on Last Reading Date External (18763) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Vitals Lowest Systolic BP on Last Reading Date (18761), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedWasAngiotensinReceptorBlockerPrescribedIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CAD-7. Consider removing the metric from the ACO Registry Indicates whether an angiotensin II receptor blocker (ARB) was prescribed during the measurement period. "Y" indicates an ARB was prescribed. "N" indicates an ARB was not prescribed. Rule: DEPRECATED ACO Med Prescribed Angiotensin II Receptor Blockers (18649) |
| DeprecatedLastCalculatedLdlComponentIdentifier | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The unique ID of the component associated with the patient's most recent calculated low-density lipoprotein (LDL) lab in the specified time frame. Rule: DEPRECATED ACO Lab Last Calculated LDL (18647) |
| DeprecatedLastLeftVentricularEjectionFractionUnit | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The unit of the patient's most recent left ventricular ejection fraction (LVEF) in the specified time frame. Rule: DEPRECATED ACO Lab Last LVEF (18685) |
| UnreconciledExternalDiabetesDiagnosisIndicator | VARCHAR | Indicates whether there is an unreconciled diagnosis of diabetes that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: ACO DIAGNOSIS DOES PATIENT HAVE DIABETES EXTERNAL (28861) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO DIAGNOSIS DOES PATIENT HAVE DIABETES (18641), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedCoronaryArteryBypassGraftSurgeryInPreviousPeriodIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure IVD-2. Consider removing the metric from the ACO Registry Whether or not any coronary artery bypass graft (CABG) surgery in the given grouper was performed in the year prior to the measurement period. Rule: DEPRECATED ACO Qualifying Surgery of CABG (18714) |
| PrescribedStatinMedicationIndicator | VARCHAR | Indicates whether a statin medication was prescribed during the measurement period. "Y" indicates a statin medication was prescribed. "N" indicates a statin medication was not prescribed. Rule: ACO Med Prescribed Statins (CER 18651) |
| DeprecatedLastDepressionScreeningValue | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The patient's most recent depression screening value in the specified time frame. Rule: DEPRECATED ACO Flowsheet Depression (18658) |
| DeprecatedHasCoronaryArteryDiseaseDiagnosis | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CAD-7. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled diagnosis of coronary artery disease (CAD) that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: DEPRECATED ACO Diagnosis Does Patient Have Coronary Artery Disease External (28860) |
| DeprecatedLastAspirinOrderDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The ordering date of the last medication order for any aspirin medication which is also on the patient's current medication list in the specified time frame. Rule: DEPRECATED ACO Med Last Current Aspirin (18663) |
| DeprecatedLastAspirinOrderDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The start or dispense date of the last unreconciled aspirin medication order that is not documented in the patient's chart. Rule: DEPRECATED ACO Med Last Current Aspirin External (28507) |
| DeprecatedLastLipoproteinForCardiovascularDiseasePreventionDateTime | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date of the patient's most recent unreconciled low-density lipoprotein (LDL) result for the "Preventive Care and Screening: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease" (PREV-13) quality measure. Rule: ACO Lab Last LDL for Prev-13 External (83163) |
| DeprecatedLastBreastCancerScreeningDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date as per the prioritized instant of the patient's most recent breast cancer screening in the specified time frame. Rule: DEPRECATED ACO Procedure Last Breast Cancer Screening (18661) |
| DepressionRemissionTwelveMonthExclusionReasonCategory | INTEGER | The category value of the most recent, unreconciled exclusion or exception from "Depression Remission at Twelve Months" not documented in the patient's chart. Rule: ACO Exclusion: Depression Remission at 12 Months External (83320) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Exclusion: Depression Remission at 12 Months (18694), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| LastHemoglobinA1cValue | VARCHAR | The value of the last hemoglobin A1c (HbA1c) in the specified time frame. Rule: ACO LAB LAST HEMOGLOBIN A1C (CER 18646) |
| PatientHadDysthymiaDuringIdentificationPeriod | VARCHAR | Whether or not the patient had dysthymia during the identification period. Rule: ACO Depression Remission: Patient Had Dysthymia (CER 19341) |
| HadUnreconciledFlexibleSigmoidoscopyDuringPeriodIndicator | VARCHAR | Indicates whether there is an unreconciled flexible sigmoidoscopy that is not documented in the patient's surgical history. "Y" indicates there is. "N" indicates there is not. Rule: ACO SCREENING HAS PATIENT HAD FLEXIBLE SIGMOIDOSCOPY EXTERNAL (28997) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO SCREENING HAS PATIENT HAD FLEXIBLE SIGMOIDOSCOPY (18711), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedEmergencyDepartmentVisitCount | NUMERIC | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The number of emergency department (ED) visits for a patient in the specified time frame. Rule: DM ENCOUNTER NUMBER OF ED VISITS (82040) |
| LastExternalSmokingTobaccoUseStatusCategory | INTEGER | The unreconciled category value of the patient's last recorded smoking tobacco use status during the measurement period or the year prior not documented in the patient's chart. Rule: ACO History Last Smoking Tobacco Use Status External (19885) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO History Last Smoking Tobacco Use Status (19863), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedLastLeftVentricularEjectionFractionNumericValue | FLOAT | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The most recent unreconciled left ventricular ejection fraction (LVEF) result not documented in the patient's chart. Only numeric lab values are stored in this column. Non-numeric lab values entered are shown as null. If the data is an inequality sign followed by a number, then an estimate value is returned instead. If the inequality is > or >=, then the number plus 10% is returned (e.g. ">10" becomes "11"). If the inequality is < or <=, then the number minus 10% is returned (e.g. "<10" becomes "9"). Other non-numeric data is not returned. |
| DeprecatedLastLeftVentricularEjectionFractionNumericValue | FLOAT | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The patient's most recent left ventricular ejection fraction (LVEF) value. Only numeric lab values are stored in this column. Non-numeric lab values entered are displayed as null, and can be found in LVEF_LAST. If the data is an inequality sign followed by a number, then an estimate value is returned instead. If the inequality is > or >=, then the number plus 10% is returned (e.g. “>10” becomes “11”). If the inequality is < or <=, then the number minus 10% is returned (e.g. “<10” becomes “9”). Other non-numeric data is not returned. |
| ExternalDataFirstUnreconciledPhq9Score | NUMERIC | The score of a patient's first unreconciled PHQ-9 questionnaire during the identification period not documented in the patient's chart. Rule: ACO Depression Remission: First PHQ-9 Score External (19879) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Depression Remission: First PHQ-9 Score (19874), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedIsOnAngiotensinReceptorBlockerIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CAD-7. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled angiotensin II receptor blocker (ARB) that is not documented in the patient's medication list. "Y" indicates such a medication exists. "N" indicates such a medication does not exist. Rule: DEPRECATED ACO Med Prescribed Angiotensin II Receptor Blockers External (28501) |
| DeprecatedHadAcuteMyocardialInfarctionInPreviousPeriodIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure IVD-2. Consider removing the metric from the ACO Registry Whether or not a patient had acute myocardial infarction diagnosed in the year prior to this measurement period. Rule: DEPRECATED ACO Qualifying Diagnosis of AMI (18713) |
| LastBreastCancerScreeningServiceDate | DATETIME | The date of the patient's most recent breast cancer screening in the specified time frame. Rule: ACO PROCEDURE LAST BREAST CANCER SCREENING DATE EXTERNAL (CER 19178) This rule isn’t viewable in the rule editor. Its logic is based on the internal rule ACO PROCEDURE LAST BREAST CANCER SCREENING DATE (19177), but this rule only references source document received (DXR) record data. You can find more information about using external data on Galaxy. |
| DeprecatedLastUnreconciledInfluenzaVaccineAdministrationDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date of the most recent unreconciled influenza vaccine administration that is not documented in the patient's chart. Rule: DEPRECATED ACO Imm Influenza Vaccine Administration Date External (28504) |
| IsExcludedFrailtyExternalDataSource | VARCHAR | Indicates if a patient has evidence of frailty during the measurement year. Rule: ACO Exclusion: Has Evidence of Frailty External (97679) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Exclusion: Has Evidence of Frailty (97676), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedAccountableCareOrganizationBloodPressureFollowUpSecondHypertensiveIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-11. Consider removing the metric from the ACO Registry Indicates whether the patient had a follow-up for a second hypertensive blood pressure reading not documented in the patient's chart. Rule: DEPRECATED ACO BP Has Follow-Up Plan Second Hypertensive External (83385) |
| LastQualifyingSmokelessTobaccoStatusDate | DATETIME | The date of the patient's last qualifying smokeless tobacco use status during the measurement period or the year prior. Rule: ACO History Last Smokeless Tobacco Use Status (19868) |
| DeprecatedExclusionTobaccoScreeningCategory | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The category value of a patient's exclusion or exception from "Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention". Rule: DEPRECATED ACO Exclusion: Tobacco Screening and Cessation Intervention (CER 18699) |
| DeprecatedFallRiskScreeningExclusionCategoryCode | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The category value of the most recent, unreconciled exclusion from "Falls: Screening for Future Fall Risk" not documented in the patient's chart. Rule: ACO Exclusion: Falls: Screening for Future Fall Risk External (83318) |
| DeprecatedLastLipidProfileDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date the last lipid profile was performed in the specified time frame. Rule: DEPRECATED ACO Result Last Lipid Profile Date (18662) |
| HadPositiveDepressionScreeningIndicator | VARCHAR | Whether or not a patient has had a positive depression screening. Rule: ACO DEPRESSION SCREENING IS POSITIVE (CER 18707) |
| DeprecatedAccountableCareLastLeftVentricularEjectionFractionExternalContactSerialNumber | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The contact serial number (CSN) of the patient's most recent unreconciled left ventricular ejection fraction (LVEF) result not documented in the patient's chart. Rule: DEPRECATED ACO Lab Last LVEF External (82194) |
| DeprecatedBmiScreeningElderlyPatientExceptionCategory | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-9. Consider removing the metric from the ACO Registry The category value of a patient's exception from "Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan." Rule: DEPRECATED ACO Exception: BMI Screening and Follow-Up Plan - Elderly Patient (18764) |
| LastHemoglobinA1cComponentIdentifier | NUMERIC | The unique ID of the component associated with the patient's most recent hemoglobin A1c (HbA1c) value in the specified time frame. Rule: ACO LAB LAST HEMOGLOBIN A1C (CER 18646) |
| LastFallInfluenzaVaccineAdministrationDate | DATETIME | Latest date a flu vaccine was administered during the measurement period's Fall influenza season. Rule: ACO Qualifying Imm Influenza Vaccine Administration Date During Fall Influenza Season (CER 83489) |
| DeprecatedLastPatientOutreachEncounterDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date of the last patient outreach encounter in the specified time frame. Rule: DEPRECATED ACO Encounter Last Outreach Encounter Date (18669) |
| DeprecatedCurrentPrimaryFinancialClassCategory | VARCHAR | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The category value of the financial class of the patient's primary payer. Rule: PRIMARY PAYER'S FINANCIAL CLASS (19240) |
| LastQualifyingInfluenzaVaccineAdministrationDateFallSeason | DATETIME | The date of the most recent unreconciled influenza vaccine administration that is not documented in the patient's chart during the measurement period's Fall influenza season. Rule: ACO Qualifying Imm Influenza Vaccine Administration Date During Fall Influenza Season External (83493) This rule isn’t viewable in the rule editor. Its logic is based on the internal rule ACO Qualifying Imm Influenza Vaccine Administration Date During Fall Influenza Season (83489), but this rule only references source document received (DXR) record data. You can find more information about using external data on Galaxy. |
| DeprecatedLastSmokelessTobaccoUseStatusCategory | INTEGER | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The category value of the last unreconciled smokeless tobacco use status not documented in the patient's chart. Rule: DM HISTORY LAST SMOKELESS TOBACCO USE STATUS EXTERNAL (82311) |
| HadVisitDuringSpringInfluenzaSeason | VARCHAR | Whether or not a patient has had at least one visit during or acceptably prior to the Spring influenza season. Rule: ACO HAD VISIT DURING SPRING INFLUENZA SEASON (CER 18706) |
| HadUnreconciledColonoscopyInPeriod | VARCHAR | Indicates whether there is an unreconciled colonoscopy that is not documented in the patient's surgical history. "Y" indicates there is. "N" indicates there is not. Rule: ACO SCREENING HAS PATIENT HAD COLONOSCOPY EXTERNAL (28998) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO SCREENING HAS PATIENT HAD COLONOSCOPY (18712), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedAcoDemographicsPatientStatus | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The category value of the patient's status. Rule: DEPRECATED ACO DEMOGRAPHICS PATIENT STATUS (18666) |
| ExclusionReasonSpecialNeedsPlanCategory | INTEGER | The category value of a patient's denominator exclusion if they are aged 66 years and older and in an institutional special needs plan or residing in long-term care. Rule: ACO Exclusion: Institutional Special Needs Plan or Residing in Long-Term Care (19654) |
| LastEncounterOrReportingYearEndDate | DATETIME | The date of the patient's last encounter in the reporting year. If they have not had an encounter, it will return the last day of the reporting year. Rule: ACO Last Encounter Date or Last Day of Reporting Year (83486) |
| DeprecatedExclusionCoronaryArteryDiseaseAceOrArbTherapy | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CAD-7. Consider removing the metric from the ACO Registry The category value of a patient's exclusion or exception from "Coronary Artery Disease: ACE or ARB Therapy - Diabetes or LVSD". Rule: DEPRECATED ACO Exclusion: CAD: ACE or ARB Therapy - Diabetes or LVSD (18691) |
| DeprecatedLastNegativeRetinalExamDateYearPrior | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure DM-7. Consider removing the metric from the ACO Registry The date of the patient's most recent retinal exam with a negative result (no evidence of retinopathy) performed by an eye care professional during the year prior to the current measurement period. Rule: DEPRECATED ACO Negative Retinal Exam in Year Prior to Measurement Period Date External (19578) |
| DeprecatedHasUnreconciledPolycysticOvariesDiagnosisIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled diagnosis of polycystic ovaries that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: DEPRECATED ACO Diagnosis Does Patient Have Polycystic Ovaries External (28865) |
| LastCtColonographyIndicator | VARCHAR | Indicates whether there is an unreconciled computed tomography (CT) colonography during the measurement period or the four years prior not documented in the patient's chart. Rule: ACO Screening Has Patient Had CT Colonography External (18758) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Screening Has Patient Had CT Colonography (18724), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| LastUnreconciledExternalHemoglobinA1cProcedureOrderContactSerialNumber | NUMERIC | The contact serial number (CSN) of the procedure order associated with the patient's most recent unreconciled hemoglobin A1c (HbA1C) result not documented in the patient's chart. Rule: ACO LAB LAST HEMOGLOBIN A1C EXTERNAL (82183) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO LAB LAST HEMOGLOBIN A1C (18646), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedLastOfficeVisitDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-9. Consider removing the metric from the ACO Registry The date of the last office visit during the current reporting period. Rule: DEPRECATED ACO Encounter Last Office Visit Date External (82133) |
| DeprecatedLastOfficeVisitDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-9. Consider removing the metric from the ACO Registry The date of the last office visit during the current reporting period. Rule: DEPRECATED ACO Encounter Last Office Visit Date (83370) |
| DeprecatedLastNegativeRetinalExamPriorYearDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure DM-7. Consider removing the metric from the ACO Registry The date of the patient's most recent retinal exam with a negative result (no evidence of retinopathy) performed by an eye care professional during the year prior to the current measurement period. Rule: DEPRECATED ACO Negative Retinal Exam in Year Prior to Measurement Period Date (19720) |
| DeprecatedLastCalculatedLowDensityLipoproteinDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date as per the prioritized instant of the patient's most recent calculated low-density lipoprotein (LDL) lab in the specified time frame. Rule: DEPRECATED ACO Lab Last Calculated LDL (18647) |
| DeprecatedLastLeftVentricularEjectionFractionDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date of the patient's most recent unreconciled left ventricular ejection fraction (LVEF) result not documented in the patient's chart. Rule: DEPRECATED ACO Lab Last LVEF External (82194) |
| LastDepressionScreeningDate | DATETIME | The date of a patient's last depression screening in the current measurement period. Rule: ACO QUALIFYING DEPRESSION DATE OF LAST SCREENING (CER 18719) |
| DeprecatedLastPreventiveStatinTherapyLowDensityLipoproteinValue | FLOAT | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The value of the patient's most recent low-density lipoprotein (LDL) lab result for the "Preventive Care and Screening: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease" (PREV-13) quality measure. Only numeric lab values are stored in this column. Non-numeric lab values entered are displayed as null, and can be found in LDL_LAST_FOR_PREV13_STR. |
| LastHemoglobinA1cUnit | VARCHAR | The unit of the patient's most recent hemoglobin A1c (HbA1c) in the specified time frame. Rule: ACO LAB LAST HEMOGLOBIN A1C (CER 18646) |
| LastSystolicBloodPressureDate | DATETIME | The date of the patient's most recent systolic blood pressure reading during the measurement period. Rule: ACO Vitals Lowest Systolic BP on Last Reading Date (18761) |
| LastHemoglobinA1cNumericValue | FLOAT | The patient's most recent hemoglobin A1C (HbA1C) value. Only numeric lab values are stored in this column. Non-numeric lab values entered are displayed as null, and can be found in HBA1C_LAST. If the data is an inequality sign followed by a number, then an estimate value is returned instead. If the inequality is > or >=, then the number plus 10% is returned (e.g. “>10” becomes “11”). If the inequality is < or <=, then the number minus 10% is returned (e.g. “<10” becomes “9”). Other non-numeric data is not returned. Rule: ACO LAB LAST HEMOGLOBIN A1C (CER 18646) |
| DeprecatedColorectalCancerScreeningHomeMetricOverdueStatus | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The category value of the patient's colorectal cancer screening status indicating whether the patient is overdue for colorectal cancer screening. 11 - Yes, overdue 12 - No, not overdue |
| StatinTherapyExceptionCategoryValue | INTEGER | The unreconciled category value of a patient's exception from "Preventive Care and Screening: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease" not documented in the patient's chart. Rule: ACO Exception: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease External (84937) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Exception: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (84934), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedInfluenzaVaccineAdministrationDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date the patient's most recent influenza vaccine was administered in the specified time frame. Rule: DEPRECATED ACO Imm Influenza Vaccine Administration Date (18654) |
| ExclusionReasonNotQualifiedForSampleCategory | INTEGER | The category value of a patient's reason for not qualifying for CMS sampling. Rule: ACO Exclusion: Patient Not Qualified For Sample External (84901) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Exclusion: Patient Not Qualified For Sample (18688), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| HasDiabetesForStatinTherapyMeasureIndicator | VARCHAR | Whether or not the patient has diabetes for the "Preventive Care and Screening: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease" (PREV-13) quality measure. Rule: ACO Diagnosis Does Patient Have Diabetes For Prev-13 (CER 18737) |
| DeprecatedIsOnAspirinOrAntiplateletTherapyIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure IVD-2. Consider removing the metric from the ACO Registry Indicates whether an aspirin or antiplatelet was prescribed during the measurement period. "Y" indicates an aspirin or antiplatelet was prescribed. "N" indicates an aspirin or antiplatelet was not prescribed. Rule: DEPRECATED ACO Med Prescribed Aspirin or Another Antiplatelet External (19849) |
| DeprecatedLastRecordedWeightDate | DATETIME | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The date the patient's most recent weight was recorded. Rule: DM VITALS LAST WEIGHT (CER 82100) |
| DeprecatedLastUnreconciledCalculatedLowDensityLipoproteinUnit | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The unit of the patient's most recent unreconciled calculated low-density lipoprotein (LDL) result not documented in the patient's chart. Rule: DEPRECATED ACO Lab Last Calculated LDL External (82184) |
| DeprecatedPrescribedAntithromboticIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether an antithrombotic medication was prescribed during the measurement period. "Y" indicates an antithrombotic medication was prescribed. "N" indicates an antithrombotic medication was not prescribed. Rule: DEPRECATED ACO Med Prescribed Antithrombotic (18678) |
| DeprecatedExclusionReasonCoronaryArteryDiseaseAceOrArbTherapy | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CAD-7. Consider removing the metric from the ACO Registry The category value of a patient's exclusion or exception from "Coronary Artery Disease: ACE or ARB Therapy - Diabetes or LVSD" not documented in the patient's chart. Rule: DEPRECATED ACO Exclusion: CAD: ACE or ARB Therapy - Diabetes or LVSD External (83371) |
| RegistryDataRecordIdentifier | NUMERIC | The unique identifier (.1 item) for the registry data record. |
| DeprecatedLastPneumoniaVaccineAdministrationDate</table>_Ext_Is_Deprecated_Last_Pneumonia_Vaccine_Administration_Date_111.csv' | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-8. Consider removing the metric from the ACO Registry The date of the most recent unreconciled pneumonia vaccine administration that is not documented in the patient's chart. Rule: DEPRECATED ACO Imm Pneumonia Vaccine Administration Date External (28505) |
| ColorectalCancerScreeningExclusionReasonCategory | INTEGER | The category value of a patient's exclusion or exception from "Colorectal Cancer Screening". Rule: ACO EXCLUSION: COLORECTAL CANCER SCREENING (CER 18696) |
| DeprecatedPatientHasEverHadIschemicVascularDiseaseIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled diagnosis of ischemic vascular disease (IVD) that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: DEPRECATED ACO Diagnosis Has Patient Had IVD Ever External (28863) |
| DeprecatedLastCalculatedLowDensityLipoproteinNumericResult | FLOAT | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The patient's most recent unreconciled calculated low-density lipoprotein (LDL) result not documented in the patient's chart. Only numeric lab values are stored in this column. Non-numeric lab values entered are shown as null. If the data is an inequality sign followed by a number, then an estimate value is returned instead. If the inequality is > or >=, then the number plus 10% is returned (e.g. ">10" becomes "11"). If the inequality is < or <=, then the number minus 10% is returned (e.g. "<10" becomes "9"). Other non-numeric data is not returned. |
| FirstPatientHealthQuestionnaire9Score | NUMERIC | The score of a patient's first PHQ-9 questionnaire during the identification period. Rule: ACO Depression Remission: First PHQ-9 Score (CER 19874) |
| HighestEverLdlResult | FLOAT | The value of the patient's highest-ever LDL lab result in mg/dL. Rule: ACO Lab LDL - Highest Ever (CER 18728) |
| HadMajorDepressionInIdentificationPeriodIndicator | VARCHAR | Whether or not the patient had major depression during the identification period. Rule: ACO Depression Remission: Patient Had Major Depression (CER 19339) |
| DeprecatedNumberOfHospitalAdmissions | NUMERIC | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The number of times a patient was admitted to the hospital in the specified time frame. Rule: DM ENCOUNTER NUMBER OF HOSPITAL ADMISSIONS (82031) |
| DeprecatedDepressionQuestionnaireIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether the patient has had a Questionnaire Series for depression. "Y" indicates the patient has had a Questionnaire Series for depression. "N" indicates the patient has not had a Questionnaire Series for depression. Rule: DEPRECATED ACO Questionnaire Depression (18659) |
| HighestEverLowDensityLipoproteinUnreconciled | FLOAT | The patient's highest unreconciled LDL result ever not documented in the patient's chart. Rule: ACO Lab LDL - Highest Ever External (82197) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Lab LDL - Highest Ever (18728), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| InfluenzaImmunizationExclusionCategory | INTEGER | The category value of a patient's exclusion or exception from "Preventive Care and Screening: Influenza Immunization". Rule: ACO EXCLUSION: SPRING INFLUENZA IMMUNIZATION (CER 18697) |
| FirstHighPhqNineScoreDate | DATETIME | The date of a patient's first PHQ-9 questionnaire with a score greater than 9 during the identification period. Rule: ACO Depression Remission: First High PHQ-9 Score Date External (83417) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Depression Remission: First High PHQ-9 Score Date (19716), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| ExclusionReasonForDepressionScreeningPriorToLastScreening | INTEGER | The category value of a patient's exclusion from "Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan" if the patient met the exclusion criteria prior to the latest depression screening. Rule: ACO Exclusion: Qualifying Diagnosis Before the Latest Depression Screen (18750) |
| ReceivedTobaccoCessationCounseling | INTEGER | Indicates whether or not the patient has received tobacco cessation intervention during the measurement year or the year prior. 1 - Yes 2 - No Rule: ACO History Had Tobacco Cessation Intervention (18657) |
| DeprecatedLastOutreachEncounterDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date of the most recent unreconciled outreach encounter not documented in the patient's chart. Rule: DEPRECATED ACO Encounter Last Outreach Encounter Date External (82191) |
| DeprecatedHighestLdlInLastThreeYears | FLOAT | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The value of the patient's highest LDL lab result in the measurement period and two years prior, in mg/dL. Rule: DEPRECATED ACO Lab LDL - Highest In Last Three Years (CER 18729) |
| BreastCancerScreeningExclusionCategory | INTEGER | The category value of a patient's exclusion or exception from "Breast Cancer Screening". Rule: ACO Exclusion: Breast Cancer Screening (18695) |
| DeprecatedHadFirstHypertensiveBloodPressureFollowUp | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-11. Consider removing the metric from the ACO Registry Whether or not the patient had follow-up for a first hypertensive blood pressure reading. Rule: DEPRECATED ACO BP Has Follow-Up Plan First Hypertensive (18746) |
| DeprecatedIsOnAspirinMedicationFlag | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled aspirin medication that is not documented in the patient's medication list. "Y" indicates such a medication exists. "N" indicates such a medication does not exist. Rule: DEPRECATED ACO Med Prescribed Aspirin External (28502) |
| HadUnreconciledVisitDuringSpringInfluenzaSeasonIndicator | VARCHAR | Indicates whether or not a patient has had at least one unreconciled visit during or acceptably prior to the Spring influenza season. "Y" indicates they have. "N" indicates they have not. Rule: ACO HAD VISIT DURING INFLUENZA SEASON EXTERNAL (28994) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO HAD VISIT DURING SPRING INFLUENZA SEASON (18706), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedPreviousAcuteMyocardialInfarctionDiagnosisIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure IVD-2. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled diagnosis of acute myocardial infarction that is not documented in the patient's chart in the year prior to the measurement period. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: DEPRECATED ACO Qualifying Diagnosis of AMI External (28871) |
| DeprecatedHasCoronaryArteryDiseaseIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CAD-7. Consider removing the metric from the ACO Registry Indicates whether the patient has coronary artery disease (CAD). Rule: DEPRECATED ACO Diagnosis Does Patient Have Coronary Artery Disease (18640) |
| DeprecatedLastCalculatedLowDensityLipoproteinResult | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The patient's most recent unreconciled calculated low-density lipoprotein (LDL) result not documented in the patient's chart. Rule: DEPRECATED ACO Lab Last Calculated LDL External (82184) |
| DeprecatedExternalPregnancyDiagnosisIndicator | VARCHAR | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry Indicates whether a patient was documented as pregnant according to an external source. Rule: DM DIAGNOSIS IS PATIENT PREGNANT EXTERNAL (83116) |
| RegistryDataRecordIdentifier | NUMERIC | The unique identifier (.1 item) for the registry data record. |
| DeprecatedLastCalculatedLowDensityLipoprotein | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The patient's most recent calculated low-density lipoprotein (LDL) value in the specified time frame. Rule: DEPRECATED ACO Lab Last Calculated LDL (18647) |
| LastHemoglobinA1cOrderDate | DATETIME | The date the last hemoglobin A1c (HbA1c) order was placed in the specified time frame. Rule: ACO LAB LAST HEMOGLOBIN A1C (CER 18646) |
| DeprecatedLastCalculatedLdlOrderId | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The unique ID of the procedure order associated with the patient's most recent calculated low-density lipoprotein (LDL) lab in the specified time frame. Rule: DEPRECATED ACO Lab Last Calculated LDL (18647) |
| LastDepressionRemissionPhq9Score | NUMERIC | The score of a patient's last unreconciled PHQ-9 questionnaire recorded 12 months (+/- 30 days) after the patient scored higher than 9 on the PHQ-9. Rule: ACO Depression Remission: Last PHQ-9 During Remission Period External (83395) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Depression Remission: Last PHQ-9 During Remission Period (83391), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| MeasurementPeriodEndDate | DATETIME | The date of the last day of the current measurement period. Rule: ACO Last Day of Measurement Period (CER 82132) |
| LastUnreconciledDiastolicBloodPressureValue | NUMERIC | The lowest unreconciled diastolic blood pressure on the most recent reading date not documented in the patient's chart. Rule: ACO Vitals Lowest Diastolic BP on Last Reading Date External (18762) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Vitals Lowest Diastolic BP on Last Reading Date (18760), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| LastUnreconciledExternalHemoglobinA1cDate | DATETIME | The date of the most recent unreconciled hemoglobin A1c (HbA1C) result not documented in the patient's chart. Rule: ACO LAB LAST HEMOGLOBIN A1C EXTERNAL (82183) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO LAB LAST HEMOGLOBIN A1C (18646), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| LastExternalHemoglobinA1cNumericValue | FLOAT | The patient's most recent unreconciled hemoglobin A1C (HbA1C) result not documented in the patient's chart. Only numeric lab values are stored in this column. Non-numeric lab values entered are shown as null. If the data is an inequality sign followed by a number, then an estimate value is returned instead. If the inequality is > or >=, then the number plus 10% is returned (e.g. ">10" becomes "11"). If the inequality is < or <=, then the number minus 10% is returned (e.g. "<10" becomes "9"). Other non-numeric data is not returned. Rule: ACO LAB LAST HEMOGLOBIN A1C EXTERNAL (82183) |
| LastUnreconciledHemoglobinA1cComponentIdentifier | NUMERIC | The unique ID of the component associated with the patient's most recent unreconciled hemoglobin A1c (HbA1C) result not documented in the patient's chart. Rule: ACO LAB LAST HEMOGLOBIN A1C EXTERNAL (82183) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO LAB LAST HEMOGLOBIN A1C (18646), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedColorectalCancerScreeningHomeOverdueExternalSource | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates that the patient is considered overdue for a colorectal cancer screening by an external source. Rule: DEPRECATED ACO Result Is Overdue for Colorectal Cancer Screening External (82189) |
| DeprecatedHasSteroidInducedDiabetesIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether the patient has steroid induced diabetes. Rule: DEPRECATED ACO Diagnosis Does Patient Have Steroid Induced Diabetes (18673) |
| HospiceAdmissionDate | DATETIME | The date the patient was admitted to hospice or began receiving palliative care. Rule: ACO Hospice Admission Date (19867) |
| DeprecatedLastUnreconciledOfficeVisitProvider | VARCHAR | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The unique ID of the visit provider for the patient's last unreconciled office visit not documented in the patient's chart. Rule: DM ENCOUNTER LAST VISIT PROVIDER EXTERNAL (82329) |
| PhysicalOwnerInstanceIdentifier | VARCHAR | The Community ID (CID) of the instance that owns this record or line. This is only populated if you use IntraConnect. |
| DeprecatedExclusionForPreventiveCareCardiovascularDiseaseStatinTherapy | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry EXCL_STATIN_THERAPY_C and EXCEPT_STATIN_THERAPY_C should be used in place of this column. The category value of a patient's exclusion or exception from "Preventive Care and Screening: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease" not documented in the patient's chart. |
| DeprecatedLastLeftVentricularEjectionFractionDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date as per the prioritized instant of the patient's most recent left ventricular ejection fraction (LVEF) in the specified time frame. Rule: DEPRECATED ACO Lab Last LVEF (18685) |
| LastQualifyingVapingUseStatus | INTEGER | The value of the patient's last qualifying vaping use status during the measurement period. It will be null if the FS vaping section is not used. Rule: ACO History Last Vaping Use Status (83585) |
| DeprecatedBmiFollowUpPlanIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-9. Consider removing the metric from the ACO Registry Indicates whether the patient has an unreconciled BMI follow-up plan not documented in the patient's chart. Rule: DEPRECATED ACO BMI Has Follow-Up Plan External (83286) |
| DeprecatedWasBetaBlockerPrescribedInMeasurementPeriodIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure HF-6. Consider removing the metric from the ACO Registry Indicates whether a beta blocker was prescribed during the measurement period. "Y" indicates a beta blocker was prescribed. "N" indicates a beta blocker was not prescribed. Rule: DEPRECATED ACO Med Prescribed Beta Blockers (18665) |
| DeprecatedHasAcuteMyocardialInfarctionEver | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled diagnosis of acute myocardial infarction (AMI) that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: DEPRECATED ACO Diagnosis Has Patient Had AMI Ever External (28869) |
| DeprecatedSecondHypertensiveBloodPressureFollowUpStatus | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-11. Consider removing the metric from the ACO Registry Whether or not the patient had follow-up for a second hypertensive blood pressure reading. Rule: DEPRECATED ACO BP Has Follow-Up Plan Second Hypertensive (18747) |
| DeprecatedLastLdlForPreventiveStatinTherapyMeasureString | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The value of the patient's most recent low-density lipoprotein (LDL) lab result for the "Preventive Care and Screening: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease" (PREV-13) quality measure. Rule: DEPRECATED ACO Lab Last LDL For Prev-13 (CER 97000) |
| DeprecatedHasPersonalityDisorderIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Whether or not the patient has a personality disorder. Rule: DEPRECATED ACO Diagnosis Does Patient Have Personality Disorder (19713) |
| DeprecatedLastUnreconciledLowDensityLipoproteinResultForRegistryMetric | FLOAT | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The patient's most recent unreconciled low-density lipoprotein (LDL) result not documented in the patient's chart. Only numeric lab values are stored in this column. Non-numeric lab values entered are displayed as null, and can be found in LDL_LAST_FOR_PREV13_STR. |
| DeprecatedHasMajorDepressionIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Whether or not the patient has major depression. Rule: DEPRECATED ACO Diagnosis Does Patient Have Major Depression (19711) |
| DeprecatedIsDiagnosedPregnantIndicator | VARCHAR | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry Indicates whether a patient was diagnosed as pregnant. "Y" indicates the patient has been diagnosed as pregnant. "N" indicates the patient has not been diagnosed as pregnant. Rule: DM DIAGNOSIS IS PATIENT PREGNANT (82475) |
| DeprecatedBloodPressureClassificationForPrev11 | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-11. Consider removing the metric from the ACO Registry The patient's blood pressure classification for quality measure PREV-11 "Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented". Rule: DEPRECATED ACO Vitals BP Classification (18742) |
| LastPatientHealthQuestionnaireNineRemissionScore | NUMERIC | The score of a patient's last PHQ-9 questionnaire recorded 12 months (+/- 30 days) after the patient scored higher than 9 on the PHQ-9. Rule: ACO Depression Remission: Last PHQ-9 During Remission Period (83391) |
| DenominatorExclusionFrailtyCategory | INTEGER | The category value of a patient's denominator exclusion. The patient is excluded if they are aged 66 years and older and have evidence of frailty with a medication for dementia or diagnosis of advanced illness. Rule: ACO Exclusion: Has Frailty and Dementia or Advanced Illness (97677) |
| DeprecatedLastPercutaneousCoronaryInterventionOrderIdentifier | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The unique ID of the last procedure order for any percutaneous coronary intervention (PCI) in the specified time frame. Rule: DEPRECATED ACO Procedure Last PCI (18679) |
| DeprecatedCurrentPrimaryBenefitPlanIdentifier | NUMERIC | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The unique ID of the patient's primary benefit plan. Rule: PRIMARY BENEFIT PLAN (19239) |
| DeprecatedIschemicVascularDiseaseIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure IVD-2. Consider removing the metric from the ACO Registry Indicates whether the patient had an active diagnosis of ischemic vascular disease (IVD) during the reporting period. Rule: DEPRECATED ACO Diagnosis Does Patient Have Ischemic Vascular Disease (IVD) (19165) |
| PatientHasDiabetesIndicator | VARCHAR | Indicates whether the patient has diabetes. Rule: ACO DIAGNOSIS DOES PATIENT HAVE DIABETES (CER 18641) |
| DeprecatedHasPersonalityDisorderDiagnosisIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled diagnosis of personality disorder that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: DEPRECATED ACO DIAGNOSIS DOES PATIENT HAVE PERSONALITY DISORDER EXTERNAL (19147) |
| DeprecatedHasLeftVentricularSystolicDysfunctionFlag | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure HF-6. Consider removing the metric from the ACO Registry Indicates whether the patient has left ventricular systolic dysfunction (LVSD). Rule: DEPRECATED ACO Diagnosis Does Patient Have LVSD (18644) |
| DeprecatedLastBodyMassIndexDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-9. Consider removing the metric from the ACO Registry The date of the patient's most recent unreconciled body mass index (BMI) not documented in the patient's chart. Rule: DEPRECATED ACO Vitals Last BMI External (82187) |
| DeprecatedExclusionTobaccoScreeningLimitedLifeExpectancyReasonCode | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The category value of a patient's exception from "Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention" for having a limited life expectancy. Rule: DEPRECATED ACO Exclusion: Tobacco Screening and Cessation Intervention: Limited Life Expectancy External (83670) |
| DeprecatedLastBetaBlockerUnreconciledOrderContactSerialNumber | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The contact serial number (CSN) ID of the last unreconciled beta blocker order that is not documented in the patient's chart. Rule: DEPRECATED ACO Med Last Current Beta Blocker External (28508) |
| AcoHospiceAdmissionDate | DATETIME | The unreconciled date that the patient was admitted to hospice or began receiving palliative care. Rule: ACO Hospice Admission Date External (84902) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Hospice Admission Date (19867), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| HadAnaphylaxisFromVaccineIndicator | VARCHAR | Whether or not the patient has ever had anaphylaxis due to the vaccine. Rule: ACO Had Anaphylaxis Due To Vaccine (16230) |
| InfluenzaImmunizationFallExclusionReasonCode | INTEGER | The category value of a patient's exclusion or exception from "Preventive Care and Screening: Influenza Immunization" not documented in the patient's chart. Rule: ACO Exclusion: Fall Influenza Immunization External (98130) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Exclusion: Fall Influenza Immunization (16899), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedExclusionHeartFailureBetaBlockerTherapyForLvsdReasonCode | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure HF-6. Consider removing the metric from the ACO Registry The category value of a patient's exclusion or exception from "Heart Failure: Beta Blocker Therapy for LVSD". Rule: DEPRECATED ACO Exclusion: Heart Failure: Beta Blocker Therapy for LVSD (18692) |
| DeprecatedHasCoronaryArteryDiseaseFollowUpPlanIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether the patient has a follow-up plan for CAD in the specified time frame. "Y" indicates the patient has a follow-up plan for CAD. "N" indicates the patient does not have a follow-up plan for CAD. Rule: DEPRECATED ACO SDE CAD Follow-Up Plan (18686) |
| DeprecatedLastOfficeVisitDate | DATETIME | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The date of the last office visit in the specified time frame. Rule: DM ENCOUNTER LAST OFFICE VISIT DATE (82027) |
| DeprecatedNumberOfNonEmergencyEncounters | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CARE-3. Consider removing the metric from the ACO Registry The number of encounters a patient has had in the specified time period which were eligible to have medications reviewed by the provider. Rule: DEPRECATED ACO Encounter Number of Non-Emergency Visits (CER 19709) |
| DeprecatedLastLeftVentricularEjectionFractionValue | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The patient's most recent left ventricular ejection fraction (LVEF) value in the specified time frame. Rule: DEPRECATED ACO Lab Last LVEF (18685) |
| LastHemoglobinA1cOrderIdentifier | NUMERIC | The unique ID of the last hemoglobin A1c (HbA1c) order in the specified time frame. Rule: ACO LAB LAST HEMOGLOBIN A1C (CER 18646) |
| DeprecatedLastBodyMassIndex</blockquote> | FLOAT | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-9. Consider removing the metric from the ACO Registry The patient's most recent unreconciled body mass index (BMI) not documented in the patient's chart. Rule: DEPRECATED ACO Vitals Last BMI External (82187) |
| DeprecatedExclusionIschemicVascularDiseaseAnticoagulantPrescribedIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure IVD-2. Consider removing the metric from the ACO Registry Indicates whether an anticoagulant was prescribed during the measurement period. "Y" indicates an anticoagulant was prescribed. "N" indicates an aspirin or antiplatelet was not prescribed. Rule: DEPRECATED ACO Exclusion: Ischemic Vascular Disease: Use of Aspirin or Another Antiplatelet External (19627) |
| DeprecatedPatientHadCoronaryArteryBypassGraftSurgeryIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether a patient has ever had a coronary artery bypass surgery (CABG). "Y" indicates the patient has had a CABG. "N" indicates the patient has not had a CABG. Rule: DEPRECATED ACO History Has Patient Had CABG (18677) |
| DeprecatedQualifyingPercutaneousCoronaryInterventionProcedureDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure IVD-2. Consider removing the metric from the ACO Registry The date of the most recent unreconciled percutaneous coronary intervention that is not documented in the patient's chart in the year prior to the measurement period. Rule: DEPRECATED ACO Qualifying Procedure PCI External (28856) |
| DeprecatedCurrentPrimaryPayerIdentifier | NUMERIC | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The unique ID of the patient's primary payer. Rule: PRIMARY PAYER (19238) |
| DeprecatedLowPhqNineScoreTwelveMonthsAfterHighScore | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The score of a patient's PHQ-9 questionnaire. This score must be lower than 5 and recorded 12 months (+/- 30 days) after the patient scored higher than 9 on the PHQ-9. Rule: DEPRECATED ACO Depression Remission: Low PHQ-9 Score 12 Months after High PHQ-9 Score (19718) |
| DeprecatedHasPatientEverHadIschemicVascularDiseaseIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether the patient has Ischemic Vascular Disease (IVD). "Y" indicates the patient has IVD. "N" indicates the patient does not have IVD. Rule: DEPRECATED ACO Diagnosis Has Patient Had IVD Ever (18643) |
| StatinTherapyExclusionReasonCategory | INTEGER | The unreconciled category value of a patient's exclusion from "Preventive Care and Screening: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease" not documented in the patient's chart. Rule: ACO Exclusion: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease External (84936) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Exclusion: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (84933), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| RegistryStatus | INTEGER | Status of the registry data in the registry. |
| DeprecatedExclusionReasonForFallRiskScreeningValue | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The category value of a patient's exclusion from "Falls: Screening for Future Fall Risk". Rule: DEPRECATED ACO Exclusion: Falls: Screening for Future Fall Risk (18690) |
| DeprecatedLastOfficeVisitProviderIdentification | VARCHAR | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The provider ID of the visit provider for the last office visit in the specified time frame. Rule: DM ENCOUNTER LAST VISIT PROVIDER (82029) |
| DeprecatedHasExternalDepressionScreeningIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether the patient has had a depression screening not documented in the patient's chart. Rule: DEPRECATED ACO Has Depression Screening External (83387) |
| ExclusionReasonInfluenzaImmunizationCategory | INTEGER | The category value of a patient's exclusion or exception from "Preventive Care and Screening: Influenza Immunization" not documented in the patient's chart. Rule: ACO Exclusion: Influenza Immunization External (83380) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Exclusion: Spring Influenza Immunization (18697), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| PatientHasHistoryOfHypercholesterolemia | VARCHAR | Indicates whether or not the patient has ever had familial or pure hypercholesterolemia. Rule: ACO Diagnosis Has Patient Had Familial Or Pure Hypercholesterolemia Ever (84935) |
| QualifyingHypertensionDiagnosisIndicator | VARCHAR | Whether or not a patient had hypertension diagnosed before the half-way point of the current measurement period. Rule: ACO QUALIFYING DIAGNOSIS OF HYPERTENSION (CER 18709) |
| DeprecatedCurrentPrimaryPayerProductType | VARCHAR | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The category value of the product type of the patient's primary payer. Rule: PRIMARY PAYER'S PRODUCT TYPE (19241) |
| HadColonoscopyInMeasurementPeriodOrLastNineYearsFlag | VARCHAR | Whether or not a patient has had a colonoscopy in the current measurement period or in the nine years prior. Rule: ACO SCREENING HAS PATIENT HAD COLONOSCOPY (CER 18712) |
| DeprecatedHasIschemicVascularDiseaseForDiabetesMeasureEver | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether the patient has had Ischemic Vascular Disease (IVD), as defined for diabetes measures. "Y" indicates the patient has had IVD. "N" indicates the patient has not had IVD. Rule: DEPRECATED ACO Diagnosis for Diabetes Has Patient Had IVD Ever (19045) |
| RegistryRecordStatus | INTEGER | Status of the RDT record (Active/Inactive) in the registry |
| DeprecatedHasMajorDepressionDiagnosisFlag | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled diagnosis of major depression that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: DEPRECATED ACO Diagnosis Does Patient Have Major Depression External (19119) |
| DeprecatedIsOnAntithromboticMedication | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled antithrombotic medication that is not documented in the patient's medication list. "Y" indicates such a medication exists. "N" indicates such a medication does not exist. Rule: DEPRECATED ACO Med Prescribed Antithrombotic External (28512) |
| DeprecatedPatientLastLowDensityLipoproteinForPrev13String | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The patient's most recent unreconciled low-density lipoprotein (LDL) result not documented in the patient's chart. Rule: ACO Lab Last LDL for Prev-13 External (83163) |
| DeprecatedHasBipolarDisorderIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Whether or not the patient has bipolar disorder. Rule: DEPRECATED ACO Diagnosis Does Patient Have Bipolar Disorder (19714) |
| UnreconciledHypertensionDiagnosisDuringMeasurementPeriodIndicator | VARCHAR | Indicates whether or not a patient had an unreconciled hypertension diagnosis before the half-way point of the current measurement period. Rule: ACO QUALIFYING DIAGNOSIS OF HYPERTENSION EXTERNAL (28870) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO QUALIFYING DIAGNOSIS OF HYPERTENSION (18709), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| LastTobaccoUseStatusDate | DATETIME | The date of the patient's last recorded smoking tobacco use status during the measurement period or the year prior. Rule: ACO History Last Smoking Tobacco Use Status (19863) |
| LastSmokingTobaccoUseStatusCategory | INTEGER | The category value of the patient's last recorded smoking tobacco use status during the measurement period or the year prior. Rule: ACO History Last Smoking Tobacco Use Status (19863) |
| DeprecatedOfficeVisitCount | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The number of unreconciled office visits that are not documented in the patient's chart. Rule: DEPRECATED ACO Encounter Number of Office Visits External (28513) |
| DeprecatedLastUnreconciledLipidProfileDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date of the most recent unreconciled lipid profile that is not documented in the patient's chart. Rule: DEPRECATED ACO Result Last Lipid Profile Date External (28506) |
| DeprecatedPatientHasHypertensionIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether the patient has hypertension. Rule: DEPRECATED ACO Diagnosis Does Patient Have Hypertension (18642) |
| FallRiskAssessmentIndicator | VARCHAR | Indicates whether the patient has had a fall risk assessment in the specified time frame. "Y" indicates the patient has had a fall risk assessment. "N" indicates the patient has not had a fall risk assessment. Rule: ACO Fall Risk Assessment (18684) |
| DeprecatedStatinTherapyExclusionReasonForCardiovascularDiseasePrevention | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry EXCL_STATIN_THERAPY_C and EXCEPT_STATIN_THERAPY_C should be used in place of this column. The category value of a patient's exclusion or exception from "Preventive Care and Screening: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease". |
| HadAtheroscleroticCardiovascularDiseaseEver | VARCHAR | Whether or not the patient has ever had atherosclerotic cardiovascular disease (ASCVD). Rule: ACO Diagnosis Has Patient Had Atherosclerotic Cardiovascular Disease Ever (CER 18727) |
| UnreconciledHypercholesterolemiaDiagnosisEverIndicator | VARCHAR | Indicates whether there is an unreconciled diagnosis of familial or pure hypercholesterolemia not documented in the patient's chart. Rule: ACO Diagnosis Has Patient Had Familial Or Pure Hypercholesterolemia Ever External (84938) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Diagnosis Has Patient Had Familial Or Pure Hypercholesterolemia Ever (84935), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedNumberOfEncountersWithMedicationReview | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CARE-3. Consider removing the metric from the ACO Registry The number of eligible encounters a patient has had in the specified time period during which medications were reviewed by the provider. Rule: DEPRECATED ACO Encounter Number of Visits With Medications Reviewed (CER 19710) |
| DeprecatedHasPatientEverHadAcuteMyocardialInfarctionIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether the patient has acute myocardial infarction (AMI). "Y" indicates the patient has AMI. "N" indicates the patient does not have AMI. Rule: DEPRECATED ACO Diagnosis Has Patient Had AMI Ever (18676) |
| DeprecatedHasGestationalDiabetesIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether the patient has gestational diabetes. Rule: DEPRECATED ACO Diagnosis Does Patient Have Gestational Diabetes (18672) |
| DeprecatedTotalOutreachEncounters | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The total number of outreach encounters a patient has had in the specified time frame. Rule: DEPRECATED ACO Encounter Number of Outreach Encounters (18670) |
| DeprecatedExclusionReasonForTobaccoScreeningAndCessationIntervention | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The category value of the most recent, unreconciled exclusion or exception from "Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention" not documented in the patient's chart. Rule: DEPRECATED ACO Exclusion: Tobacco Screening and Cessation Intervention External (83319) |
| DeprecatedLastLeftVentricularEjectionFractionBelowFortyDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measures CAD-7 and HF-6. Consider removing the metric from the ACO Registry The date of the patient's most unreconciled recent left ventricular ejection fraction (LVEF) value less than 40% not documented in the patient's chart. Rule: DEPRECATED ACO Lab Last LVEF < 40% Date External (19882) |
| DeprecatedHasUnreconciledCongestiveHeartFailureDiagnosis | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure HF-6. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled diagnosis of congestive heart failure (CHF) that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: DEPRECATED ACO Diagnosis Does Patient Have Heart Failure External (28868) |
| DeprecatedHighBloodPressureScreeningExclusionCategoryTwo | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-11. Consider removing the metric from the ACO Registry The category value of a patient's exclusion or exception from "Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented". Rule: DEPRECATED ACO Exclusion: Screening for High Blood Pressure 2 (18748) |
| DeprecatedHadCardiacSurgeryEverIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CAD-7. Consider removing the metric from the ACO Registry Whether or not a patient has ever had cardiac surgery. Rule: DEPRECATED ACO Has Patient Had Cardiac Surgery Ever (18708) |
| ExclusionReasonForCmsSampleNotQualified | INTEGER | The category value of a patient's reason for not qualifying for CMS sampling. Rule: ACO Exclusion: Patient Not Qualified For Sample (CER 18688) |
| DeprecatedLastBodyMassIndex | FLOAT | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-9. Consider removing the metric from the ACO Registry The patient's body mass index (BMI) from the last encounter in the specified time frame that a BMI was recorded. Rule: DEPRECATED ACO Vitals Last BMI (18656) |
| UnreconciledStatinMedicationFlag | VARCHAR | Indicates whether there is an unreconciled statin medication that is not documented in the patient's medication list. "Y" indicates such a medication exists. "N" indicates such a medication does not exist. Rule: ACO MED PRESCRIBED STATINS EXTERNAL (28503) This rule isn’t viewable in the rule editor. Its logic is based on the internal rule ACO Med Prescribed Statins (18651), but this rule only references source document received (DXR) record data. You can find more information about using external data on Galaxy. |
| DeprecatedHasUnreconciledHypertensionDiagnosis | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled diagnosis of hypertension that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: DEPRECATED ACO Diagnosis Does Patient Have Hypertension External (28862) |
| StatinTherapyExceptionReasonCategory | INTEGER | The category value of a patient's exception from "Preventive Care and Screening: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease." Rule: ACO Exception: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (84934) |
| DeprecatedHasBloodPressureFollowUpPlanIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-11. Consider removing the metric from the ACO Registry Indicates whether the patient has a BP follow-up plan in the specified time frame. "Y" indicates the patient has a BP follow-up plan. "N" indicates the patient does not have a BP follow-up plan. Rule: DEPRECATED ACO BP Has Follow-Up Plan Pre-Hypertensive (18681) |
| MentalHealthQualifiedEncounterDate | DATETIME | The date of the patient's encounter with a valid PHQ-9 screening. Encounters and PHQ-9s are only valid if the PHQ-9 happens up to 7 days prior to the encounter. Rule: ACO Depression Remission: Encounter with First PHQ-9 Screening (97777) |
| DeprecatedHasLeftVentricularSystolicDysfunctionForCoronaryArteryDiseaseMeasure | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CAD-7. Consider removing the metric from the ACO Registry Indicates whether the patient has an unreconciled left ventricular systolic dysfunction (LVSD) diagnosis in the specified time frame, as defined for CAD measures. "Y" indicates the patient has LVSD as defined by the CAD measures. "N" indicates the patient does not have LVSD as defined by the CAD measures. Rule: DEPRECATED ACO Diagnosis for CAD Does Patient Have LVSD External (28874) |
| DeprecatedAcoPrev11BloodPressureClassification | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-11. Consider removing the metric from the ACO Registry The patient's blood pressure classification for quality measure PREV-11 "Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented" not documented in the patient's chart. Rule: DEPRECATED ACO Vitals BP Classification External (83303) |
| DeprecatedHasSteroidInducedDiabetesDiagnosisIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled diagnosis of steroid induced diabetes that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: DEPRECATED ACO Diagnosis Does Patient Have Steroid Induced Diabetes External (28867) |
| DeprecatedUnreconciledEmergencyDepartmentVisitCount | NUMERIC | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The number of unreconciled ED visits that are not documented in the patient's chart. Rule: DM ENCOUNTER NUMBER OF ED VISITS EXTERNAL (28522) |
| LastLowestSystolicBloodPressureDuringMeasurementPeriod | NUMERIC | The patient's lowest systolic blood pressure on the most recent reading date during the measurement period. Rule: ACO Vitals Lowest Systolic BP on Last Reading Date (18761) |
| PatientRegistryLinkIdentifier | VARCHAR | The unique ID of the patient record for this row. This column is frequently used to link to the PATIENT table. |
| DeprecatedLastExternalLeftVentricularEjectionFraction | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The patient's most recent unreconciled left ventricular ejection fraction (LVEF) result not documented in the patient's chart. Rule: DEPRECATED ACO Lab Last LVEF External (82194) |
| DeprecatedIsOnAntiplateletMedicationIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled antiplatelet medication that is not documented in the patient's current medication list. "Y" indicates such a medication exists. "N" indicates such a medication does not exist. Rule: DEPRECATED ACO Med Prescribed Antiplatelets External (28511) |
| DeprecatedCoronaryArteryDiseaseDiabetesStatusIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CAD-7. Consider removing the metric from the ACO Registry Indicates whether the patient has diabetes, as defined for CAD measures. Rule: DEPRECATED ACO Diagnosis for CAD Does Patient Have Diabetes (19043) |
| EncounterDateForPreviousPhq9Screening | DATETIME | The date of the patient's encounter with a valid PHQ-9 screening. Encounters and PHQ-9s are only valid if the PHQ-9 happens up to 14 days prior to the encounter. Rule: ACO Depression Screening: Encounter with Last PHQ-9 Screening (97780) |
| InfluenzaImmunizationFallExclusionReason | INTEGER | The category value of a patient's exclusion or exception from "Preventive Care and Screening: Influenza Immunization". Rule: ACO EXCLUSION: FALL INFLUENZA IMMUNIZATION (CER 16899) |
| PatientMovedOutOfCountryDate | DATETIME | The date the patient moved out of the country. Rule: ACO Moved Out of Country Date (19865) |
| DeprecatedIsOnAspirinOrAntiplateletTherapyIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure IVD-2. Consider removing the metric from the ACO Registry Indicates whether an aspirin or antiplatelet was prescribed during the measurement period. "Y" indicates an aspirin or antiplatelet was prescribed. "N" indicates an aspirin or antiplatelet was not prescribed. Rule: DEPRECATED ACO Med Prescribed Aspirin or Another Antiplatelet (84122) |
| DeprecatedDischargeCountWithMedicationReconciliation | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure CARE-1. Consider removing the metric from the ACO Registry The number of inpatient discharges a patient has had during the reporting period which were followed by an outpatient visit within 30 days during which the inpatient and outpatient medication lists were reconciled. Rule: DEPRECATED ACO Number of Discharges With Post-Discharge Medication Reconciliation (97023) |
| DeprecatedFirstHypertensiveFollowUpPlanIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-11. Consider removing the metric from the ACO Registry Indicates whether the patient had a follow-up for a first hypertensive blood pressure reading not documented in the patient's chart. Rule: DEPRECATED ACO BP Has Follow-Up Plan First Hypertensive External (83384) |
| DeprecatedTotalOfficeVisits | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The total number of office visits a patient has had in the specified time frame. Rule: DEPRECATED ACO Encounter Number of Office Visits (18687) |
| PatientHadUnreconciledDysthymiaDiagnosisInPeriodIndicator | VARCHAR | Indicates whether there is an unreconciled diagnosis of dysthymia that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: ACO Depression Remission: Patient Had Dysthymia External (28999) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Depression Remission: Patient Had Dysthymia (19341), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedHighestLdlUnreconciledInLastThreeYears | FLOAT | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The patient's highest unreconciled LDL result in the last three years not documented in the patient's chart. Rule: DEPRECATED ACO Lab LDL - Highest in Last Three Years External (82198) |
| LastUnreconciledDiastolicBloodPressureDate | DATETIME | The date of the most recent unreconciled diastolic blood pressure not documented in the patient's chart. Rule: ACO Vitals Lowest Diastolic BP on Last Reading Date External (18762) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Vitals Lowest Diastolic BP on Last Reading Date (18760), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DepressionScreenExclusionPriorDiagnosisExternalData | INTEGER | The category value of a patient's exclusion from "Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan" if the patient met the exclusion criteria prior to the latest depression screening. This column only returns values based on unreconciled data not documented in the patient's chart. Rule: ACO Exclusion: Qualifying Diagnosis Before the Latest Depression Screen External (19577) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Exclusion: Qualifying Diagnosis Before the Latest Depression Screen (18750), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| ControllingHighBloodPressureExclusionReasonCategory | INTEGER | The category value of a patient's exclusion or exception from "Controlling High Blood Pressure" not documented in the patient's chart. Rule: ACO Exclusion: Controlling High Blood Pressure External (83373) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO Exclusion: Controlling High Blood Pressure (18693), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| LastUnreconciledHemoglobinA1cUnit | VARCHAR | The unit of the most recent unreconciled hemoglobin A1c (HbA1C) result not documented in the patient's chart. Rule: ACO LAB LAST HEMOGLOBIN A1C EXTERNAL (82183) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO LAB LAST HEMOGLOBIN A1C (18646), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedLastPatientWeight | FLOAT | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The patient's most recent weight. Rule: DM VITALS LAST WEIGHT (82100) |
| LastUnreconciledSpringInfluenzaVaccineAdministrationDate | DATETIME | The date of the most recent unreconciled influenza vaccine administration that is not documented in the patient's chart during the measurement period's Spring influenza season. Rule: ACO QUALIFYING IMM INFLUENZA VACCINE ADMINISTRATION DATE DURING INFLUENZA SEASON EXTERNAL (28855) This rule isn’t viewable in the rule editor. Its logic is based on the internal rule ACO Qualifying Imm Influenza Vaccine Administration Date During Spring Influenza Season (18720), but this rule only references source document received (DXR) record data. You can find more information about using external data on Galaxy. |
| DeprecatedLastBetaBlockerMedicationOrderIdentifier | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The unique ID of the last medication order for a beta blocker which is also on the patient's current medication list in the specified time frame. Rule: DEPRECATED ACO Med Last Current Beta Blocker (18664) |
| DeprecatedPatientOnBetaBlockerIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure HF-6. Consider removing the metric from the ACO Registry Indicates whether there was an unreconciled beta blocker that was not documented in the patient's medication list. "Y" indicates such a medication exists. "N" indicates such a medication did not exist. Rule: DEPRECATED ACO Med Prescribed Beta Blockers External (28509) |
| DeprecatedHasBloodPressureFollowUpPlanIndicator | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-11. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled BP follow-up plan not documented in the patient's chart. Rule: DEPRECATED ACO BP Has Follow-Up Plan Pre-Hypertensive External (83285) |
| DeprecatedLowPhq9ScoreDateAfterHighScore | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date of the patient's first PHQ-9 score lower than 5. This score was recorded 12 months (+/- 30 days) after the patient scored higher than 9 on the questionnaire. Rule: DEPRECATED ACO Depression Remission: Low PHQ-9 Score 12 Months after High PHQ-9 Score Date (19717) |
| DeprecatedAcoExceptionBmiScreeningUrgentEmergentReasonCategory | INTEGER | The registry metric from which this column extracts is no longer maintained by Epic because CMS no longer requires ACOs to report on the corresponding quality measure PREV-9. Consider removing the metric from the ACO Registry The category value of a patient's exception from "Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan." Rule: DEPRECATED ACO Exception: BMI Screening and Follow-Up Plan - Urgent/Emergent (18765) |
| DeprecatedLastDepressionScreeningDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date as per the prioritized instant of the patient's most recent depression screening in the specified time frame. Rule: DEPRECATED ACO Flowsheet Depression (18658) |
| IntraConnectSourceCommunityIdentification | VARCHAR | The Community ID (CID) of the instance from which this record or line was extracted. This is only populated if you use IntraConnect. |
| LastExternalTobaccoUseStatusDate | DATETIME | The unreconciled date of the patient's last recorded smoking tobacco use status during the measurement period or the year prior not documented in the patient's chart. Rule: ACO History Last Smoking Tobacco Use Status External (19885) This rule doesn't appear in the Rule Editor. Its logic is based on the registry metric rule ACO History Last Smoking Tobacco Use Status (19863), but looks only at source document received (DXR) record data. You can find more information about external data on Galaxy. |
| DeprecatedLastUnreconciledCalculatedLowDensityLipoproteinProcedureOrderContactSerialNumber | NUMERIC | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The contact serial number (CSN) of the procedure order associated with patient's most recent unreconciled calculated low-density lipoprotein (LDL) result not documented in the patient's chart. Rule: DEPRECATED ACO Lab Last Calculated LDL External (82184) |
| DeprecatedHasDysthymiaDiagnosis | VARCHAR | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry Indicates whether there is an unreconciled diagnosis of dysthymia that is not documented in the patient's chart. "Y" indicates there is such a diagnosis. "N" indicates there is not. Rule: DEPRECATED ACO Diagnosis Does Patient Have Dysthymia External (19146) |
| IsExcludedForFrailtyOnly | VARCHAR | Indicates if a patient has evidence of frailty during the measurement year. Rule: ACO Exclusion: Has Evidence of Frailty (97676) |
| FirstHighDepressionScreeningScore | NUMERIC | The score of a patient's first PHQ-9 questionnaire with a score greater than 9 during the identification period. Rule: ACO Depression Remission: First High PHQ-9 Score (CER 19715) |
| DeprecatedCurrentPrimaryLocationIdentifier | NUMERIC | The registry metric from which this column extracts is no longer recommended as a default metric on the ACO Registry The unique ID of the patient's primary location. Rule: DM GENERAL PRIMARY LOCATION (82001) |
| DeprecatedLastCalculatedLdlExternalDate | DATETIME | The registry metric from which this column extracts is no longer maintained by Epic. Consider removing the metric from the ACO Registry The date of the patient's most recent unreconciled calculated low-density lipoprotein (LDL) result not documented in the patient's chart. Rule: DEPRECATED ACO Lab Last Calculated LDL External (82184) |
| LastDepressionRemissionQuestionnaireDate | DATETIME | The date of a patient's last PHQ-9 questionnaire recorded 12 months (+/- 30 days) after the patient scored higher than 9 on the PHQ-9. Rule: ACO Depression Remission: Last PHQ-9 During Remission Period (83391) |