as of February 10th 2026
Please contact our HDC Support (support@hdcbc.ca) for additional questions.
| Domain | Measure Name | Numerator | Denominator | Notes | MOIS | OSCAR | MA | PROFILE | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Conditions - Asthma | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - all ages | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 6-11 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 6 to 11 years old, with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 6 to 11 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 12-17 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 18+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 18 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 18 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 65+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 65 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 65 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Patients prescribed a high-carbon inhaler who do not have Asthma or COPD - age 19+ | Number of active patients, 19 years and older, being treated with inhalers, who have had a coded prescription for a high-carbon inhaler in the past year and who do not have a diagnosis for Asthma or COPD (based on the problem list) recorded in the EMR. | Number of active patients, 19 years and older, with a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma and prescribed 3 or more reliever inhalers in the past year | Number of active patients with asthma (based on the problem list) who have been prescribed 3 or more reliever inhalers in the past year. | Number of active patients with Asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - all ages | Number of active patients with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients with Asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 6-11 | Number of active patients, 6 to 11 years old, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 6 to 11 years old, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 12-17 | Number of active patients, 12 to 17 years old, with Asthma (based on the problem list) being treated with inhalers that have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 12 to 17 years old, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 18+ | Number of active patients, 18 years and older, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 18 years and older, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 65+ | Number of active patients, 65 years and older, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 65 years and older, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Any reliever inhaler and no controller inhaler | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who are being treated with reliever inhalers or Symbicort, who have a prescription for a reliever inhaler and did not have a prescription for a controller inhaler in the past year. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - High-carbon reliever inhaler and high-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was high-carbon and whose last prescription, in the past year, for a controller inhaler was high-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 -- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - High-carbon reliever inhaler and low-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was high-carbon and whose last prescription, in the past year, for a controller inhaler was low-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort*** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Low-carbon reliever inhaler and high-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was low-carbon and whose last prescription, in the past year, for a controller inhaler was high-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort*** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Low-carbon reliever inhaler and low-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was low-carbon or Symbicort and whose last prescription, in the past year, for a controller inhaler was low-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma and prescribed an inhaler in the past year | Number of active patients with asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Number of active patients with asthma (based on the problem list) recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma prevalence - Age 0-5 | Number of active patients, 0 to 5 years old, with asthma (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 5 years old, recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma prevalence - Age 6-11 | Number of active patients, 6 to 11 years old, with asthma (based on the problem list) recorded in the EMR. | Number of active patients, 6 to 11 years old, recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma prevalence - Age 12-17 | Number of active patients, 12 to 17 years old, with asthma (based on the problem list) recorded in the EMR. | Number of active patients, 12 to 17 years old, recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma prevalence - Age 18+ | Number of active patients, 18 years and older, with asthma (based on the problem list) recorded in the EMR. | Number of active patients, 18 years and older, recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma prevalence - Age 65+ | Number of active patients, 65 years and older, with asthma (based on the problem list) recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma and non-smokers | Number of active patients with asthma (based on the problem list) who are non-smokers as recorded in the EMR. | Number of active patients with asthma (based on the problem list) recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma prevalence | Number of active patients with asthma (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Asthma | Asthma and FEV1 documented | Number of active patients with asthma (based on the problem list) who have an FEV1 measurement (or spirometry) recorded in the EMR. | Number of active patients with Asthma (based on the problem list) recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Cancer | Colorectal cancer screening - FIT and other fecal occult blood tests | Number of active patients, 50 to 74 years old, who have had a FIT or other fecal occult blood test recorded in the EMR in the past 2 years. | Number of active patients, 50 to 74 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - Cancer | Colorectal cancer screening | Number of active patients, 50 to 74 years old, who have had a FIT or other fecal occult blood test recorded in the EMR in the past 2 years or a colonoscopy or sigmoidoscopy recorded in the EMR in the past 10 years. | Number of active patients, 50 to 74 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - Cancer | Cervical cancer screening - 3 years | Number of active female patients, 25 to 69 years old, who have not had a hysterectomy and have a cervical screening lab result (HPV screening or pap test) recorded in the EMR in the past 3 years. | Number of active female patients, 25 to 69 years old, who have not had a hysterectomy recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - Cancer | Cervical cancer screening - 5 years | Number of active female patients, 25 to 69 years old, who have not had a hysterectomy and have a cervical screening lab result (HPV screening or pap test) recorded in the EMR in the past 5 years. | Number of active female patients, 25 to 69 years old, who have not had a hysterectomy recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - Cancer | Breast cancer screening - Age 40-49 | Number of active female patients, 40 to 49 years old, without breast cancer, who have had a mammogram recorded in the EMR in the past 2 years. | Number of active female patients, 40 to 49 years old, without breast cancer recorded in the EMR. | YES | YES | MOIS | Profile | |||||
| Conditions - Cancer | Breast cancer screening - Age 75+ | Number of active female patients, 75 years and older, without breast cancer, who have had a mammogram recorded in the EMR in the past 2 years. | Number of active female patients, 75 years and older, without breast cancer recorded in the EMR. | YES | YES | MOIS | Profile | |||||
| Conditions - Cancer | Breast cancer screening - Age 50-74 | Number of active female patients, 50 to 74 years old, without breast cancer, who have had a mammogram recorded in the EMR in the past 2 years. | Number of active female patients, 50 to 74 years old, without breast cancer recorded in the EMR. | YES | YES | MOIS | Profile | |||||
| Conditions - Cancer | Colorectal cancer screening - colonoscopy or sigmoidoscopy | Number of active patients, 50 to 74 years old, who have had a colonoscopy or sigmoidoscopy recorded in the EMR in the past 10 years. | Number of active patients, 50 to 74 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - CKD | CKD and uACR result in the past year | Number of active patients with CKD (based on the problem list) and a uACR result recorded in the EMR in the past year. | Number of active patients with CKD (based on the problem list) recorded in the EMR. | Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - CKD | Kidney disease screening | Number of active patients with diabetes, hypertension, or CVD (based on the problem list), who do not have CKD, and who have a uACR result recorded in the EMR in the past year. | Number of active patients with diabetes, hypertension, or CVD (based on the problem list), who do not have CKD (based on the problem list) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 --- Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 --- Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - CKD | Chronic kidney disease prevalence | Number of active patients with CKD (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - CKD | CKD and BP documented in the past year | Number of active patients with CKD (based on the problem list) with a blood pressure measurement recorded in the EMR in the past year. | Number of active patients with CKD (based on the problem list) recorded in the EMR. | Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Conditions - CKD | CKD and last BP less than 140/90 in the past year | Number of active patients with CKD (based on the problem list) where the last blood pressure measurement recorded in the EMR in the past year was less than or equal to 140/90. | Number of active patients with CKD (based on the problem list) recorded in the EMR. | Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Conditions - CKD | Diabetes with chronic kidney disease | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and CKD (based on the problem list) recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - CKD | Impaired renal function prevalence | Number of active patients with calGFR less than 60 recorded in the EMR. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - CKD | Impaired renal function and prescribed digoxin in the past year - age 65+ | Number of active patients, 65 years and older, with impaired renal function (based on calGFR<60) who have had a coded prescription for digoxin recorded in the EMR in the past year. | Number of active patients, 65 years and older, with impaired renal function (based on calGFR<60) as recorded in the EMR. | Where **digoxin** is a medication with the following codes: - **ATC**: starting with C01AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - CKD | Impaired renal function and BP documented in the past 6 months | Number of active patients with the last calGFR recorded in the past year, that is less than 60 and a blood pressure measurement recorded in the six months before or after this calGFR result. | Number of active patients with calGFR less than 60 recorded in the EMR in the past year. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Conditions - COPD | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - all ages | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - COPD | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 6-11 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 6 to 11 years old, with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 6 to 11 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - COPD | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 12-17 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - COPD | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 18+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 18 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 18 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - COPD | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 65+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 65 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 65 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - COPD | COPD being treated with inhalers and prescribed a low-carbon inhaler in the past year | Number of active patients with COPD (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients with COPD (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - COPD | COPD and post-bronchodilator spirometry | Number of active patients with COPD (based on the problem list) who have a FEV1 measurement (or spirometry) recorded in the EMR. | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - COPD | COPD and prescribed an inhaler in the past year | Number of active patients with COPD (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - COPD | COPD prevalence - Age 40+ | Number of active patients, 40 years and older, with COPD (based on the problem list) recorded in the EMR. | Number of active patients, 40 years and older, recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - COPD | COPD and pneumococcal vaccine | Number of active patients with COPD (based on the problem list) who either have at least one pneumococcal vaccination recorded in the EMR (this can be the primary vaccination or a booster), have declined the vaccination or have an indication on their record that pneumococcal vaccination is not clinically appropriate for them. | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 | YES | YES | MOIS | OSCAR | ||||
| Conditions - COPD | COPD and activity documentation in the past year | Number of active patients with COPD (based on the problem list) who have their physical activity documented in the EMR within the past year. | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 | YES | YES | MOIS | OSCAR | ||||
| Conditions - COPD | COPD and non-smokers | Number of active patients with COPD (based on the problem list) who are non-smokers as recorded in the EMR. | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, D2-30410 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - COPD | COPD prevalence | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - CVD | Cholesterol screening in the past 5 years - male, age 40+ | Number of active male patients, 40 years and older, who do not have CVD (based on the problem list), and who have a result for total cholesterol, HDL cholesterol, or LDL cholesterol recorded in the EMR in the past 5 years. | Number of active male patients, 40 years and older, who do not have CVD (based on the problem list) recorded in the EMR. | Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - CVD | Cholesterol screening in the past 10 years - male, age 40+ | Number of active male patients, 40 years and older, who do not have CVD (based on the problem list), and who have a result for total cholesterol, HDL cholesterol, or LDL cholesterol recorded in the EMR in the past 10 years. | Number of active male patients, 40 years and older, who do not have CVD (based on the problem list) recorded in the EMR. | Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - CVD | Cholesterol screening in the past 5 years - female, age 40+ | Number of active female patients, 40 years and older, who do not have CVD (based on the problem list), and who have a result for total cholesterol, HDL cholesterol, or LDL cholesterol recorded in the EMR in the past 5 years. | Number of active female patients, 40 years and older, who do not have CVD (based on the problem list) recorded in the EMR. | Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - CVD | Cholesterol screening in the past 10 years - female, age 40+ | Number of active female patients, 40 years and older, who do not have CVD (based on the problem list), and who have a result for total cholesterol, HDL cholesterol, or LDL cholesterol recorded in the EMR in the past 10 years. | Number of active female patients, 40 years and older, who do not have CVD (based on the problem list) recorded in the EMR. | Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - CVD | CVD and uACR result in the past year | Number of active patients with CVD (based on the problem list) who do not have CKD, and who have a uACR result recorded in the EMR in the past year. | Number of active patients with CVD (based on the problem list), who do not have CKD (based on the problem list) recorded in the EMR. | Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 --- Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - CVD | Cardiovascular disease prevalence | Number of active patients with CVD (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes with heart failure | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and CHF (based on the problem list) recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 Where congestive heart failure means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes type 2 and prescribed antidiabetic agents other than insulin and metformin in the past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had at least one coded prescription for antidiabetic agents other than insulin and metformin recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **antidiabetic agents other than insulin and metformin** is a medication with the following codes: - **ATC**: starting with A10B or A10X, excluding A10BA02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes type 2 and prescribed "metformin only" in the past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had a coded prescription for metformin only (no prescription for insulin or other non-insulin antidiabetic agents) recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **metformin only** is a medication with the following codes: - **ATC**: A10BA02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes type 2 and prescribed semaglutide in the past year | Number of active patients with diabetes type 2 (based on the problem list) who have had a coded prescription for a semaglutide recorded in the EMR in the past year. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **semaglutide** is a medication with the following codes: - **ATC**: A10BJ06 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes type 2 and no antidiabetic agent prescription in the past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had no prescription for insulin or non-insulin antidiabetic agents recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes and prescribed SGLT2 inhibitor in the past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) who have had a coded prescription for a SGLT2 Inhibitor recorded in the EMR in the past year. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **SGLT2 inhibitors** is a medication with the following codes: - **ATC**: starting with A10BK --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes and LDL result in the past 5 years | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) who have an LDL result recorded in the EMR in the past 5 years. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes and uACR result in the past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) who do not have CKD, and who have a uACR result recorded in the EMR in the past year. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes), who do not have CKD (based on the problem list) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes and prescribed a statin in the past year | Number of active patients, 40 years and older, with diabetes (based on the problem list and excluding gestational diabetes) who have had a coded prescription for a statin recorded in the EMR in the past year. | Number of active patients, 40 years and older, with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **HMG-CoA reductase inhibitor (Statin)** is a medication with the following codes: - **ATC**: starting with C10AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Semaglutide prescribed in the past year | Number of active patients who have had a coded prescription for a semaglutide recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **semaglutide** is a medication with the following codes: - **ATC**: A10BJ06 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | GLP-1 agonist prescribed in the past year | Number of active patients who have had a coded prescription for a GLP-1 agonist recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **glucagon-like peptide-1 (GLP-1) agonist** is a medication with the following codes: - **ATC**: starting with A10BJ or exactly A10BX16 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes type 2 and prescribed a GLP-1 agonist in the past year | Number of active patients with diabetes type 2 (based on the problem list) who have had a coded prescription for a GLP-1 agonist recorded in the EMR in the past year. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **glucagon-like peptide-1 (GLP-1) agonist** is a medication with the following codes: - **ATC**: starting with A10BJ or exactly A10BX16 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes, obesity, and prescribed a GLP-1 agonist in the past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and obesity by documentation in the problem list or by last measurement (BMI greater than or equal to 30 or waist circumference greater than or equal to 102 for males or greater than or equal to 88 for females), who have had a coded prescription for a GLP-1 agonist recorded in the EMR in the past year. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and obesity by documentation in the problem list or by last measurement (BMI greater than or equal to 30 or waist circumference greater than or equal to 102 for males or greater than or equal to 88 for females) as recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **glucagon-like peptide-1 (GLP-1) agonist** is a medication with the following codes: - **ATC**: starting with A10BJ or exactly A10BX16 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes prevalence - age 0-18 | Number of active patients, 0 to 18 years old, with diabetes (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 18 years old, recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes prevalence - Age 19-39 | Number of active patients, 19 to 39 years old, with diabetes (based on the problem list) recorded in the EMR. | Number of active patients, 19 to 39 years old, recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes prevalence - Age 40+ | Number of active patients, 40 years and older, with diabetes (based on the problem list) recorded in the EMR. | Number of active patients, 40 years and older, recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes and last BP less than 140/90 in past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) where the last blood pressure measurement recorded in the EMR in the past year was less than or equal to 140/90. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Conditions - Diabetes | Diabetes and HbA1c result in the past 6 months | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) with a record of an HbA1c test result in the EMR in the past six months. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes and BP documented in the past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) with a blood pressure measurement recorded in the EMR in the past year. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Conditions - Diabetes | Diabetes screening | Number of active patients, 40 years and older, who have at least one lab test result for fasting blood sugar, HbA1c, or glucose tolerance test (2 hours after 75g oral glucose) documented in their EMR in the past 3 years. | Number of active patients, 40 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - Diabetes | Diabetes prevalence | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes type 2 and prescribed insulin in past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had at least one coded prescription for insulin recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **insulin** is a medication with the following codes: - **ATC**: starting with A10A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Ratio of diabetes type 2 over all diabetes | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes with ischemic heart disease | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and IHD (based on the problem list) recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **ischemic heart disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 410, 411, 412, 413, or 414 - **SNOMED CT**: exactly D3-13041, 414545008, 413439005, 413838009, 194828000, or 713405002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes with chronic kidney disease | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and CKD (based on the problem list) recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes with hypertension | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and hypertension (based on the problem list) recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes and no HbA1c in the past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) who do not have a HbA1c measurement recorded in the EMR in the past year or whose last HbA1c measurement recorded in the EMR is in the past year and is uncategorized due to it being a non-numeric value. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes with obesity | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and obesity by documentation in the problem list or by last measurement (BMI over 30 or waist circumference greater than 102 for males or greater than 88 for females) as recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - Diabetes | Diabetes and last HbA1c 8.1 - 9.0% | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) whose last HbA1c measurement is within the past year and the result is between 8.1%-9.0% as recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes and last HbA1c < 7.1% | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) whose last HbA1c measurement is within the past year and the result is less than 7.1% as recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes and last HbA1c 7.1 - 8.0% | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) whose last HbA1c measurement is within the past year and the result is between 7.1%-8.0% as recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Diabetes | Diabetes and last HbA1c > 9.0% | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) whose last HbA1c measurement is within the past year and the result is greater than 9.0% as recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Heart failure and prescribed three or more of the four foundational medication classes in the past year | Number of active patients with HF (based on the problem list) who have had coded prescriptions for three or more of the four foundational medication classes for heart failure recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **renin-angiotensin-aldosterone system (RAAS) inhibitors** is a medication with the following codes: - **ATC**: starting with C09A, C09B, C09C, or C09D --- Where **selective beta blocker** is a medication with the following codes: - **ATC**: starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, C07CG --- Where **SGLT2 inhibitors** is a medication with the following codes: - **ATC**: starting with A10BK, or exactly A10BD15, A10BD16, A10BD19, A10BD20, A10BD21, A10BD23, A10BD24, A10BD25, or A10BD27 --- Where **mineralocorticoid receptor antagonist** is a medication with the following codes: - **ATC**: starting with C03DA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Heart failure and prescribed an ARNI in the past year | Number of active patients with HF (based on the problem list) who have had a coded prescription for an ARNI recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **angiotensin Receptor/Neprilysin inhibitor (ARNI)** is a medication with the following codes: - **ATC**: C09DX04 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Heart failure prevalence | Number of active patients with HF (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Heart failure and two weight measurements in the past 6 months | Number of active patients with HF (based on the problem list) who have had their weight measured and recorded in the EMR at least two times in the past six months. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Conditions - Heart Failure | Heart failure and weight measurement in the past year | Number of active patients with HF (based on the problem list) who have had their weight recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Conditions - Heart Failure | Heart failure prevalence - Age 19+ | Number of active patients, 19 years and older, with HF (based on the problem list) recorded in the EMR. | Number of active patients, 19 years and older, recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Heart failure prevalence - Age 65+ | Number of active patients, 65 years and older, with HF (based on the problem list) recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Heart failure and ejection fraction result in the past 3 years | Number of active patients with HF (based on the problem list) with an ejection fraction completed and recorded in the EMR in the past three years. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | MOIS | Profile | ||||
| Conditions - Heart Failure | Diabetes with heart failure | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and CHF (based on the problem list) recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 Where congestive heart failure means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Heart failure and prescribed an SGLT2 inhibitor in the past year | Number of active patients with HF (based on the problem list) who have had a coded prescription for a SGLT2 Inhibitor recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **SGLT2 inhibitors** is a medication with the following codes: - **ATC**: starting with A10BK, or exactly A10BD15, A10BD16, A10BD19, A10BD20, A10BD21, A10BD23, A10BD24, A10BD25, or A10BD27 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Heart failure and prescribed an MRA in the past year | Number of active patients with HF (based on the problem list) who have had a coded prescription for an MRA recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **mineralocorticoid receptor antagonist** is a medication with the following codes: - **ATC**: starting with C03DA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Heart failure and prescribed a RAAS inhibitor in the past year | Number of active patients with HF (based on the problem list) that have had a coded prescription for a RAAS inhibitor in the past year recorded in the EMR. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Heart failure and prescribed a selective beta-blocker in the past year | Number of active patients with HF (based on the problem list) who have had a coded prescription for a beta blocker in the past year as recorded in the EMR. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **selective beta blocker** is a medication with the following codes: - **ATC**: starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, C07CG. --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Ischemic heart disease prevalence - Age 20+ | Number of active patients, 20 years and older, with ischemic heart disease (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **ischemic heart disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 410, 411, 412, 413, or 414 - **SNOMED CT**: exactly D3-13041, 414545008, 413439005, 413838009, 194828000, or 713405002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Ischemic heart disease prevalence | Number of active patients with ischemic heart disease (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **ischemic heart disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 410, 411, 412, 413, or 414 - **SNOMED CT**: exactly D3-13041, 414545008, 413439005, 413838009, 194828000, or 713405002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | ACE inhibitor prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an ACE inhibitor, excluding combinations, recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Angiotensin II antagonist prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an angiotensin II antagonist, excluding combinations, recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Beta-blocker prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a selective beta-blocking agent recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **beta blocker** is a medication with the following codes: - **ATC**: starting with C07AA, C07AB, C07BA, C07BB, C07CA, C07CB, C07DA, C07DB, C07EA, C07EB, C07FA, C07FB --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Digoxin prescribed in the past year | Number of active patients who have had a coded prescription for Digoxin recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **digoxin** is a medication with the following codes: - **ATC**: starting with C01AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Dihydropyridine calcium channel blocker prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a calcium channel blocker recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **calcium channel blocker** is a medication with the following codes: - **ATC**: starting with C08CA or C08GA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Thiazide prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a thiazide, excluding combinations, recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **thiazide** is a medication with the following codes: - **ATC**: starting with C03AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | Heart failure with reduced ejection fraction prevalence | Number of active patients with HFrEF (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **heart failure with reduced ejection fraction (HFrEF)** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428.2 - **SNOMED CT**: exactly 426263006, 48447003, 703272007, 417996009, 441481004 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Heart Failure | HFrEF and prescribed three or more of the four foundational medication classes in the past year | Number of active patients with HFrEF (based on the problem list) who have had coded prescriptions for three or more of the four foundational medication classes for heart failure recorded in the EMR in the past year. | Number of active patients with HFrEF (based on the problem list) recorded in the EMR. | Where **heart failure with reduced ejection fraction (HFrEF)** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428.2 - **SNOMED CT**: exactly 426263006, 48447003, 703272007, 417996009, 441481004 --- Where **renin-angiotensin-aldosterone system (RAAS) inhibitors** is a medication with the following codes: - **ATC**: starting with C09A, C09B, C09C, or C09D --- Where **selective beta blocker** is a medication with the following codes: - **ATC**: starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, C07CG --- Where **SGLT2 inhibitors** is a medication with the following codes: - **ATC**: starting with A10BK, or exactly A10BD15, A10BD16, A10BD19, A10BD20, A10BD21, A10BD23, A10BD24, A10BD25, or A10BD27 --- Where **mineralocorticoid receptor antagonist** is a medication with the following codes: - **ATC**: starting with C03DA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypertension | Hypertension and last BP less than 140/90 in the past year | Number of active patients with hypertension (based on the problem list) where the last blood pressure measurement recorded in the EMR within the past year was less than or equal to 140/90. | Number of active patients with hypertension (based on the problem list) recorded in the EMR. | Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Conditions - Hypertension | Hypertension and BP documented in the past year | Number of active patients with hypertension (based on the problem list) who have a blood pressure measurement recorded in the EMR in the past year. | Number of active patients with hypertension (based on the problem list) recorded in the EMR. | Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Conditions - Hypertension | Hypertension and uACR result in the past year | Number of active patients with hypertension (based on the problem list) who do not have CKD, and who have a uACR result recorded in the EMR in the past year. | Number of active patients with hypertension (based on the problem list), who do not have CKD (based on the problem list) recorded in the EMR. | Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 --- Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypertension | Hypertension prevalence - Age 20+ | Number of active patients, 20 years and older, with hypertension (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypertension | Hypertension prevalence - Age 45+ | Number of active patients, 45 years and older, with hypertension (based on the problem list) recorded in the EMR. | Number of active patients, 45 years and older, recorded in the EMR. | Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypertension | Diabetes with hypertension | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and hypertension (based on the problem list) recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypertension | BP documented in the past 5 years - age 80+ | Number of active patients, 80 years and older, with blood pressure recorded in EMR in the past 5 years. | Number of active patients, 80 years and older, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Conditions - Hypertension | Hypertension prevalence | Number of active patients with hypertension (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypertension | ACE inhibitor prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an ACE inhibitor, excluding combinations, recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypertension | Angiotensin II antagonist prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an angiotensin II antagonist, excluding combinations, recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypertension | Dihydropyridine calcium channel blocker prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a calcium channel blocker recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **calcium channel blocker** is a medication with the following codes: - **ATC**: starting with C08CA or C08GA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypertension | Thiazide prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a thiazide, excluding combinations, recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **thiazide** is a medication with the following codes: - **ATC**: starting with C03AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypertension | BP documented in the past 2 years - age 18-44 | Number of active patients, 18 to 44 years old, with blood pressure recorded in EMR in the past 2 years. | Number of active patients, 18 to 44 years old, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Conditions - Hypertension | BP documented in the past 2 years - age 45-79 | Number of active patients, 45 to 79 years old, with blood pressure recorded in EMR in the past 2 years. | Number of active patients, 45 to 79 years old, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Conditions - Hypertension | BP documented in the past 2 years - age 80+ | Number of active patients, 80 years and older, with blood pressure recorded in EMR in the past 2 years. | Number of active patients, 80 years and older, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Conditions - Hypertension | BP documented in the past 5 years - age 18-44 | Number of active patients, 18 to 44 years old, with blood pressure recorded in EMR in the past 5 years. | Number of active patients, 18 to 44 years old, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Conditions - Hypertension | BP documented in the past 5 years - age 45-79 | Number of active patients, 45 to 79 years old, with blood pressure recorded in EMR in the past 5 years. | Number of active patients, 45 to 79 years old, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Conditions - Hypothyroidism | Hypothyroidism prevalence | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypothyroidism | Hypothyroidism and prescribed thyroid hormone in the past year | Number of active patients with hypothyroidism (based on the problem list) who have had a coded prescription for a thyroid hormone recorded in the EMR in the past year. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 --- Where **thyroid hormone** is a medication with the following codes: - **ATC**: starting with H03AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypothyroidism | Hypothyroidism and a TSH result in the past year | Number of active patients with hypothyroidism (based on the problem list) with a TSH result recorded in the EMR in the past year. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypothyroidism | Hypothyroidism and last TSH < 0.34 mIU/L | Number of active patients with hypothyroidism (based on the problem list) whose last TSH result recorded in the EMR in the past year is less than 0.34 mIU/L. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypothyroidism | Hypothyroidism and last TSH 0.34 - 5.6 mIU/L | Number of active patients with hypothyroidism (based on the problem list) whose last TSH result recorded in the EMR in the past year is between 0.34 - 5.6 mIU/L. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypothyroidism | Hypothyroidism and last TSH > 5.6 mIU/L | Number of active patients with hypothyroidism (based on the problem list) whose last TSH result recorded in the EMR in the past year is greater than 5.6 mIU/L. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypothyroidism | Hypothyroidism and no TSH result in the past year | Number of active patients with hypothyroidism (based on the problem list) who do not have a TSH result recorded in the EMR in the past year or whose last TSH result recorded in the EMR is in the past year and is uncategorized due to it being a non-numeric value. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Hypothyroidism | Thyroid hormone prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a thyroid hormone recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **thyroid hormone** is a medication with the following codes: - **ATC**: starting with H03AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Major depressive disorder and an encounter in the past year | Number of active patients with major depressive disorder (based on the problem list) and have had at least one encounter recorded in the EMR in the past year. | Number of active patients with major depressive disorder (based on the problem list) recorded the EMR. | Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Schizophrenia or bipolar and an encounter in the past year | Number of active patients with schizophrenia or bipolar disorder (based on the problem list) and have had at least one encounter recorded in the EMR in the past year. | Number of active patients with schizophrenia or bipolar disorder (based on the problem list) recorded in the EMR. | Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health prevalence | Number of active patients with a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health prevalence - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health with substance use disorder | Number of active patients with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with a mental health diagnosis(based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health with substance use disorder - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health with substance use disorder - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health with substance use disorder - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health with alcohol use disorder | Number of active patients with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients with a mental health diagnosis(based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health with alcohol use disorder - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health with alcohol use disorder - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health with alcohol use disorder - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health with cannabis use disorder | Number of active patients with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients with a mental health diagnosis(based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health with cannabis use disorder - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health with cannabis use disorder - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mental health with cannabis use disorder - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mood disorder or psychotic disorder with substance use disorder | Number of active patients with a mood disorder or psychotic disorder (based on the problem list), who have substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with mood disorders or psychotic disorders (based on the problem list) recorded in the EMR. | Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mood disorders or psychotic disorders prevalence | Number of active patients with Mood Disorders or Psychotic Disorders (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Mood disorders prevalence | Number of active patients with mood disorders including bipolar, primarily or exclusively depressed, mixed anxiety depression etc. (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | PTSD prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with post-traumatic stress disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | PTSD prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with post-traumatic stress disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | PTSD prevalence - age 20+ | Number of active patients, 20 years and older, with post-traumatic stress disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Anxiety and phobias with substance use disorder | Number of active patients with anxiety and fear-related disorders (including phobias, based on the problem list) who have substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with anxiety and fear-related disorders (including phobias, based on the problem list) as recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Generalized anxiety disorder with substance use disorder | Number of active patients with generalized anxiety disorder (based on the problem list) who have substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with generalized anxiety disorder (based on the problem list) recorded in the EMR. | Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is '3' | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Depressive disorder prevalence | Number of active patients with depressive disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 311, or starting with 296.2 or 296.3 - **SNOMED CT**: D9-5201A, 370143000, 87512008, 450714000, 66344007, 35489007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Depressive disorder prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with depressive disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 311, or starting with 296.2 or 296.3 - **SNOMED CT**: D9-5201A, 370143000, 87512008, 450714000, 66344007, 35489007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Depressive disorder prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with depressive disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 311, or starting with 296.2 or 296.3 - **SNOMED CT**: D9-5201A, 370143000, 87512008, 450714000, 66344007, 35489007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Depressive disorder prevalence - age 20-64 | Number of active patients, 20 to 64 years old, with depressive disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 to 64 years old, recorded in the EMR. | Where **depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 311, or starting with 296.2 or 296.3 - **SNOMED CT**: D9-5201A, 370143000, 87512008, 450714000, 66344007, 35489007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Depressive disorder prevalence - age 65+ | Number of active patients, 65 years and older, with depressive disorder (based on the problem list) recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 311, or starting with 296.2 or 296.3 - **SNOMED CT**: D9-5201A, 370143000, 87512008, 450714000, 66344007, 35489007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Eating disorders prevalence | Number of active patients with Eating Disorders (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | ADHD prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with ADHD (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **ADHD** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 314.0 - **SNOMED CT**: exactly 192127007, 35253001, 406506008, or 444613000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | ADHD prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with ADHD (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **ADHD** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 314.0 - **SNOMED CT**: exactly 192127007, 35253001, 406506008, or 444613000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | ADHD prevalence - age 20+ | Number of active patients, 20 years and older, with ADHD (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **ADHD** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 314.0 - **SNOMED CT**: exactly 192127007, 35253001, 406506008, or 444613000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | ADHD prevalence | Number of active patients with ADHD (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **ADHD** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 314.0 - **SNOMED CT**: exactly 192127007, 35253001, 406506008, or 444613000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Anxiety and phobias prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with anxiety and fear-related disorders (including phobias, based on the problem list) as recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Anxiety and phobias prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with anxiety and fear-related disorders (including phobias, based on the problem list) as recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Anxiety and phobias prevalence - age 20+ | Number of active patients, 20 years and older, with anxiety and fear-related disorders (including phobias, based on the problem list) as recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Eating disorders prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with eating disorders (based on the problem list) as recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Eating disorders prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with eating disorders (based on the problem list) as recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Eating disorders prevalence - age 20+ | Number of active patients, 20 years and older, with eating disorders (based on the problem list) as recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Major depressive disorder prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with major depressive disorder (based on the problem list) as recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Major depressive disorder prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with major depressive disorder (based on the problem list) as recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Major depressive disorder prevalence - age 20+ | Number of active patients, 20 years and older, with major depressive disorder (based on the problem list) as recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Major depressive disorder prevalence | Number of active patients with major depressive disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Primarily psychotic disorders prevalence | Number of active patients with a psychotic disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Generalized anxiety disorder prevalence | Number of active patients with generalized anxiety disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Bipolar disorder prevalence | Number of active patients with bipolar disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Schizophrenia prevalence | Number of active patients with schizophrenia (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | OCD prevalence | Number of active patients with OCD (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | PTSD prevalence | Number of active patients with Post-Traumatic Stress Disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Neurodevelopment disorders prevalence | Number of active patients with Neurodevelopment Disorders (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **Neurodevelopment Disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Sleep disorders prevalence | Number of active patients with Sleep Disorders (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **sleep disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 327, or exactly 307.4 or 780.5 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | GAD-7 recorded in the past year | Number of active patients with a GAD-7 administered and recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Conditions - Mental Health | PHQ-9 recorded in the past year | Number of active patients with a Patient Health Questionnaire (PHQ-9) administered and recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Conditions - Mental Health | Antidepressant prescribed in the past year | Number of active patients who have had a coded prescription for an antidepressant recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **antidepressants** is a medication with the following codes: - **ATC**: starting with N06A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Antidepressant prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an antidepressant recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **antidepressants** is a medication with the following codes: - **ATC**: starting with N06A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Antipsychotic prescribed in the past year | Number of active patients who have had a coded prescription for an antipsychotic recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **antipsychotic** is a medication with the following codes: - **ATC**: starting with N05A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Antipsychotic prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an antipsychotic recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **antipsychotic** is a medication with the following codes: - **ATC**: starting with N05A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Benzodiazepine and opioid prescribed in the past year | Number of active patients who have had a coded prescription for a benzodiazepine and an opioid recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Benzodiazepine and opioid prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a benzodiazepine and an opioid recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Benzodiazepine prescribed in the past year | Number of active patients who have had a coded prescription for a benzodiazepine recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Benzodiazepine prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a benzodiazepine recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Mental Health | Anxiety and phobias prevalence | Number of active patients with anxiety and fear-related disorders (including phobias, based on the problem list) as recorded in the EMR. | Number of active patients recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Metabolic Syndrome | Metabolic syndrome based on diagnostic criteria - 3 or more | Number of active patients who do not have diabetes or metabolic syndrome (based on the problem list), who meet at least 3 of the 4 diagnostic criteria for metabolic syndrome: **High blood pressure:** - a BP ≥ 130/85 mm Hg in the past 2 years, or - prescribed one of the following medications in the past 2 years: antihypertensives, peripheral vasodilators, diuretics, thiazides, beta blockers, selective beta blockers, calcium channel blockers, ACEi, or ARBs **High blood glucose levels:** - a fasting glucose ≥ 5.6 mmol/L in the past 2 years, or - HbA1c > 6.0%, or - prescribed one of the following medications in the past 2 years: insulins or non-insulin antidiabetic agents **High triglycerides:** - ≥ 1.7 mmol/L, or - prescribed one of the following medications in the past 2 years: statin or lipid modifying agents **Low HDL-Cholesterol:** - < 1.0 mmol/L in men in the past 2 years, or - < 1.3 mmol/L in women in the past 2 years | Number of active patients recorded in the EMR. | Where **metabolic syndrome** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 277.9 or 277.7 - **SNOMED CT**: exactly 237602007 or 75934005 --- Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **antihypertensives** is a medication with the following codes: - **ATC**: starting with C02 --- Where **peripheral vasodilators** is a medication with the following codes: - **ATC**: starting with C04 --- Where **diuretics** is a medication with the following codes: - **ATC**: starting with C03 --- Where **thiazides** is a medication with the following codes: - **ATC**: starting with C03AA --- Where **beta blockers** is a medication with the following codes: - **ATC**: starting with C07AA, C07AB, C07BA, C07BB, C07CA, C07CB, C07DA, C07DB, C07EA, C07EB, C07FA, or C07FB --- Where **selective beta blockers** is a medication with the following codes: - **ATC**: Starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, or C07CG --- Where **calcium channel blockers** is a medication with the following codes: - **ATC**: starting with C08CA or C08GA --- Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- Where **insulins** is a medication with the following codes: - **ATC**: starting with A10A --- Where **non-insulin antidiabetic agents** is a medication with the following codes: - **ATC**: starting with A10B or A10X --- Where **statin** is a medication with the following codes: - **ATC**: starting with C10AA --- Where **lipid modifying agents** is a medication with the following codes: - **ATC**: starting with C10A or C10B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Metabolic Syndrome | Metabolic syndrome based on diagnostic criteria - 2 or more | Number of active patients who do not have diabetes or metabolic syndrome (based on the problem list), who meet at least 2 of the 4 diagnostic criteria for metabolic syndrome: **High blood pressure:** - a BP ≥ 130/85 mm Hg in the past 2 years, or - prescribed one of the following medications in the past 2 years: antihypertensives, peripheral vasodilators, diuretics, thiazides, beta blockers, selective beta blockers, calcium channel blockers, ACEi, or ARBs **High blood glucose levels:** - a fasting glucose ≥ 5.6 mmol/L in the past 2 years, or - HbA1c > 6.0%, or - prescribed one of the following medications in the past 2 years: insulins or non-insulin antidiabetic agents **High triglycerides:** - ≥ 1.7 mmol/L, or - prescribed one of the following medications in the past 2 years: statin or lipid modifying agents **Low HDL-Cholesterol:** - < 1.0 mmol/L in men in the past 2 years, or - < 1.3 mmol/L in women in the past 2 years | Number of active patients recorded in the EMR. | Where **metabolic syndrome** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 277.9 or 277.7 - **SNOMED CT**: exactly 237602007 or 75934005 --- Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **antihypertensives** is a medication with the following codes: - **ATC**: starting with C02 --- Where **peripheral vasodilators** is a medication with the following codes: - **ATC**: starting with C04 --- Where **diuretics** is a medication with the following codes: - **ATC**: starting with C03 --- Where **thiazides** is a medication with the following codes: - **ATC**: starting with C03AA --- Where **beta blockers** is a medication with the following codes: - **ATC**: starting with C07AA, C07AB, C07BA, C07BB, C07CA, C07CB, C07DA, C07DB, C07EA, C07EB, C07FA, or C07FB --- Where **selective beta blockers** is a medication with the following codes: - **ATC**: Starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, or C07CG --- Where **calcium channel blockers** is a medication with the following codes: - **ATC**: starting with C08CA or C08GA --- Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- Where **insulins** is a medication with the following codes: - **ATC**: starting with A10A --- Where **non-insulin antidiabetic agents** is a medication with the following codes: - **ATC**: starting with A10B or A10X --- Where **statin** is a medication with the following codes: - **ATC**: starting with C10AA --- Where **lipid modifying agents** is a medication with the following codes: - **ATC**: starting with C10A or C10B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Metabolic Syndrome | Metabolic syndrome based on diagnostic criteria - 3 or more (not excluding diabetes) | Number of active patients who do not have metabolic syndrome (based on the problem list), who meet at least 3 of the 4 diagnostic criteria for metabolic syndrome: **High blood pressure:** - a BP ≥ 130/85 mm Hg in the past 2 years, or - prescribed one of the following medications in the past 2 years: antihypertensives, peripheral vasodilators, diuretics, thiazides, beta blockers, selective beta blockers, calcium channel blockers, ACEi, or ARBs **High blood glucose levels:** - a fasting glucose ≥ 5.6 mmol/L in the past 2 years, or - HbA1c > 6.0%, or - prescribed one of the following medications in the past 2 years: insulins or non-insulin antidiabetic agents **High triglycerides:** - ≥ 1.7 mmol/L, or - prescribed one of the following medications in the past 2 years: statin or lipid modifying agents **Low HDL-Cholesterol:** - < 1.0 mmol/L in men in the past 2 years, or - < 1.3 mmol/L in women in the past 2 years | Number of active patients recorded in the EMR. | Where **metabolic syndrome** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 277.9 or 277.7 - **SNOMED CT**: exactly 237602007 or 75934005 --- Where **antihypertensives** is a medication with the following codes: - **ATC**: starting with C02 --- Where **peripheral vasodilators** is a medication with the following codes: - **ATC**: starting with C04 --- Where **diuretics** is a medication with the following codes: - **ATC**: starting with C03 --- Where **thiazides** is a medication with the following codes: - **ATC**: starting with C03AA --- Where **beta blockers** is a medication with the following codes: - **ATC**: starting with C07AA, C07AB, C07BA, C07BB, C07CA, C07CB, C07DA, C07DB, C07EA, C07EB, C07FA, or C07FB --- Where **selective beta blockers** is a medication with the following codes: - **ATC**: Starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, or C07CG --- Where **calcium channel blockers** is a medication with the following codes: - **ATC**: starting with C08CA or C08GA --- Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- Where **insulins** is a medication with the following codes: - **ATC**: starting with A10A --- Where **non-insulin antidiabetic agents** is a medication with the following codes: - **ATC**: starting with A10B or A10X --- Where **statin** is a medication with the following codes: - **ATC**: starting with C10AA --- Where **lipid modifying agents** is a medication with the following codes: - **ATC**: starting with C10A or C10B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Metabolic Syndrome | Metabolic syndrome prevalence | Number of active patients with metabolic syndrome (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **metabolic syndrome** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 277.9 or 277.7 - **SNOMED CT**: exactly 237602007 or 75934005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - MSK | Rheumatoid arthritis and RA clinical assessment in the past year | Number of active patients with rheumatoid arthritis (based on the problem list) and at least one RA clinical assessment recorded in the EMR in the past year. | Number of active patients with rheumatoid arthritis (based on the problem list) recorded in the EMR. | Where **rheumatoid arthritis** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 714 - **SNOMED CT**: exactly 69896004, D1-20600, 735599007, 52661003, 57160007, 201791009, 399923009, 287008006, 287007001, 143441000119108, 201768005, 15687841000119108, 15691761000119107, 201770001, 201769002, 201775006, 201777003, 1073681000119109, 1073691000119107, 15686001000119104, 1073761000119108, 1073771000119102, 15685961000119107, 201776007, 201766009, 201767000, 427770001, 201778008, 201771002, 239795001, 735600005, 28880005, 459911000124100, 319841000119107, 398640008, or 86219005 | YES | YES | MOIS | OSCAR | ||||
| Conditions - MSK | Rheumatoid arthritis prevalence | Number of active patients with rheumatoid arthritis (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **rheumatoid arthritis** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 714 - **SNOMED CT**: exactly 69896004, D1-20600, 735599007, 52661003, 57160007, 201791009, 399923009, 287008006, 287007001, 143441000119108, 201768005, 15687841000119108, 15691761000119107, 201770001, 201769002, 201775006, 201777003, 1073681000119109, 1073691000119107, 15686001000119104, 1073761000119108, 1073771000119102, 15685961000119107, 201776007, 201766009, 201767000, 427770001, 201778008, 201771002, 239795001, 735600005, 28880005, 459911000124100, 319841000119107, 398640008, or 86219005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - MSK | Osteoarthritis prevalence | Number of active patients with osteoarthritis (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **osteoarthritis** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 715 or 721 - **SNOMED CT**: exactly 396275006, 201826000, 201819000, 3952002, 90860001, 267888004, 227588009, 254779008, 82304009, 33262002, 82300000, 22193007, 37895003 or 239862000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Pain Management | Chronic pain prevalence | Number of active patients with chronic pain (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **chronic pain** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 338.2, 338.3, or 338.4 - **SNOMED CT**: exactly 444746004, 14150005, 15749801000119104, 12400181000119108, 111985007, 51881000119109, 134407002, 631000119102, 735935009, 762602002, 432615008, 11892641000119101, 823843010, 136713011, 136791000119103, 109771000119103, 237067000, 133731000119108, or 1121000119107 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Pain Management | Chronic pain and prescribed an opioid in the past year | Number of active patients with chronic pain (based on the problem list) who have had a coded prescription for an opioid recorded in the EMR in the past year. | Number of active patients with chronic pain (based on the problem list) recorded in the EMR. | Where **chronic pain** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 338.2, 338.3, or 338.4 - **SNOMED CT**: exactly 444746004, 14150005, 15749801000119104, 12400181000119108, 111985007, 51881000119109, 134407002, 631000119102, 735935009, 762602002, 432615008, 11892641000119101, 823843010, 136713011, 136791000119103, 109771000119103, 237067000, 133731000119108, or 1121000119107 --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Pain Management | Opioid prescribed in the past year | Number of active patients who have had a coded prescription for an opioid recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Pain Management | Opioid prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an opioid recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Pain Management | Codeine combinations (excluding psycholeptics) prescribed in the past year | Number of active patients who have had a coded prescription for codeine combinations (excluding psycholeptics) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **codeine combinations (excluding psycholeptics)** is a medication with the following codes: - **ATC**: N02AA79, N02AJ07, N02AJ08, N02AJ09, N02AJ06 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Pain Management | Codeine combinations with psycholeptics prescribed in the past year | Number of active patients who have had a coded prescription for codeine combinations with psycholeptics recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **codeine combinations with psycholeptics** is a medication with the following codes: - **ATC**: N02AA59 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Pain Management | Hydromorphone prescribed in the past year | Number of active patients who have had a coded prescription for hydromorphone recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **hydromorphone** is a medication with the following codes: - **ATC**: N02AA03 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Pain Management | Morphine prescribed in the past year | Number of active patients who have had a coded prescription for morphine recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **morphine** is a medication with the following codes: - **ATC**: N02AA01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Pain Management | Oxycodone combinations prescribed in the past year | Number of active patients who have had a coded prescription for oxycodone combinations recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **oxycodone combinations** is a medication with the following codes: - **ATC**: N02AA55, N02AA05, N02AJ18, N02AJ19, N02AJ17, N02AA56 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Pain Management | Tramadol combinations prescribed in the past year | Number of active patients who have had a coded prescription for tramadol combinations recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **tramadol combinations** is a medication with the following codes: - **ATC**: N02AX52, N02AJ13, N02AJ14, N02AJ15 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Pain Management | Tramadol prescribed in the past year | Number of active patients who have had a coded prescription for tramadol recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **tramadol** is a medication with the following codes: - **ATC**: N02AX02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - STBBI | HIV prevalence | Number of active patients with HIV (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **HIV** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 042 - **SNOMED CT**: exactly 62479008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - STBBI | HIV screening - age 18-70 | Number of active patients, 18 to 70 years old, who have a lab result for HIV screening recorded in the EMR in the past 5 years. | Number of active patients, 18 to 70 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - STBBI | Complete STI/BBP testing including HIV test | Number of active patients who are not HIV positive and have a lab result recorded in the EMR for hepatitis B, hepatitis C, chlamydia, gonorrhea or syphilis during the period of 15 months ago to 3 months ago, and also have HIV lab results 15 days before to 3 months after the other tests. | Number of active patients who are not HIV positive and have a lab result recorded in the EMR for any of these diseases: hepatitis B, hepatitis C, chlamydia, gonorrhea or syphilis, during the period of 15 months ago to 3 months ago. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - STBBI | Chlamydia prevalence - female, age 15-24 | Number of active female patients, 15 to 24 years old, who have had a positive chlamydia lab result recorded in the EMR in the past year. | Number of active female patients, 15 to 24 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - STBBI | Chlamydia screening | Number of active female patients, 15 to 24 years old, who have had a chlamydia lab test recorded in the EMR in the past year. | Number of active female patients, 15 to 24 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - STBBI | HIV screening - female, age 18-70 | Number of active female patients, 18 to 70 years old, with at least 1 HIV screening test result recorded in the EMR in the past year. | Number of active female patients, 18 to 70 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - STBBI | HIV screening - male, age 18-70 | Number of active male patients, 18 to 70 years old, with at least 1 HIV screening test result recorded in the EMR in the past year. | Number of active male patients, 18 to 70 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Conditions - STBBI | Hepatitis C prevalence | Number of active patients with hepatitis C (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **hepatitis C** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 070.41, 070.44, 070.51, 070.54, 070.70, 070.71, or V02.62 - **SNOMED CT**: exactly 235866006, 128302006, 50711007, 708198006, 702969000, 278929008, or 235872006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - STBBI | Hepatitis C and RNA PCR result in the past 2 years | Number of active patients with hepatitis C (based on the problem list) who have an RNA PCR lab result recorded in the EMR within the past 2 years. | Number of active patients with hepatitis C (based on problem list) recorded in the EMR. | Where **hepatitis C** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 070.41, 070.44, 070.51, 070.54, 070.70, 070.71, or V02.62 - **SNOMED CT**: exactly 235866006, 128302006, 50711007, 708198006, 702969000, 278929008, or 235872006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Alcohol use disorder and an encounter in the past year - age 12-19 | Number of active patients, 12 to 19 years old, who have alcohol use disorder (based on the problem list) and have had at least one encounter recorded in the EMR in the past year. | Number of active patients, 12 to 19 years old, with alcohol use disorder (based on the problem list) recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Alcohol use disorder and an encounter in the past year - age 20+ | Number of active patients, 20 years and older, who have alcohol use disorder (based on the problem list) and have had at least one encounter recorded in the EMR in the past year. | Number of active patients, 20 years and older, with alcohol use disorder (based on the problem list) recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Substance use disorder and an encounter in the past year - age 12-19 | Number of active patients, 12 to 19 years old, who have substance use disorder (based on the problem list) and have had at least one encounter recorded in the EMR in the past year. | Number of active patients, 12 to 19 years old, with substance use disorder (based on the problem list) recorded in the EMR. | Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Substance use disorder and an encounter in the past year - age 20+ | Number of active patients, 20 years and older, who have substance use disorder (based on the problem list) and have had at least one encounter recorded in the EMR in the past year. | Number of active patients, 20 years and older, with substance use disorder (based on the problem list) recorded in the EMR. | Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | OUD with mental health diagnosis - age 0-12 | Number of active patients, 0 to 12 years old, with OUD and a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | OUD with mental health diagnosis - age 13-19 | Number of active patients, 13 to 19 years old, with OUD and a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | OUD with mental health diagnosis - age 20+ | Number of active patients, 20 years and older, with OUD and a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Mental health with substance use disorder | Number of active patients with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with a mental health diagnosis(based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Mental health with substance use disorder - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Mental health with substance use disorder - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Mental health with substance use disorder - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Mental health with alcohol use disorder | Number of active patients with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients with a mental health diagnosis(based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Mental health with alcohol use disorder - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Mental health with alcohol use disorder - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Mental health with alcohol use disorder - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Mental health with cannabis use disorder | Number of active patients with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients with a mental health diagnosis(based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Mental health with cannabis use disorder - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Mental health with cannabis use disorder - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Mental health with cannabis use disorder - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Mood disorder or psychotic disorder with substance use disorder | Number of active patients with a mood disorder or psychotic disorder (based on the problem list), who have substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with mood disorders or psychotic disorders (based on the problem list) recorded in the EMR. | Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | OUD with mental health diagnosis | Number of active patients with OUD and a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | OUD and at least two encounters in the past 90 days | Number of active patients with OUD (based on the problem list) with at least two encounters recorded in the EMR in the past 90 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | AUD and prescribed naltrexone, acamprosate, topiramate, or gabapentin in the past year | Number of active patients with AUD (based on the problem list) who have had a coded prescription for naltrexone, acamprosate, topiramate, or gabapentin recorded in the EMR in the past year. | Number of active patients with AUD (based on the problem list) recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 --- Where **naltrexone** is a medication with one of the following codes: - **ATC**: exactly N07BB04 --- Where **acamprosate** is a medication with one of the following codes: - **ATC**: exactly N07BB03 --- Where **topiramate** is a medication with one of the following codes: - **ATC**: exactly N03AX11 --- Where **gabapentin** is a medication with one of the following codes: - **ATC**: exactly N02BF01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Opioid use disorder prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with OUD (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Opioid use disorder prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with OUD (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Opioid use disorder prevalence - age 20+ | Number of active patients, 20 years and older, with OUD (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Anxiety and phobias with substance use disorder | Number of active patients with anxiety and fear-related disorders (including phobias, based on the problem list) who have substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with anxiety and fear-related disorders (including phobias, based on the problem list) as recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Cannabis use disorder prevalence | Number of active patients with cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Cannabis use disorder prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Cannabis use disorder prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Cannabis use disorder prevalence - age 20+ | Number of active patients, 20 years and older, with cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Opioid use disorder prevalence | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | OUD and prescribed any opioid in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for any opioid recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | OUD and prescribed an OAT in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for an OAT recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **Suboxone** is a medication with the following codes: - **ATC**: N07BC51 --- Where **methadone** is a medication with the following codes: - **ATC**: N07BC02 --- Where **Kadian (slow-release oral morphine)** is a medication with the following codes: - **DIN**: 02242163, 02184451, 02184443, 02184435 --- Where **Sublocade** is a medication with the following codes: - **ATC**: N07BC01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | OUD and prescribed Methadone in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Methadone recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **methadone** is a medication with the following codes: - **ATC**: N07BC02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | OUD and prescribed Kadian in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Kadian recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **Kadian (slow-release oral morphine)** is a medication with the following codes: - **DIN**: 02242163, 02184451, 02184443, 02184435 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | OUD and prescribed Suboxone in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Suboxone recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where suboxone is a medication with the following codes: - **ATC**: N07BC51 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | OAT prescribed in the past year | Number of active patients who have had a coded prescription for an OAT recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **Suboxone** is a medication with the following codes: - **ATC**: N07BC51 --- Where **methadone** is a medication with the following codes: - **ATC**: N07BC02 --- Where **Kadian (slow-release oral morphine)** is a medication with the following codes: - **DIN**: 02242163, 02184451, 02184443, 02184435 --- Where **Sublocade** is a medication with the following codes: - **ATC**: N07BC01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Alcohol use disorder prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Alcohol use disorder prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Alcohol use disorder prevalence - age 20+ | Number of active patients, 20 years and older, with alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Substance use disorder prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with substance use disorder (based on the problem list) as recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Substance use disorder prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with substance use disorder (based on the problem list) as recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Substance use disorder prevalence - age 20+ | Number of active patients, 20 years and older, with substance use disorder (based on the problem list) as recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Alcohol use disorder prevalence | Number of active patients with alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Substance use disorder prevalence | Number of active patients with substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Opioid prescribed in the past year | Number of active patients who have had a coded prescription for an opioid recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Conditions - Substance Use | Opioid prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an opioid recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management | Metabolic syndrome based on diagnostic criteria - 3 or more | Number of active patients who do not have diabetes or metabolic syndrome (based on the problem list), who meet at least 3 of the 4 diagnostic criteria for metabolic syndrome: **High blood pressure:** - a BP ≥ 130/85 mm Hg in the past 2 years, or - prescribed one of the following medications in the past 2 years: antihypertensives, peripheral vasodilators, diuretics, thiazides, beta blockers, selective beta blockers, calcium channel blockers, ACEi, or ARBs **High blood glucose levels:** - a fasting glucose ≥ 5.6 mmol/L in the past 2 years, or - HbA1c > 6.0%, or - prescribed one of the following medications in the past 2 years: insulins or non-insulin antidiabetic agents **High triglycerides:** - ≥ 1.7 mmol/L, or - prescribed one of the following medications in the past 2 years: statin or lipid modifying agents **Low HDL-Cholesterol:** - < 1.0 mmol/L in men in the past 2 years, or - < 1.3 mmol/L in women in the past 2 years | Number of active patients recorded in the EMR. | Where **metabolic syndrome** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 277.9 or 277.7 - **SNOMED CT**: exactly 237602007 or 75934005 --- Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **antihypertensives** is a medication with the following codes: - **ATC**: starting with C02 --- Where **peripheral vasodilators** is a medication with the following codes: - **ATC**: starting with C04 --- Where **diuretics** is a medication with the following codes: - **ATC**: starting with C03 --- Where **thiazides** is a medication with the following codes: - **ATC**: starting with C03AA --- Where **beta blockers** is a medication with the following codes: - **ATC**: starting with C07AA, C07AB, C07BA, C07BB, C07CA, C07CB, C07DA, C07DB, C07EA, C07EB, C07FA, or C07FB --- Where **selective beta blockers** is a medication with the following codes: - **ATC**: Starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, or C07CG --- Where **calcium channel blockers** is a medication with the following codes: - **ATC**: starting with C08CA or C08GA --- Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- Where **insulins** is a medication with the following codes: - **ATC**: starting with A10A --- Where **non-insulin antidiabetic agents** is a medication with the following codes: - **ATC**: starting with A10B or A10X --- Where **statin** is a medication with the following codes: - **ATC**: starting with C10AA --- Where **lipid modifying agents** is a medication with the following codes: - **ATC**: starting with C10A or C10B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management | Metabolic syndrome based on diagnostic criteria - 2 or more | Number of active patients who do not have diabetes or metabolic syndrome (based on the problem list), who meet at least 2 of the 4 diagnostic criteria for metabolic syndrome: **High blood pressure:** - a BP ≥ 130/85 mm Hg in the past 2 years, or - prescribed one of the following medications in the past 2 years: antihypertensives, peripheral vasodilators, diuretics, thiazides, beta blockers, selective beta blockers, calcium channel blockers, ACEi, or ARBs **High blood glucose levels:** - a fasting glucose ≥ 5.6 mmol/L in the past 2 years, or - HbA1c > 6.0%, or - prescribed one of the following medications in the past 2 years: insulins or non-insulin antidiabetic agents **High triglycerides:** - ≥ 1.7 mmol/L, or - prescribed one of the following medications in the past 2 years: statin or lipid modifying agents **Low HDL-Cholesterol:** - < 1.0 mmol/L in men in the past 2 years, or - < 1.3 mmol/L in women in the past 2 years | Number of active patients recorded in the EMR. | Where **metabolic syndrome** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 277.9 or 277.7 - **SNOMED CT**: exactly 237602007 or 75934005 --- Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **antihypertensives** is a medication with the following codes: - **ATC**: starting with C02 --- Where **peripheral vasodilators** is a medication with the following codes: - **ATC**: starting with C04 --- Where **diuretics** is a medication with the following codes: - **ATC**: starting with C03 --- Where **thiazides** is a medication with the following codes: - **ATC**: starting with C03AA --- Where **beta blockers** is a medication with the following codes: - **ATC**: starting with C07AA, C07AB, C07BA, C07BB, C07CA, C07CB, C07DA, C07DB, C07EA, C07EB, C07FA, or C07FB --- Where **selective beta blockers** is a medication with the following codes: - **ATC**: Starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, or C07CG --- Where **calcium channel blockers** is a medication with the following codes: - **ATC**: starting with C08CA or C08GA --- Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- Where **insulins** is a medication with the following codes: - **ATC**: starting with A10A --- Where **non-insulin antidiabetic agents** is a medication with the following codes: - **ATC**: starting with A10B or A10X --- Where **statin** is a medication with the following codes: - **ATC**: starting with C10AA --- Where **lipid modifying agents** is a medication with the following codes: - **ATC**: starting with C10A or C10B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management | Metabolic syndrome based on diagnostic criteria - 3 or more (not excluding diabetes) | Number of active patients who do not have metabolic syndrome (based on the problem list), who meet at least 3 of the 4 diagnostic criteria for metabolic syndrome: **High blood pressure:** - a BP ≥ 130/85 mm Hg in the past 2 years, or - prescribed one of the following medications in the past 2 years: antihypertensives, peripheral vasodilators, diuretics, thiazides, beta blockers, selective beta blockers, calcium channel blockers, ACEi, or ARBs **High blood glucose levels:** - a fasting glucose ≥ 5.6 mmol/L in the past 2 years, or - HbA1c > 6.0%, or - prescribed one of the following medications in the past 2 years: insulins or non-insulin antidiabetic agents **High triglycerides:** - ≥ 1.7 mmol/L, or - prescribed one of the following medications in the past 2 years: statin or lipid modifying agents **Low HDL-Cholesterol:** - < 1.0 mmol/L in men in the past 2 years, or - < 1.3 mmol/L in women in the past 2 years | Number of active patients recorded in the EMR. | Where **metabolic syndrome** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 277.9 or 277.7 - **SNOMED CT**: exactly 237602007 or 75934005 --- Where **antihypertensives** is a medication with the following codes: - **ATC**: starting with C02 --- Where **peripheral vasodilators** is a medication with the following codes: - **ATC**: starting with C04 --- Where **diuretics** is a medication with the following codes: - **ATC**: starting with C03 --- Where **thiazides** is a medication with the following codes: - **ATC**: starting with C03AA --- Where **beta blockers** is a medication with the following codes: - **ATC**: starting with C07AA, C07AB, C07BA, C07BB, C07CA, C07CB, C07DA, C07DB, C07EA, C07EB, C07FA, or C07FB --- Where **selective beta blockers** is a medication with the following codes: - **ATC**: Starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, or C07CG --- Where **calcium channel blockers** is a medication with the following codes: - **ATC**: starting with C08CA or C08GA --- Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- Where **insulins** is a medication with the following codes: - **ATC**: starting with A10A --- Where **non-insulin antidiabetic agents** is a medication with the following codes: - **ATC**: starting with A10B or A10X --- Where **statin** is a medication with the following codes: - **ATC**: starting with C10AA --- Where **lipid modifying agents** is a medication with the following codes: - **ATC**: starting with C10A or C10B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management | Short-acting bronchodilator prescribed in the past year - age 0-2 | Number of active patients, 0 to 2 years old, who have had a coded prescription for a short-acting bronchodilator recorded in the EMR in the past year. | Number of active patients, 0 to 2 years old, recorded in the EMR. | Where **short-acting bronchodilator** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 00786616, 02243115, 02469359, 02419106, 02213486, 02173360, 01926934, 02208245, 02208237, 02208229, 02239365, 00860808, 02231675 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - all ages | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 6-11 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 6 to 11 years old, with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 6 to 11 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 12-17 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 18+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 18 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 18 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 65+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 65 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 65 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Patients prescribed a high-carbon inhaler who do not have Asthma or COPD - age 19+ | Number of active patients, 19 years and older, being treated with inhalers, who have had a coded prescription for a high-carbon inhaler in the past year and who do not have a diagnosis for Asthma or COPD (based on the problem list) recorded in the EMR. | Number of active patients, 19 years and older, with a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma and prescribed 3 or more reliever inhalers in the past year | Number of active patients with asthma (based on the problem list) who have been prescribed 3 or more reliever inhalers in the past year. | Number of active patients with Asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - all ages | Number of active patients with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients with Asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 6-11 | Number of active patients, 6 to 11 years old, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 6 to 11 years old, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 12-17 | Number of active patients, 12 to 17 years old, with Asthma (based on the problem list) being treated with inhalers that have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 12 to 17 years old, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 18+ | Number of active patients, 18 years and older, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 18 years and older, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 65+ | Number of active patients, 65 years and older, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 65 years and older, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Any reliever inhaler and no controller inhaler | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who are being treated with reliever inhalers or Symbicort, who have a prescription for a reliever inhaler and did not have a prescription for a controller inhaler in the past year. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - High-carbon reliever inhaler and high-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was high-carbon and whose last prescription, in the past year, for a controller inhaler was high-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 -- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - High-carbon reliever inhaler and low-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was high-carbon and whose last prescription, in the past year, for a controller inhaler was low-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort*** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Low-carbon reliever inhaler and high-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was low-carbon and whose last prescription, in the past year, for a controller inhaler was high-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort*** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Low-carbon reliever inhaler and low-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was low-carbon or Symbicort and whose last prescription, in the past year, for a controller inhaler was low-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma and prescribed an inhaler in the past year | Number of active patients with asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Number of active patients with asthma (based on the problem list) recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma and non-smokers | Number of active patients with asthma (based on the problem list) who are non-smokers as recorded in the EMR. | Number of active patients with asthma (based on the problem list) recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Asthma | Asthma and FEV1 documented | Number of active patients with asthma (based on the problem list) who have an FEV1 measurement (or spirometry) recorded in the EMR. | Number of active patients with Asthma (based on the problem list) recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Blood-borne Pathogen | Hepatitis C and RNA PCR result in the past 2 years | Number of active patients with hepatitis C (based on the problem list) who have an RNA PCR lab result recorded in the EMR within the past 2 years. | Number of active patients with hepatitis C (based on problem list) recorded in the EMR. | Where **hepatitis C** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 070.41, 070.44, 070.51, 070.54, 070.70, 070.71, or V02.62 - **SNOMED CT**: exactly 235866006, 128302006, 50711007, 708198006, 702969000, 278929008, or 235872006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Chronic Kidney | CKD and uACR result in the past year | Number of active patients with CKD (based on the problem list) and a uACR result recorded in the EMR in the past year. | Number of active patients with CKD (based on the problem list) recorded in the EMR. | Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Chronic Kidney | CKD and BP documented in the past year | Number of active patients with CKD (based on the problem list) with a blood pressure measurement recorded in the EMR in the past year. | Number of active patients with CKD (based on the problem list) recorded in the EMR. | Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Disease Management - Chronic Kidney | CKD and last BP less than 140/90 in the past year | Number of active patients with CKD (based on the problem list) where the last blood pressure measurement recorded in the EMR in the past year was less than or equal to 140/90. | Number of active patients with CKD (based on the problem list) recorded in the EMR. | Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Disease Management - Chronic Pain | Chronic pain and prescribed an opioid in the past year | Number of active patients with chronic pain (based on the problem list) who have had a coded prescription for an opioid recorded in the EMR in the past year. | Number of active patients with chronic pain (based on the problem list) recorded in the EMR. | Where **chronic pain** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 338.2, 338.3, or 338.4 - **SNOMED CT**: exactly 444746004, 14150005, 15749801000119104, 12400181000119108, 111985007, 51881000119109, 134407002, 631000119102, 735935009, 762602002, 432615008, 11892641000119101, 823843010, 136713011, 136791000119103, 109771000119103, 237067000, 133731000119108, or 1121000119107 --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - COPD | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - all ages | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - COPD | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 6-11 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 6 to 11 years old, with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 6 to 11 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - COPD | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 12-17 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - COPD | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 18+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 18 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 18 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - COPD | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 65+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 65 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 65 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - COPD | COPD being treated with inhalers and prescribed a low-carbon inhaler in the past year | Number of active patients with COPD (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients with COPD (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - COPD | Patients prescribed a high-carbon inhaler who do not have Asthma or COPD - age 19+ | Number of active patients, 19 years and older, being treated with inhalers, who have had a coded prescription for a high-carbon inhaler in the past year and who do not have a diagnosis for Asthma or COPD (based on the problem list) recorded in the EMR. | Number of active patients, 19 years and older, with a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - COPD | COPD and post-bronchodilator spirometry | Number of active patients with COPD (based on the problem list) who have a FEV1 measurement (or spirometry) recorded in the EMR. | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - COPD | COPD and prescribed an inhaler in the past year | Number of active patients with COPD (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - COPD | COPD and pneumococcal vaccine | Number of active patients with COPD (based on the problem list) who either have at least one pneumococcal vaccination recorded in the EMR (this can be the primary vaccination or a booster), have declined the vaccination or have an indication on their record that pneumococcal vaccination is not clinically appropriate for them. | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 | YES | YES | MOIS | OSCAR | ||||
| Disease Management - COPD | COPD and activity documentation in the past year | Number of active patients with COPD (based on the problem list) who have their physical activity documented in the EMR within the past year. | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 | YES | YES | MOIS | OSCAR | ||||
| Disease Management - COPD | COPD and non-smokers | Number of active patients with COPD (based on the problem list) who are non-smokers as recorded in the EMR. | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, D2-30410 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes type 2 and prescribed antidiabetic agents other than insulin and metformin in the past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had at least one coded prescription for antidiabetic agents other than insulin and metformin recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **antidiabetic agents other than insulin and metformin** is a medication with the following codes: - **ATC**: starting with A10B or A10X, excluding A10BA02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes type 2 and prescribed "metformin only" in the past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had a coded prescription for metformin only (no prescription for insulin or other non-insulin antidiabetic agents) recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **metformin only** is a medication with the following codes: - **ATC**: A10BA02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes type 2 and prescribed semaglutide in the past year | Number of active patients with diabetes type 2 (based on the problem list) who have had a coded prescription for a semaglutide recorded in the EMR in the past year. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **semaglutide** is a medication with the following codes: - **ATC**: A10BJ06 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes type 2 and no antidiabetic agent prescription in the past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had no prescription for insulin or non-insulin antidiabetic agents recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes and prescribed SGLT2 inhibitor in the past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) who have had a coded prescription for a SGLT2 Inhibitor recorded in the EMR in the past year. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **SGLT2 inhibitors** is a medication with the following codes: - **ATC**: starting with A10BK --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes and LDL result in the past 5 years | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) who have an LDL result recorded in the EMR in the past 5 years. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes and uACR result in the past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) who do not have CKD, and who have a uACR result recorded in the EMR in the past year. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes), who do not have CKD (based on the problem list) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes and prescribed a statin in the past year | Number of active patients, 40 years and older, with diabetes (based on the problem list and excluding gestational diabetes) who have had a coded prescription for a statin recorded in the EMR in the past year. | Number of active patients, 40 years and older, with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **HMG-CoA reductase inhibitor (Statin)** is a medication with the following codes: - **ATC**: starting with C10AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes type 2 and prescribed a GLP-1 agonist in the past year | Number of active patients with diabetes type 2 (based on the problem list) who have had a coded prescription for a GLP-1 agonist recorded in the EMR in the past year. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **glucagon-like peptide-1 (GLP-1) agonist** is a medication with the following codes: - **ATC**: starting with A10BJ or exactly A10BX16 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes, obesity, and prescribed a GLP-1 agonist in the past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and obesity by documentation in the problem list or by last measurement (BMI greater than or equal to 30 or waist circumference greater than or equal to 102 for males or greater than or equal to 88 for females), who have had a coded prescription for a GLP-1 agonist recorded in the EMR in the past year. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and obesity by documentation in the problem list or by last measurement (BMI greater than or equal to 30 or waist circumference greater than or equal to 102 for males or greater than or equal to 88 for females) as recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **glucagon-like peptide-1 (GLP-1) agonist** is a medication with the following codes: - **ATC**: starting with A10BJ or exactly A10BX16 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes and last BP less than 140/90 in past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) where the last blood pressure measurement recorded in the EMR in the past year was less than or equal to 140/90. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Disease Management - Diabetes | Diabetes and HbA1c result in the past 6 months | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) with a record of an HbA1c test result in the EMR in the past six months. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes and BP documented in the past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) with a blood pressure measurement recorded in the EMR in the past year. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Disease Management - Diabetes | Diabetes type 2 and prescribed insulin in past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had at least one coded prescription for insulin recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **insulin** is a medication with the following codes: - **ATC**: starting with A10A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes and no HbA1c in the past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) who do not have a HbA1c measurement recorded in the EMR in the past year or whose last HbA1c measurement recorded in the EMR is in the past year and is uncategorized due to it being a non-numeric value. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes and last HbA1c 8.1 - 9.0% | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) whose last HbA1c measurement is within the past year and the result is between 8.1%-9.0% as recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes and last HbA1c < 7.1% | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) whose last HbA1c measurement is within the past year and the result is less than 7.1% as recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes and last HbA1c 7.1 - 8.0% | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) whose last HbA1c measurement is within the past year and the result is between 7.1%-8.0% as recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Diabetes | Diabetes and last HbA1c > 9.0% | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) whose last HbA1c measurement is within the past year and the result is greater than 9.0% as recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Frailty | Frailty and falls assessment in the past year | Number of active patients who have frailty (based on the problem list) and have a falls assessment, such as TUG or DW6min (distance walked in six minutes), SCOTT falls assessment or others, recorded in the EMR in the past year. | Number of active patients with frailty (based on problem list) recorded in the EMR. | Where **frailty** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 797 or exactly V15 - **SNOMED CT**: exactly 404904002 or 248279007 | YES | MOIS | ||||||
| Disease Management - Frailty | Frailty and LOI assessment in the past year | Number of active patients who have frailty (based on the problem list) and have a level of intervention (LOI), such as MOST or advance directive (e.g. no CPR or DNR) recorded in the EMR in the past year. | Number of active patients with frailty (based on problem list) recorded in the EMR. | Where **frailty** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 797 or exactly V15 - **SNOMED CT**: exactly 404904002 or 248279007 | YES | MOIS | ||||||
| Disease Management - Heart Failure | Heart failure and prescribed three or more of the four foundational medication classes in the past year | Number of active patients with HF (based on the problem list) who have had coded prescriptions for three or more of the four foundational medication classes for heart failure recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **renin-angiotensin-aldosterone system (RAAS) inhibitors** is a medication with the following codes: - **ATC**: starting with C09A, C09B, C09C, or C09D --- Where **selective beta blocker** is a medication with the following codes: - **ATC**: starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, C07CG --- Where **SGLT2 inhibitors** is a medication with the following codes: - **ATC**: starting with A10BK, or exactly A10BD15, A10BD16, A10BD19, A10BD20, A10BD21, A10BD23, A10BD24, A10BD25, or A10BD27 --- Where **mineralocorticoid receptor antagonist** is a medication with the following codes: - **ATC**: starting with C03DA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Heart Failure | Heart failure and prescribed an ARNI in the past year | Number of active patients with HF (based on the problem list) who have had a coded prescription for an ARNI recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **angiotensin Receptor/Neprilysin inhibitor (ARNI)** is a medication with the following codes: - **ATC**: C09DX04 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Heart Failure | Heart failure and two weight measurements in the past 6 months | Number of active patients with HF (based on the problem list) who have had their weight measured and recorded in the EMR at least two times in the past six months. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Disease Management - Heart Failure | Heart failure and weight measurement in the past year | Number of active patients with HF (based on the problem list) who have had their weight recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Disease Management - Heart Failure | Heart failure and ejection fraction result in the past 3 years | Number of active patients with HF (based on the problem list) with an ejection fraction completed and recorded in the EMR in the past three years. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | MOIS | Profile | ||||
| Disease Management - Heart Failure | Heart failure and prescribed an SGLT2 inhibitor in the past year | Number of active patients with HF (based on the problem list) who have had a coded prescription for a SGLT2 Inhibitor recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **SGLT2 inhibitors** is a medication with the following codes: - **ATC**: starting with A10BK, or exactly A10BD15, A10BD16, A10BD19, A10BD20, A10BD21, A10BD23, A10BD24, A10BD25, or A10BD27 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Heart Failure | Heart failure and prescribed an MRA in the past year | Number of active patients with HF (based on the problem list) who have had a coded prescription for an MRA recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **mineralocorticoid receptor antagonist** is a medication with the following codes: - **ATC**: starting with C03DA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Heart Failure | Heart failure and prescribed a RAAS inhibitor in the past year | Number of active patients with HF (based on the problem list) that have had a coded prescription for a RAAS inhibitor in the past year recorded in the EMR. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Heart Failure | Heart failure and prescribed a selective beta-blocker in the past year | Number of active patients with HF (based on the problem list) who have had a coded prescription for a beta blocker in the past year as recorded in the EMR. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **selective beta blocker** is a medication with the following codes: - **ATC**: starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, C07CG. --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Heart Failure | CVD and uACR result in the past year | Number of active patients with CVD (based on the problem list) who do not have CKD, and who have a uACR result recorded in the EMR in the past year. | Number of active patients with CVD (based on the problem list), who do not have CKD (based on the problem list) recorded in the EMR. | Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 --- Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Heart Failure | HFrEF and prescribed three or more of the four foundational medication classes in the past year | Number of active patients with HFrEF (based on the problem list) who have had coded prescriptions for three or more of the four foundational medication classes for heart failure recorded in the EMR in the past year. | Number of active patients with HFrEF (based on the problem list) recorded in the EMR. | Where **heart failure with reduced ejection fraction (HFrEF)** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428.2 - **SNOMED CT**: exactly 426263006, 48447003, 703272007, 417996009, 441481004 --- Where **renin-angiotensin-aldosterone system (RAAS) inhibitors** is a medication with the following codes: - **ATC**: starting with C09A, C09B, C09C, or C09D --- Where **selective beta blocker** is a medication with the following codes: - **ATC**: starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, C07CG --- Where **SGLT2 inhibitors** is a medication with the following codes: - **ATC**: starting with A10BK, or exactly A10BD15, A10BD16, A10BD19, A10BD20, A10BD21, A10BD23, A10BD24, A10BD25, or A10BD27 --- Where **mineralocorticoid receptor antagonist** is a medication with the following codes: - **ATC**: starting with C03DA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Hypertension | Hypertension and last BP less than 140/90 in the past year | Number of active patients with hypertension (based on the problem list) where the last blood pressure measurement recorded in the EMR within the past year was less than or equal to 140/90. | Number of active patients with hypertension (based on the problem list) recorded in the EMR. | Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Disease Management - Hypertension | Hypertension and BP documented in the past year | Number of active patients with hypertension (based on the problem list) who have a blood pressure measurement recorded in the EMR in the past year. | Number of active patients with hypertension (based on the problem list) recorded in the EMR. | Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 | YES | YES | YES | MOIS | OSCAR | Profile | ||
| Disease Management - Hypertension | Hypertension and uACR result in the past year | Number of active patients with hypertension (based on the problem list) who do not have CKD, and who have a uACR result recorded in the EMR in the past year. | Number of active patients with hypertension (based on the problem list), who do not have CKD (based on the problem list) recorded in the EMR. | Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 --- Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Hypothyroidism | Hypothyroidism and prescribed thyroid hormone in the past year | Number of active patients with hypothyroidism (based on the problem list) who have had a coded prescription for a thyroid hormone recorded in the EMR in the past year. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 --- Where **thyroid hormone** is a medication with the following codes: - **ATC**: starting with H03AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Hypothyroidism | Hypothyroidism and a TSH result in the past year | Number of active patients with hypothyroidism (based on the problem list) with a TSH result recorded in the EMR in the past year. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Hypothyroidism | Hypothyroidism and last TSH < 0.34 mIU/L | Number of active patients with hypothyroidism (based on the problem list) whose last TSH result recorded in the EMR in the past year is less than 0.34 mIU/L. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Hypothyroidism | Hypothyroidism and last TSH 0.34 - 5.6 mIU/L | Number of active patients with hypothyroidism (based on the problem list) whose last TSH result recorded in the EMR in the past year is between 0.34 - 5.6 mIU/L. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Hypothyroidism | Hypothyroidism and last TSH > 5.6 mIU/L | Number of active patients with hypothyroidism (based on the problem list) whose last TSH result recorded in the EMR in the past year is greater than 5.6 mIU/L. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Hypothyroidism | Hypothyroidism and no TSH result in the past year | Number of active patients with hypothyroidism (based on the problem list) who do not have a TSH result recorded in the EMR in the past year or whose last TSH result recorded in the EMR is in the past year and is uncategorized due to it being a non-numeric value. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Impaired Renal | Impaired renal function and BP documented in the past 6 months | Number of active patients with the last calGFR recorded in the past year, that is less than 60 and a blood pressure measurement recorded in the six months before or after this calGFR result. | Number of active patients with calGFR less than 60 recorded in the EMR in the past year. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Disease Management - INR Monitoring | INR monitoring of patients prescribed a vitamin K antagonist in the past year | Number of active patients who have had a coded prescription for a vitamin K antagonist, such as warfarin, in the past year and no INR result in recorded in the EMR in the last month. | Number of active patients with a prescription for a vitamin K antagonist, such as warfarin, recorded in the EMR in the past year. | Where **vitamin K antagonist** is a medication with the following codes: - **ATC**: starting with B01AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Mental Health | Major depressive disorder and an encounter in the past year | Number of active patients with major depressive disorder (based on the problem list) and have had at least one encounter recorded in the EMR in the past year. | Number of active patients with major depressive disorder (based on the problem list) recorded the EMR. | Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Mental Health | Schizophrenia or bipolar and an encounter in the past year | Number of active patients with schizophrenia or bipolar disorder (based on the problem list) and have had at least one encounter recorded in the EMR in the past year. | Number of active patients with schizophrenia or bipolar disorder (based on the problem list) recorded in the EMR. | Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Mental Health | OUD and at least two encounters in the past 90 days | Number of active patients with OUD (based on the problem list) with at least two encounters recorded in the EMR in the past 90 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Mental Health | GAD-7 recorded in the past year | Number of active patients with a GAD-7 administered and recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Disease Management - Mental Health | PHQ-9 recorded in the past year | Number of active patients with a Patient Health Questionnaire (PHQ-9) administered and recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Disease Management - Musculoskeletal | Rheumatoid arthritis and RA clinical assessment in the past year | Number of active patients with rheumatoid arthritis (based on the problem list) and at least one RA clinical assessment recorded in the EMR in the past year. | Number of active patients with rheumatoid arthritis (based on the problem list) recorded in the EMR. | Where **rheumatoid arthritis** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 714 - **SNOMED CT**: exactly 69896004, D1-20600, 735599007, 52661003, 57160007, 201791009, 399923009, 287008006, 287007001, 143441000119108, 201768005, 15687841000119108, 15691761000119107, 201770001, 201769002, 201775006, 201777003, 1073681000119109, 1073691000119107, 15686001000119104, 1073761000119108, 1073771000119102, 15685961000119107, 201776007, 201766009, 201767000, 427770001, 201778008, 201771002, 239795001, 735600005, 28880005, 459911000124100, 319841000119107, 398640008, or 86219005 | YES | YES | MOIS | OSCAR | ||||
| Disease Management - Substance Use | Alcohol use disorder and an encounter in the past year - age 12-19 | Number of active patients, 12 to 19 years old, who have alcohol use disorder (based on the problem list) and have had at least one encounter recorded in the EMR in the past year. | Number of active patients, 12 to 19 years old, with alcohol use disorder (based on the problem list) recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Substance Use | Alcohol use disorder and an encounter in the past year - age 20+ | Number of active patients, 20 years and older, who have alcohol use disorder (based on the problem list) and have had at least one encounter recorded in the EMR in the past year. | Number of active patients, 20 years and older, with alcohol use disorder (based on the problem list) recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Substance Use | Substance use disorder and an encounter in the past year - age 12-19 | Number of active patients, 12 to 19 years old, who have substance use disorder (based on the problem list) and have had at least one encounter recorded in the EMR in the past year. | Number of active patients, 12 to 19 years old, with substance use disorder (based on the problem list) recorded in the EMR. | Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Substance Use | Substance use disorder and an encounter in the past year - age 20+ | Number of active patients, 20 years and older, who have substance use disorder (based on the problem list) and have had at least one encounter recorded in the EMR in the past year. | Number of active patients, 20 years and older, with substance use disorder (based on the problem list) recorded in the EMR. | Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Substance Use | OUD and at least two encounters in the past 90 days | Number of active patients with OUD (based on the problem list) with at least two encounters recorded in the EMR in the past 90 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. We recognize that clinics and users may interpret and use encounters differently. The intention of encounter measures is to observe trends and changes over time, not to provide exact counts of visits or patients seen. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Substance Use | AUD and prescribed naltrexone, acamprosate, topiramate, or gabapentin in the past year | Number of active patients with AUD (based on the problem list) who have had a coded prescription for naltrexone, acamprosate, topiramate, or gabapentin recorded in the EMR in the past year. | Number of active patients with AUD (based on the problem list) recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 --- Where **naltrexone** is a medication with one of the following codes: - **ATC**: exactly N07BB04 --- Where **acamprosate** is a medication with one of the following codes: - **ATC**: exactly N07BB03 --- Where **topiramate** is a medication with one of the following codes: - **ATC**: exactly N03AX11 --- Where **gabapentin** is a medication with one of the following codes: - **ATC**: exactly N02BF01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Substance Use | OUD and prescribed any opioid in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for any opioid recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Substance Use | OUD and prescribed an OAT in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for an OAT recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **Suboxone** is a medication with the following codes: - **ATC**: N07BC51 --- Where **methadone** is a medication with the following codes: - **ATC**: N07BC02 --- Where **Kadian (slow-release oral morphine)** is a medication with the following codes: - **DIN**: 02242163, 02184451, 02184443, 02184435 --- Where **Sublocade** is a medication with the following codes: - **ATC**: N07BC01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Substance Use | OUD and prescribed Methadone in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Methadone recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **methadone** is a medication with the following codes: - **ATC**: N07BC02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Substance Use | OUD and prescribed Kadian in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Kadian recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **Kadian (slow-release oral morphine)** is a medication with the following codes: - **DIN**: 02242163, 02184451, 02184443, 02184435 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Management - Substance Use | OUD and prescribed Suboxone in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Suboxone recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where suboxone is a medication with the following codes: - **ATC**: N07BC51 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Metabolic syndrome prevalence | Number of active patients with metabolic syndrome (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **metabolic syndrome** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 277.9 or 277.7 - **SNOMED CT**: exactly 237602007 or 75934005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Parkinson's disease prevalence | Number of active patients with Parkinson's disease (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **Parkinson's disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 332 - **SNOMED CT**: exactly 786684014, 81717011, 1230677014, 3014178016, 1230679012, 81719014, 1230678016, 2920648011, 3014123010, 81722011, 716662004, 230291001, 718685006, 724761004, 715345007, 764123014, or 54747017 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Cystic fibrosis prevalence | Number of active patients with cystic fibrosis (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **cystic fibrosis** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 277.0 - **SNOMED CT**: exactly 762270003, 762269004, 190905008, 235978006, 707766007, 86555001, 720401009, 86092005, 81423003, 426705001, or 725052002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Chronic liver disease prevalence | Number of active patients with chronic liver disease (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **chronic liver disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 571, or exactly 070.22, 070.23, 070.32, 070.33 - **SNOMED CT**: exactly 328383001, 76783007, 31155007, 863957008, 79720007, 432908002, 735451005, 19943007, 34736002,or 713181003 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Multiple sclerosis prevalence | Number of active patients with MS (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **multiple sclerosis** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 340 - **SNOMED CT**: exactly 24700007, 230372003, 438511000, 192929006, 439567002, 766246000, 192926004, 192927008, 733028000, 816984002, 428700003, 724778008, 425500002, or 426373005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Inflammatory bowel disease prevalence | Number of active patients with IBD (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **inflammatory bowel disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 556 or 555, with a maximum of 4 digits. - **SNOMED CT**: exactly 56689002, 50440006, 7620006,196983007, 235796008, 34000006, 52231000, 196987008, or 64766004 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Dementia and cognitive impairment prevalence - Age 40+ | Number of active patients, 40 years and older, with dementia or cognitive impairment (based on the problem list) recorded in the EMR. | Number of active patients, 40 years and older, recorded in the EMR. | Where **dementia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 290 or exactly 294.10, 294.11, 331.0 or 331.1 - **SNOMED CT**: exactly 52448006, D9-22010, 783258000, 26929004, 725898002, 191519005, 733184002, 722978000, 713844000, 733185001, 698949001, 278857002, 1591000119103, 9345005, 191493005, 51928006, 428051000124108, 430771000124100, 774069007, 62239001, 715737004, 230289009, 12348006, 22381000119105, 723390000, 230288001, 268612007, 15662003, 428351000124105 or 762707000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Multiple sclerosis prevalence - age 20+ | Number of active patients, 20 years and older, with multiple sclerosis (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **multiple sclerosis** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 340 - **SNOMED CT**: exactly 24700007, 230372003, 438511000, 192929006, 439567002, 766246000, 192926004, 192927008, 733028000, 816984002, 428700003, 724778008, 425500002, or 426373005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Parkinson's disease prevalence - Age 40+ | Number of active patients, 40 years and older, with Parkinson's disease (based on the problem list) recorded in the EMR. | Number of active patients, 40 years and older, recorded in the EMR. | Where **Parkinson's disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 332 - **SNOMED CT**: exactly 786684014, 81717011, 1230677014, 3014178016, 1230679012, 81719014, 1230678016, 2920648011, 3014123010, 81722011, 716662004, 230291001, 718685006, 724761004, 715345007, 764123014, or 54747017 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Rheumatoid arthritis prevalence | Number of active patients with rheumatoid arthritis (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **rheumatoid arthritis** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 714 - **SNOMED CT**: exactly 69896004, D1-20600, 735599007, 52661003, 57160007, 201791009, 399923009, 287008006, 287007001, 143441000119108, 201768005, 15687841000119108, 15691761000119107, 201770001, 201769002, 201775006, 201777003, 1073681000119109, 1073691000119107, 15686001000119104, 1073761000119108, 1073771000119102, 15685961000119107, 201776007, 201766009, 201767000, 427770001, 201778008, 201771002, 239795001, 735600005, 28880005, 459911000124100, 319841000119107, 398640008, or 86219005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Frailty prevalence | Number of active patients with frailty (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **frailty** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 797 or exactly V15 - **SNOMED CT**: exactly 404904002 or 248279007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Ratio of diabetes type 2 over all diabetes | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Neurodevelopment disorders prevalence | Number of active patients with Neurodevelopment Disorders (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **Neurodevelopment Disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Sleep disorders prevalence | Number of active patients with Sleep Disorders (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **sleep disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 327, or exactly 307.4 or 780.5 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Palliative/end of life prevalence | Number of active patients that are recorded as palliative/end of life (based on the problem list) in the EMR. | Number of active patients recorded in the EMR. | Where **end of life** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with V66 - **SNOMED CT**: exactly 103735009, 1475294013, or 167523015 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence | Dementia and cognitive impairment prevalence | Number of active patients with dementia or cognitive Impairment including Alzheimer's disease (based on the problem list) as recorded in the EMR. | Number of active patients recorded in the EMR. | Where **dementia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 290 or exactly 294.10, 294.11, 331.0 or 331.1 - **SNOMED CT**: exactly 52448006, D9-22010, 783258000, 26929004, 725898002, 191519005, 733184002, 722978000, 713844000, 733185001, 698949001, 278857002, 1591000119103, 9345005, 191493005, 51928006, 428051000124108, 430771000124100, 774069007, 62239001, 715737004, 230289009, 12348006, 22381000119105, 723390000, 230288001, 268612007, 15662003, 428351000124105 or 762707000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | COPD prevalence - Age 40+ | Number of active patients, 40 years and older, with COPD (based on the problem list) recorded in the EMR. | Number of active patients, 40 years and older, recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | COPD prevalence | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Heart failure prevalence | Number of active patients with HF (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Heart failure prevalence - Age 19+ | Number of active patients, 19 years and older, with HF (based on the problem list) recorded in the EMR. | Number of active patients, 19 years and older, recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Heart failure prevalence - Age 65+ | Number of active patients, 65 years and older, with HF (based on the problem list) recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Hypothyroidism prevalence | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Cardiovascular disease prevalence | Number of active patients with CVD (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Asthma prevalence - Age 0-5 | Number of active patients, 0 to 5 years old, with asthma (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 5 years old, recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Asthma prevalence - Age 6-11 | Number of active patients, 6 to 11 years old, with asthma (based on the problem list) recorded in the EMR. | Number of active patients, 6 to 11 years old, recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Asthma prevalence - Age 12-17 | Number of active patients, 12 to 17 years old, with asthma (based on the problem list) recorded in the EMR. | Number of active patients, 12 to 17 years old, recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Asthma prevalence - Age 18+ | Number of active patients, 18 years and older, with asthma (based on the problem list) recorded in the EMR. | Number of active patients, 18 years and older, recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Asthma prevalence - Age 65+ | Number of active patients, 65 years and older, with asthma (based on the problem list) recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Diabetes prevalence - age 0-18 | Number of active patients, 0 to 18 years old, with diabetes (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 18 years old, recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Diabetes prevalence - Age 19-39 | Number of active patients, 19 to 39 years old, with diabetes (based on the problem list) recorded in the EMR. | Number of active patients, 19 to 39 years old, recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Diabetes prevalence - Age 40+ | Number of active patients, 40 years and older, with diabetes (based on the problem list) recorded in the EMR. | Number of active patients, 40 years and older, recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Hypertension prevalence - Age 20+ | Number of active patients, 20 years and older, with hypertension (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Ischemic heart disease prevalence - Age 20+ | Number of active patients, 20 years and older, with ischemic heart disease (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **ischemic heart disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 410, 411, 412, 413, or 414 - **SNOMED CT**: exactly D3-13041, 414545008, 413439005, 413838009, 194828000, or 713405002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Hypertension prevalence - Age 45+ | Number of active patients, 45 years and older, with hypertension (based on the problem list) recorded in the EMR. | Number of active patients, 45 years and older, recorded in the EMR. | Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Chronic pain prevalence | Number of active patients with chronic pain (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **chronic pain** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 338.2, 338.3, or 338.4 - **SNOMED CT**: exactly 444746004, 14150005, 15749801000119104, 12400181000119108, 111985007, 51881000119109, 134407002, 631000119102, 735935009, 762602002, 432615008, 11892641000119101, 823843010, 136713011, 136791000119103, 109771000119103, 237067000, 133731000119108, or 1121000119107 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Chronic kidney disease prevalence | Number of active patients with CKD (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Ischemic heart disease prevalence | Number of active patients with ischemic heart disease (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **ischemic heart disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 410, 411, 412, 413, or 414 - **SNOMED CT**: exactly D3-13041, 414545008, 413439005, 413838009, 194828000, or 713405002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Diabetes prevalence | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Hypertension prevalence | Number of active patients with hypertension (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Impaired renal function prevalence | Number of active patients with calGFR less than 60 recorded in the EMR. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Disease Prevalence - Common Conditions | Asthma prevalence | Number of active patients with asthma (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Osteoarthritis prevalence | Number of active patients with osteoarthritis (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **osteoarthritis** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 715 or 721 - **SNOMED CT**: exactly 396275006, 201826000, 201819000, 3952002, 90860001, 267888004, 227588009, 254779008, 82304009, 33262002, 82300000, 22193007, 37895003 or 239862000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Ischemic cerebrovascular disease prevalence | Number of active patients with Ischemic cerebrovascular disease (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **cerebrovascular ischemic disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 433, 434, 435, or 436 - **SNOMED CT**: exactly D3-89053 or 230690007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Common Conditions | Heart failure with reduced ejection fraction prevalence | Number of active patients with HFrEF (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **heart failure with reduced ejection fraction (HFrEF)** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428.2 - **SNOMED CT**: exactly 426263006, 48447003, 703272007, 417996009, 441481004 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | OUD with mental health diagnosis - age 0-12 | Number of active patients, 0 to 12 years old, with OUD and a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | OUD with mental health diagnosis - age 13-19 | Number of active patients, 13 to 19 years old, with OUD and a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | OUD with mental health diagnosis - age 20+ | Number of active patients, 20 years and older, with OUD and a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Mental health with substance use disorder | Number of active patients with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with a mental health diagnosis(based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Mental health with substance use disorder - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Mental health with substance use disorder - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Mental health with substance use disorder - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Mental health with alcohol use disorder | Number of active patients with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients with a mental health diagnosis(based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Mental health with alcohol use disorder - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Mental health with alcohol use disorder - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Mental health with alcohol use disorder - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Mental health with cannabis use disorder | Number of active patients with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients with a mental health diagnosis(based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Mental health with cannabis use disorder - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Mental health with cannabis use disorder - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Mental health with cannabis use disorder - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Mood disorder or psychotic disorder with substance use disorder | Number of active patients with a mood disorder or psychotic disorder (based on the problem list), who have substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with mood disorders or psychotic disorders (based on the problem list) recorded in the EMR. | Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | OUD with mental health diagnosis | Number of active patients with OUD and a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Anxiety and phobias with substance use disorder | Number of active patients with anxiety and fear-related disorders (including phobias, based on the problem list) who have substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with anxiety and fear-related disorders (including phobias, based on the problem list) as recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Diabetes with heart failure | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and CHF (based on the problem list) recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 Where congestive heart failure means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Generalized anxiety disorder with substance use disorder | Number of active patients with generalized anxiety disorder (based on the problem list) who have substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with generalized anxiety disorder (based on the problem list) recorded in the EMR. | Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is '3' | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Diabetes with ischemic heart disease | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and IHD (based on the problem list) recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **ischemic heart disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 410, 411, 412, 413, or 414 - **SNOMED CT**: exactly D3-13041, 414545008, 413439005, 413838009, 194828000, or 713405002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Diabetes with chronic kidney disease | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and CKD (based on the problem list) recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Diabetes with hypertension | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and hypertension (based on the problem list) recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Comorbidities | Diabetes with obesity | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and obesity by documentation in the problem list or by last measurement (BMI over 30 or waist circumference greater than 102 for males or greater than 88 for females) as recorded in the EMR. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Disease Prevalence - Comorbidities | Chronic disease prevalence - One or more | Number of active patients with one or more chronic conditions, including hypertension, COPD, congestive heart failure, diabetes, chronic kidney disease, asthma, cystic fibrosis, ischemic heart disease, cerebrovascular ischemia, chronic liver disease, parkinson's, dementia, amyotrophic lateral sclerosis, multiple sclerosis, HIV, obesity, frailty, psychotic disorders, substance use disorder, alcohol use disorder, leukemias, and multiple myeloma (based on the problem list) as recorded in the EMR. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Disease Prevalence - Comorbidities | Chronic disease prevalence - Two or more | Number of active patients with two or more chronic conditions, including hypertension, COPD, congestive heart failure, diabetes, chronic kidney disease, asthma, cystic fibrosis, ischemic heart disease, cerebrovascular ischemia, chronic liver disease, parkinson's, dementia, amyotrophic lateral sclerosis, multiple sclerosis, HIV, obesity, frailty, psychotic disorders, substance use disorder, alcohol use disorder, leukemias, and multiple myeloma (based on the problem list) as recorded in the EMR. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Disease Prevalence - Mental Health and Substance Use | OUD with mental health diagnosis - age 0-12 | Number of active patients, 0 to 12 years old, with OUD and a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | OUD with mental health diagnosis - age 13-19 | Number of active patients, 13 to 19 years old, with OUD and a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | OUD with mental health diagnosis - age 20+ | Number of active patients, 20 years and older, with OUD and a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health prevalence | Number of active patients with a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health prevalence - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health with substance use disorder | Number of active patients with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with a mental health diagnosis(based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health with substance use disorder - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health with substance use disorder - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health with substance use disorder - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis and substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health with alcohol use disorder | Number of active patients with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients with a mental health diagnosis(based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health with alcohol use disorder - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health with alcohol use disorder - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health with alcohol use disorder - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis and alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health with cannabis use disorder | Number of active patients with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients with a mental health diagnosis(based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health with cannabis use disorder - age 0-12 | Number of active patients, 0 to 12 years old, with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health with cannabis use disorder - age 13-19 | Number of active patients, 13 to 19 years old, with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mental health with cannabis use disorder - age 20+ | Number of active patients, 20 years and older, with a mental health diagnosis and cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, with a mental health diagnosis (based on the problem list) recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 --- Where **neurodevelopment disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 299, 314, 315, 317, 318, or 319 --- Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mood disorder or psychotic disorder with substance use disorder | Number of active patients with a mood disorder or psychotic disorder (based on the problem list), who have substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with mood disorders or psychotic disorders (based on the problem list) recorded in the EMR. | Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | OUD with mental health diagnosis | Number of active patients with OUD and a mental health diagnosis (based on the problem list) recorded in the EMR. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 --- Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 --- Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 --- Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 --- Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 --- Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 --- Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mood disorders or psychotic disorders prevalence | Number of active patients with Mood Disorders or Psychotic Disorders (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 --- Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Mood disorders prevalence | Number of active patients with mood disorders including bipolar, primarily or exclusively depressed, mixed anxiety depression etc. (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **mood disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296 or exactly 311 or 293.83 - **SNOMED CT**: exactly 46206005, 13746004, 288511000119108, 76105009, 35489007, 94921000119107, 36622002, 9167000, 21071000119101, 88939009, 28357009, D9-5201A, 370143000, 450714000, or 66344007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Opioid use disorder prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with OUD (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Opioid use disorder prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with OUD (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Opioid use disorder prevalence - age 20+ | Number of active patients, 20 years and older, with OUD (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | PTSD prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with post-traumatic stress disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | PTSD prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with post-traumatic stress disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | PTSD prevalence - age 20+ | Number of active patients, 20 years and older, with post-traumatic stress disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Anxiety and phobias with substance use disorder | Number of active patients with anxiety and fear-related disorders (including phobias, based on the problem list) who have substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with anxiety and fear-related disorders (including phobias, based on the problem list) as recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Cannabis use disorder prevalence | Number of active patients with cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Cannabis use disorder prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Cannabis use disorder prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Cannabis use disorder prevalence - age 20+ | Number of active patients, 20 years and older, with cannabis use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **cannabis use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.3 or 305.2, excluding 304.33 and 305.23 - **SNOMED CT**: exactly 1336200007, 191837001, 191838006, 191891003, 191893000, 191894006, 37344009, 428823006, 723933008, 733460004, 737226008, 85005007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Generalized anxiety disorder with substance use disorder | Number of active patients with generalized anxiety disorder (based on the problem list) who have substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients with generalized anxiety disorder (based on the problem list) recorded in the EMR. | Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 --- Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is '3' | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Depressive disorder prevalence | Number of active patients with depressive disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 311, or starting with 296.2 or 296.3 - **SNOMED CT**: D9-5201A, 370143000, 87512008, 450714000, 66344007, 35489007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Depressive disorder prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with depressive disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 311, or starting with 296.2 or 296.3 - **SNOMED CT**: D9-5201A, 370143000, 87512008, 450714000, 66344007, 35489007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Depressive disorder prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with depressive disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 311, or starting with 296.2 or 296.3 - **SNOMED CT**: D9-5201A, 370143000, 87512008, 450714000, 66344007, 35489007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Depressive disorder prevalence - age 20-64 | Number of active patients, 20 to 64 years old, with depressive disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 to 64 years old, recorded in the EMR. | Where **depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 311, or starting with 296.2 or 296.3 - **SNOMED CT**: D9-5201A, 370143000, 87512008, 450714000, 66344007, 35489007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Depressive disorder prevalence - age 65+ | Number of active patients, 65 years and older, with depressive disorder (based on the problem list) recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 311, or starting with 296.2 or 296.3 - **SNOMED CT**: D9-5201A, 370143000, 87512008, 450714000, 66344007, 35489007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Eating disorders prevalence | Number of active patients with Eating Disorders (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Opioid use disorder prevalence | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | ADHD prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with ADHD (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **ADHD** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 314.0 - **SNOMED CT**: exactly 192127007, 35253001, 406506008, or 444613000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | ADHD prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with ADHD (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **ADHD** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 314.0 - **SNOMED CT**: exactly 192127007, 35253001, 406506008, or 444613000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | ADHD prevalence - age 20+ | Number of active patients, 20 years and older, with ADHD (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **ADHD** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 314.0 - **SNOMED CT**: exactly 192127007, 35253001, 406506008, or 444613000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | ADHD prevalence | Number of active patients with ADHD (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **ADHD** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 314.0 - **SNOMED CT**: exactly 192127007, 35253001, 406506008, or 444613000 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Alcohol use disorder prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Alcohol use disorder prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Alcohol use disorder prevalence - age 20+ | Number of active patients, 20 years and older, with alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Anxiety and phobias prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with anxiety and fear-related disorders (including phobias, based on the problem list) as recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Anxiety and phobias prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with anxiety and fear-related disorders (including phobias, based on the problem list) as recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Anxiety and phobias prevalence - age 20+ | Number of active patients, 20 years and older, with anxiety and fear-related disorders (including phobias, based on the problem list) as recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Eating disorders prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with eating disorders (based on the problem list) as recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Eating disorders prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with eating disorders (based on the problem list) as recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Eating disorders prevalence - age 20+ | Number of active patients, 20 years and older, with eating disorders (based on the problem list) as recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **eating disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 307.1 or 307.5 - **SNOMED CT**: exactly 1162387003, 439960005, or 72366004 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Major depressive disorder prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with major depressive disorder (based on the problem list) as recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Major depressive disorder prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with major depressive disorder (based on the problem list) as recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Major depressive disorder prevalence - age 20+ | Number of active patients, 20 years and older, with major depressive disorder (based on the problem list) as recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Substance use disorder prevalence - age 0-12 | Number of active patients, 0 to 12 years old, with substance use disorder (based on the problem list) as recorded in the EMR. | Number of active patients, 0 to 12 years old, recorded in the EMR. | Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Substance use disorder prevalence - age 13-19 | Number of active patients, 13 to 19 years old, with substance use disorder (based on the problem list) as recorded in the EMR. | Number of active patients, 13 to 19 years old, recorded in the EMR. | Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Substance use disorder prevalence - age 20+ | Number of active patients, 20 years and older, with substance use disorder (based on the problem list) as recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Alcohol use disorder prevalence | Number of active patients with alcohol use disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Substance use disorder prevalence | Number of active patients with substance use disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **substance use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304 or 305 excluding when the fifth digit is "3" | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Major depressive disorder prevalence | Number of active patients with major depressive disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **major depressive disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296.2 or 296.3 - **SNOMED CT**: exactly D9-5201A, 370143000, 87512008, 450714000, or 66344007 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Primarily psychotic disorders prevalence | Number of active patients with a psychotic disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **psychotic disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295, 297, or 298, or exactly 293.81 or 293.82 - **SNOMED CT**: exactly 191677006, 441704009, 473452003, 192361001, 191632009, 268748000, 154869001, 191548004, 191539009, 191564007, 191555002, 191572009, 191531007, 191547009, 191538001, 191554003, 191618007, 192362008, 371596008, 9340000, 268749008, or 260994008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Generalized anxiety disorder prevalence | Number of active patients with generalized anxiety disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **generalized anxiety disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.02 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Bipolar disorder prevalence | Number of active patients with bipolar disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **bipolar disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 296, excluding 296.2 and 296.3 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Schizophrenia prevalence | Number of active patients with schizophrenia (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **schizophrenia** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 295 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | OCD prevalence | Number of active patients with OCD (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **obsessive-compulsive disorders** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 300.3 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | PTSD prevalence | Number of active patients with Post-Traumatic Stress Disorder (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **post-traumatic stress disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 309.81 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - Mental Health and Substance Use | Anxiety and phobias prevalence | Number of active patients with anxiety and fear-related disorders (including phobias, based on the problem list) as recorded in the EMR. | Number of active patients recorded in the EMR. | Where **anxiety and phobias** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 300 or exactly 293.84 - **SNOMED CT**: exactly 48694002, 386808001, 21897009 or 126943008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - STBBI | HIV prevalence | Number of active patients with HIV (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **HIV** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 042 - **SNOMED CT**: exactly 62479008 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Disease Prevalence - STBBI | Chlamydia prevalence - female, age 15-24 | Number of active female patients, 15 to 24 years old, who have had a positive chlamydia lab result recorded in the EMR in the past year. | Number of active female patients, 15 to 24 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Disease Prevalence - STBBI | Hepatitis C prevalence | Number of active patients with hepatitis C (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **hepatitis C** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 070.41, 070.44, 070.51, 070.54, 070.70, 070.71, or V02.62 - **SNOMED CT**: exactly 235866006, 128302006, 50711007, 708198006, 702969000, 278929008, or 235872006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Documentation Management | Patients with an encounter in the past year and coded continuous medication | Number of active patients with an encounter in the past year and at least one coded continuous (long term) medication recorded in the EMR. | Number of active patients with an encounter in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | MOIS | ||||||
| Documentation Management | Patients with an encounter in the past year and continuous medications issued | Number of active patients with an encounter in the past year and with at least one continuous (long term) medication recorded in the EMR. | Number of active patients with an encounter in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | MOIS | ||||||
| Documentation Management | Current continuous medications that are coded | Number of current continuous (long-term) medications for active patients that are coded in the EMR. | Number of current long-term medications recorded in the EMR for active patients. | YES | YES | MOIS | OSCAR | |||||
| Documentation Management | Patients with coded continuous medications | Number of active patients with at least one documented coded long term medication. | Number of active patients recorded in the EMR. | YES | MOIS | |||||||
| Documentation Management | Patients with no current medications | Number of active patients that have no current medications recorded in the EMR. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management | Patients with coded procedures | Number of active patients with at least one documented coded procedure. | Number of active patients recorded in the EMR. | YES | MOIS | |||||||
| Documentation Management | Patients with referrals | Number of active patients with at least one referral recorded in the EMR. | Number of active patients recorded in the EMR. | YES | MOIS | |||||||
| Documentation Management | Patients with recalls or reminders | Number of active patients with at least one recall or reminder recorded in the EMR. | Number of active patients recorded in the EMR. | YES | MOIS | |||||||
| Documentation Management | Patients with continuous medication | Number of active patients with at least one recorded continuous (long term) medication in the EMR. | Number of active patients recorded in the EMR. | YES | MOIS | |||||||
| Documentation Management | Patients with procedures | Number of active patients with at least one procedure recorded in the EMR. | Number of active patients recorded in the EMR. | YES | MOIS | |||||||
| Documentation Management | Ratio of coded continuous medications | Number of coded long term medications for active patients. | Number of long-term medications recorded in the EMR for active patients. | YES | MOIS | |||||||
| Documentation Management | Patients with preference or goal | Number of active patients with at least one preference or goal (care plan) recorded in the EMR. | Number of active patients recorded in the EMR. | YES | MOIS | |||||||
| Documentation Management - Adverse Reaction Risks | Patients with an encounter in the past year and coded adverse reaction risks | Number of active patients with an encounter in the past year and at least one coded adverse reaction risk recorded in the EMR. | Number of active patients with an encounter in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Documentation Management - Adverse Reaction Risks | Patients with an encounter in the past year and adverse reaction risks recorded | Number of active patients with an encounter in the past year and at least one adverse reaction risk recorded in the EMR. | Number of active patients with an encounter in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Documentation Management - Adverse Reaction Risks | Ratio of coded adverse reaction risks | Number of coded adverse reaction risks documented for active patients. | Number of adverse reaction risks documented in the EMR for active patients. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Adverse Reaction Risks | Patients with coded adverse reaction risks | Number of active patients with at least one coded documented adverse reaction risk. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Adverse Reaction Risks | Patients with adverse reaction risk recorded | Number of active patients with at least one documented adverse reaction risk. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Adverse Reaction Risks | Penicillin allergy documented | Number of active patients with a penicillin allergy recorded in the EMR. | Number of active patients recorded in the EMR. | NEW | NEW | NEW | NEW | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Health Conditions | Patients with an encounter in the past year and health conditions recorded | Number of active patients with an encounter in the past year and at least one health condition recorded in the EMR. | Number of active patients with an encounter in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Documentation Management - Health Conditions | Patients with an encounter in the past year and coded health condition | Number of active patients with an encounter in the past year and at least one coded health condition recorded in the EMR. | Number of active patients with an encounter in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Documentation Management - Health Conditions | Patients with health conditions recorded | Number of active patients with at least one health condition (based on the problem list) recorded in the EMR. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Health Conditions | Ratio of coded health conditions | Number of coded health conditions documented for active patients. | Number of health conditions documented (coded and uncoded) in the EMR for active patients. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Health Conditions | Patients with coded health conditions | Number of active patients with at least one coded health conditions recorded in the EMR. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Panel Management | Patients with "active" status who have an encounter in the past 3 months | Number of active patients with an encounter recorded in the EMR in the past three months. | Number of patients with "active" status recorded in the EMR. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Documentation Management - Panel Management | Patients with "active" status who have an encounter in the past year | Number of active patients with an encounter recorded in the EMR in the past year. | Number of patients with "active" status recorded in the EMR. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Documentation Management - Panel Management | Patients with "active" status who have an encounter in the past 5 years | Number of active patients with an encounter recorded in the EMR in the past 5 years. | Number of patients with "active" status recorded in the EMR. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Documentation Management - Panel Management | Patients with "active" status who have an encounter in the past 3 years | Number of active patients with an encounter recorded in the EMR in the past 3 years. | Number of patients with "active" status recorded in the EMR. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Documentation Management - Panel Management | Patients with an encounter in the past year and coded health condition | Number of active patients with an encounter in the past year and at least one coded health condition recorded in the EMR. | Number of active patients with an encounter in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Documentation Management - Panel Management | Patients with no date of birth | Number of active patients that have no date of birth recorded in the EMR. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Panel Management | Patients with invalid date of birth | Number of active patients that have an invalid date of birth recorded in the EMR. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Panel Management | Patients missing gender | Number of active patients with no gender recorded in the EMR. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Panel Management | Patient's contact information present | Number of active patients with the following entries completed: postal code, address line 1, city, province and at least one phone number | Number of active patients recorded in the EMR. | YES | MOIS | |||||||
| Documentation Management - Panel Management | Patients with documented identifiers | Number of active patients with the following field entries completed: First Name Last Name Date of Birth Gender | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Panel Management | Patients with e-mail address documented | Number of active patients with at least one email address documented in their records. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Panel Management | Patients with phone number documented | Number of active patients with at least one phone number documented in their records in the EMR. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Panel Management | Patients with coded health conditions | Number of active patients with at least one coded health conditions recorded in the EMR. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Prescribing | Patients with an encounter in the past year and coded prescriptions | Number of active patients with an encounter in the past year and at least one coded prescription recorded in the EMR. | Number of active patients with an encounter in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Documentation Management - Prescribing | Patients with an encounter in the past year and prescriptions issued | Number of active patients with an encounter in the past year and at least one prescription issued in the past year recorded in the EMR. | Number of active patients with an encounter in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Documentation Management - Prescribing | Prescriptions in past 3 years that are coded | Number of coded prescriptions for active patients issued in the past 3 years. | Number of prescriptions for active patients recorded in the EMR in the past 3 years. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Prescribing | Prescriptions in past year that are coded | Number of coded prescriptions for active patients issued in the past year. | Number of prescriptions for active patients recorded in the EMR in the past year. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Prescribing | Patients with prescription issued in past 3 years | Number of active patients with at least one prescription issued in the past 3 years. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Prescribing | Ratio of coded prescriptions | Number of coded prescriptions for active patients recorded in the EMR. | Number of prescriptions recorded in the EMR for active patients. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Documentation Management - Prescribing | Patients with coded prescriptions | Number of active patients with at least one documented coded prescription. | Number of active patients recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - All Prescribing | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - all ages | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 6-11 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 6 to 11 years old, with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 6 to 11 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 12-17 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 18+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 18 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 18 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 65+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 65 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 65 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | COPD being treated with inhalers and prescribed a low-carbon inhaler in the past year | Number of active patients with COPD (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients with COPD (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Patients prescribed a high-carbon inhaler who do not have Asthma or COPD - age 19+ | Number of active patients, 19 years and older, being treated with inhalers, who have had a coded prescription for a high-carbon inhaler in the past year and who do not have a diagnosis for Asthma or COPD (based on the problem list) recorded in the EMR. | Number of active patients, 19 years and older, with a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | COPD and prescribed an inhaler in the past year | Number of active patients with COPD (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | AUD and prescribed naltrexone, acamprosate, topiramate, or gabapentin in the past year | Number of active patients with AUD (based on the problem list) who have had a coded prescription for naltrexone, acamprosate, topiramate, or gabapentin recorded in the EMR in the past year. | Number of active patients with AUD (based on the problem list) recorded in the EMR. | Where **alcohol use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 303 or 305 excluding 303.03, 303.93 and 305.03 - **SNOMED CT**: exactly 15167005, 66590003, 160592001, and 7200002 --- Where **naltrexone** is a medication with one of the following codes: - **ATC**: exactly N07BB04 --- Where **acamprosate** is a medication with one of the following codes: - **ATC**: exactly N07BB03 --- Where **topiramate** is a medication with one of the following codes: - **ATC**: exactly N03AX11 --- Where **gabapentin** is a medication with one of the following codes: - **ATC**: exactly N02BF01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Heart failure and prescribed a RAAS inhibitor in the past year | Number of active patients with HF (based on the problem list) that have had a coded prescription for a RAAS inhibitor in the past year recorded in the EMR. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Heart failure and prescribed a selective beta-blocker in the past year | Number of active patients with HF (based on the problem list) who have had a coded prescription for a beta blocker in the past year as recorded in the EMR. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **selective beta blocker** is a medication with the following codes: - **ATC**: starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, C07CG. --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Asthma and prescribed 3 or more reliever inhalers in the past year | Number of active patients with asthma (based on the problem list) who have been prescribed 3 or more reliever inhalers in the past year. | Number of active patients with Asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Diabetes type 2 and prescribed antidiabetic agents other than insulin and metformin in the past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had at least one coded prescription for antidiabetic agents other than insulin and metformin recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **antidiabetic agents other than insulin and metformin** is a medication with the following codes: - **ATC**: starting with A10B or A10X, excluding A10BA02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Diabetes type 2 and prescribed "metformin only" in the past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had a coded prescription for metformin only (no prescription for insulin or other non-insulin antidiabetic agents) recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **metformin only** is a medication with the following codes: - **ATC**: A10BA02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Diabetes type 2 and prescribed semaglutide in the past year | Number of active patients with diabetes type 2 (based on the problem list) who have had a coded prescription for a semaglutide recorded in the EMR in the past year. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **semaglutide** is a medication with the following codes: - **ATC**: A10BJ06 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Metformin prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for metformin recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **metformin** is a medication with the following codes: - **ATC**: A10BA02, A10BD02, A10BD03, A10BD05, A10BD07, A10BD08, A10BD10, A10BD11, A10BD13, A10BD14, A10BD15, A10BD16, A10BD17, A10BD18, A10BD20, A10BD22, A10BD23, A10BD25, A10BD26, A10BD27, or A10BD28 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Diabetes type 2 and no antidiabetic agent prescription in the past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had no prescription for insulin or non-insulin antidiabetic agents recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Erythromycin prescribed in the past year | Number of active patients who have had a coded prescription for erythromycin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **erythromycin** is a medication with one of the following codes: - **ATC**: J01FA01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Patients with 5 or more prescriptions in the past year - Age 80+ | Number of active patients, 80 years and older, who have been prescribed 5 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 80 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - All Prescribing | Patients with 10 or more prescriptions in the past year - Age 18+ | Number of active patients, 18 years and older, who have been prescribed 10 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 18 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - All Prescribing | Patients with 10 or more prescriptions in the past year - Age 65+ | Number of active patients, 65 years and older, who have been prescribed 10 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - All Prescribing | Patients with 10 or more prescriptions in the past year - Age 80+ | Number of active patients, 80 years and older, who have been prescribed 10 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 80 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - All Prescribing | Patients with 15 or more prescriptions in the past year - Age 18+ | Number of active patients, 18 years and older, who have been prescribed 15 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 18 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - All Prescribing | Patients with 15 or more prescriptions in the past year - Age 65+ | Number of active patients, 65 years and older, who have been prescribed 15 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - All Prescribing | Patients with 15 or more prescriptions in the past year - Age 80+ | Number of active patients, 80 years and older, who have been prescribed 15 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 80 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - All Prescribing | OUD and prescribed any opioid in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for any opioid recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | OUD and prescribed an OAT in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for an OAT recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **Suboxone** is a medication with the following codes: - **ATC**: N07BC51 --- Where **methadone** is a medication with the following codes: - **ATC**: N07BC02 --- Where **Kadian (slow-release oral morphine)** is a medication with the following codes: - **DIN**: 02242163, 02184451, 02184443, 02184435 --- Where **Sublocade** is a medication with the following codes: - **ATC**: N07BC01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | OUD and prescribed Methadone in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Methadone recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **methadone** is a medication with the following codes: - **ATC**: N07BC02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | OUD and prescribed Kadian in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Kadian recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **Kadian (slow-release oral morphine)** is a medication with the following codes: - **DIN**: 02242163, 02184451, 02184443, 02184435 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | OUD and prescribed Suboxone in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Suboxone recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where suboxone is a medication with the following codes: - **ATC**: N07BC51 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - all ages | Number of active patients with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients with Asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 6-11 | Number of active patients, 6 to 11 years old, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 6 to 11 years old, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 12-17 | Number of active patients, 12 to 17 years old, with Asthma (based on the problem list) being treated with inhalers that have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 12 to 17 years old, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 18+ | Number of active patients, 18 years and older, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 18 years and older, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 65+ | Number of active patients, 65 years and older, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 65 years and older, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Any reliever inhaler and no controller inhaler | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who are being treated with reliever inhalers or Symbicort, who have a prescription for a reliever inhaler and did not have a prescription for a controller inhaler in the past year. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - High-carbon reliever inhaler and high-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was high-carbon and whose last prescription, in the past year, for a controller inhaler was high-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 -- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - High-carbon reliever inhaler and low-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was high-carbon and whose last prescription, in the past year, for a controller inhaler was low-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort*** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Low-carbon reliever inhaler and high-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was low-carbon and whose last prescription, in the past year, for a controller inhaler was high-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort*** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Low-carbon reliever inhaler and low-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was low-carbon or Symbicort and whose last prescription, in the past year, for a controller inhaler was low-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Short-acting bronchodilator prescribed in the past year - age 0-2 | Number of active patients, 0 to 2 years old, who have had a coded prescription for a short-acting bronchodilator recorded in the EMR in the past year. | Number of active patients, 0 to 2 years old, recorded in the EMR. | Where **short-acting bronchodilator** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 00786616, 02243115, 02469359, 02419106, 02213486, 02173360, 01926934, 02208245, 02208237, 02208229, 02239365, 00860808, 02231675 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | OAT prescribed in the past year | Number of active patients who have had a coded prescription for an OAT recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **Suboxone** is a medication with the following codes: - **ATC**: N07BC51 --- Where **methadone** is a medication with the following codes: - **ATC**: N07BC02 --- Where **Kadian (slow-release oral morphine)** is a medication with the following codes: - **DIN**: 02242163, 02184451, 02184443, 02184435 --- Where **Sublocade** is a medication with the following codes: - **ATC**: N07BC01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Diabetes and prescribed a statin in the past year | Number of active patients, 40 years and older, with diabetes (based on the problem list and excluding gestational diabetes) who have had a coded prescription for a statin recorded in the EMR in the past year. | Number of active patients, 40 years and older, with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **HMG-CoA reductase inhibitor (Statin)** is a medication with the following codes: - **ATC**: starting with C10AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Semaglutide prescribed in the past year | Number of active patients who have had a coded prescription for a semaglutide recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **semaglutide** is a medication with the following codes: - **ATC**: A10BJ06 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | GLP-1 agonist prescribed in the past year | Number of active patients who have had a coded prescription for a GLP-1 agonist recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **glucagon-like peptide-1 (GLP-1) agonist** is a medication with the following codes: - **ATC**: starting with A10BJ or exactly A10BX16 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Diabetes type 2 and prescribed a GLP-1 agonist in the past year | Number of active patients with diabetes type 2 (based on the problem list) who have had a coded prescription for a GLP-1 agonist recorded in the EMR in the past year. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **glucagon-like peptide-1 (GLP-1) agonist** is a medication with the following codes: - **ATC**: starting with A10BJ or exactly A10BX16 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Diabetes, obesity, and prescribed a GLP-1 agonist in the past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and obesity by documentation in the problem list or by last measurement (BMI greater than or equal to 30 or waist circumference greater than or equal to 102 for males or greater than or equal to 88 for females), who have had a coded prescription for a GLP-1 agonist recorded in the EMR in the past year. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and obesity by documentation in the problem list or by last measurement (BMI greater than or equal to 30 or waist circumference greater than or equal to 102 for males or greater than or equal to 88 for females) as recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **glucagon-like peptide-1 (GLP-1) agonist** is a medication with the following codes: - **ATC**: starting with A10BJ or exactly A10BX16 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Hypothyroidism and prescribed thyroid hormone in the past year | Number of active patients with hypothyroidism (based on the problem list) who have had a coded prescription for a thyroid hormone recorded in the EMR in the past year. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 --- Where **thyroid hormone** is a medication with the following codes: - **ATC**: starting with H03AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Minocycline prescribed in the past year | Number of active patients who have had a coded prescription for minocycline (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **minocycline** is a medication with one of the following codes: - **ATC**: J01AA08 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Tetracycline prescribed in the past year | Number of active patients who have had a coded prescription for tetracycline (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **tetracycline** is a medication with one of the following codes: - **ATC**: J01AA07 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Nitrofurantoin prescribed in the past year | Number of active patients who have had a coded prescription for nitrofurantoin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **nitrofurantoin** is a medication with one of the following codes: - **ATC**: J01XE01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Asthma and prescribed an inhaler in the past year | Number of active patients with asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Number of active patients with asthma (based on the problem list) recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Sulfamethoxazole and trimethoprim prescribed in the past year | Number of active patients who have had a coded prescription for sulfamethoxazole and trimethoprim (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **sulfamethoxazole and trimethoprim** is a medication with one of the following codes: - **ATC**: J01EE01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Cefuroxime prescribed in the past year | Number of active patients who have had a coded prescription for cefuroxime (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **cefuroxime** is a medication with one of the following codes: - **ATC**: J01DC02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Cefalexin prescribed in the past year | Number of active patients who have had a coded prescription for cefalexin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **cefalexin** is a medication with one of the following codes: - **ATC**: J01DB01 At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Cefixime prescribed in the past year | Number of active patients who have had a coded prescription for cefixime (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **cefixime** is a medication with the following codes: - **ATC**: J01DD08 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Cefaclor prescribed in the past year | Number of active patients who have had a coded prescription for cefaclor (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **cefaclor** is a medication with the following codes: - **ATC**: J01DC04 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Penicillin-V prescribed in the past year | Number of active patients who have had a coded prescription for penicillin-V (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **penicillin V** is a medication with the following codes: - **ATC**: J01CE02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Other antibiotic prescribed in the past year | Number of active patients who have had a coded prescription for other antibiotics (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **other antibiotic** is a medication with one of the following codes: - **ATC**: Starting with J01, excluding: J01FA09, J01FA10, J01FA0, J01FF01, J01CF02, J01CA01, J01CA04, J01MA12, J01MA14, J01MA02, J01AA02, J01AA07, J01AA08, J01EE01, J01XE01, J01DB01, J01DC02, J01DC04, J01DD08, J01CE02, J01CE10 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Ciprofloxacin prescribed in the past year | Number of active patients who have had a coded prescription for ciprofloxacin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **ciprofloxacin** is a medication with one of the following codes: - **ATC**: J01MA02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Moxifloxacin prescribed in the past year | Number of active patients who have had a coded prescription for moxifloxacin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **moxifloxacin** is a medication with one of the following codes: - **ATC**: J01MA14 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Doxycycline prescribed in the past year | Number of active patients who have had a coded prescription for doxycycline (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **doxycycline** is a medication with one of the following codes: - **ATC**: J01AA02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Antibiotic prescribed in the past year | Number of active patients who have had a coded prescription for an antibiotic (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **antibiotic** is a medication with one of the following codes: - **ATC**: J01AA02, J01AA07, J01AA08, J01CA01, J01CA04, J01DC04, J01CF02, J01DB01, J01DC02, J01DD08, J01EE01, J01FA01, J01FA09, J01FA10, J01FF01, J01MA02, J01MA12, J01MA14, J01XE01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Clarithromycin prescribed in the past year | Number of active patients who have had a coded prescription for clarithromycin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **clarithromycin** is a medication with one of the following codes: - **ATC**: J01FA09 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Diabetes type 2 and prescribed insulin in past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had at least one coded prescription for insulin recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **insulin** is a medication with the following codes: - **ATC**: starting with A10A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Chronic pain and prescribed an opioid in the past year | Number of active patients with chronic pain (based on the problem list) who have had a coded prescription for an opioid recorded in the EMR in the past year. | Number of active patients with chronic pain (based on the problem list) recorded in the EMR. | Where **chronic pain** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 338.2, 338.3, or 338.4 - **SNOMED CT**: exactly 444746004, 14150005, 15749801000119104, 12400181000119108, 111985007, 51881000119109, 134407002, 631000119102, 735935009, 762602002, 432615008, 11892641000119101, 823843010, 136713011, 136791000119103, 109771000119103, 237067000, 133731000119108, or 1121000119107 --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Opioid prescribed in the past year | Number of active patients who have had a coded prescription for an opioid recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Opioid prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an opioid recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | INR monitoring of patients prescribed a vitamin K antagonist in the past year | Number of active patients who have had a coded prescription for a vitamin K antagonist, such as warfarin, in the past year and no INR result in recorded in the EMR in the last month. | Number of active patients with a prescription for a vitamin K antagonist, such as warfarin, recorded in the EMR in the past year. | Where **vitamin K antagonist** is a medication with the following codes: - **ATC**: starting with B01AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | ACE inhibitor prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an ACE inhibitor, excluding combinations, recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Angiotensin II antagonist prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an angiotensin II antagonist, excluding combinations, recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Antidepressant prescribed in the past year | Number of active patients who have had a coded prescription for an antidepressant recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **antidepressants** is a medication with the following codes: - **ATC**: starting with N06A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Antidepressant prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an antidepressant recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **antidepressants** is a medication with the following codes: - **ATC**: starting with N06A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Antipsychotic prescribed in the past year | Number of active patients who have had a coded prescription for an antipsychotic recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **antipsychotic** is a medication with the following codes: - **ATC**: starting with N05A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Antipsychotic prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an antipsychotic recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **antipsychotic** is a medication with the following codes: - **ATC**: starting with N05A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Benzodiazepine and opioid prescribed in the past year | Number of active patients who have had a coded prescription for a benzodiazepine and an opioid recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Benzodiazepine and opioid prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a benzodiazepine and an opioid recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Benzodiazepine prescribed in the past year | Number of active patients who have had a coded prescription for a benzodiazepine recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Benzodiazepine prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a benzodiazepine recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Beta-blocker prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a selective beta-blocking agent recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **beta blocker** is a medication with the following codes: - **ATC**: starting with C07AA, C07AB, C07BA, C07BB, C07CA, C07CB, C07DA, C07DB, C07EA, C07EB, C07FA, C07FB --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Codeine combinations (excluding psycholeptics) prescribed in the past year | Number of active patients who have had a coded prescription for codeine combinations (excluding psycholeptics) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **codeine combinations (excluding psycholeptics)** is a medication with the following codes: - **ATC**: N02AA79, N02AJ07, N02AJ08, N02AJ09, N02AJ06 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Codeine combinations with psycholeptics prescribed in the past year | Number of active patients who have had a coded prescription for codeine combinations with psycholeptics recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **codeine combinations with psycholeptics** is a medication with the following codes: - **ATC**: N02AA59 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Digoxin prescribed in the past year | Number of active patients who have had a coded prescription for Digoxin recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **digoxin** is a medication with the following codes: - **ATC**: starting with C01AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Impaired renal function and prescribed digoxin in the past year - age 65+ | Number of active patients, 65 years and older, with impaired renal function (based on calGFR<60) who have had a coded prescription for digoxin recorded in the EMR in the past year. | Number of active patients, 65 years and older, with impaired renal function (based on calGFR<60) as recorded in the EMR. | Where **digoxin** is a medication with the following codes: - **ATC**: starting with C01AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Dihydropyridine calcium channel blocker prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a calcium channel blocker recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **calcium channel blocker** is a medication with the following codes: - **ATC**: starting with C08CA or C08GA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Fentanyl prescribed in the past year | Number of active patients who have had a coded prescription for fentanyl recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **fentanyl** is a medication with the following codes: - **ATC**: N02AB03 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Hydromorphone prescribed in the past year | Number of active patients who have had a coded prescription for hydromorphone recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **hydromorphone** is a medication with the following codes: - **ATC**: N02AA03 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Methadone combinations (excluding psycholeptics) prescribed in the past year | Number of active patients who have had a coded prescription for methadone combinations excluding psycholeptics recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **methadone combinations (excluding psycholeptics)** is a medication with the following codes: - **ATC**: N07BC05, N07BC02, or N02AC52 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Morphine prescribed in the past year | Number of active patients who have had a coded prescription for morphine recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **morphine** is a medication with the following codes: - **ATC**: N02AA01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | NSAID prescribed in the past year | Number of active patients who have had a coded prescription for a NSAID recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **NSAID** is a medication with the following codes: - **ATC**: starting with M01A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | NSAID prescribed in the past year - age 65+ | Number of active patients, 65 years and older who have had a coded prescription for a NSAID recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **NSAID** is a medication with the following codes: - **ATC**: starting with M01A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Oxycodone combinations prescribed in the past year | Number of active patients who have had a coded prescription for oxycodone combinations recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **oxycodone combinations** is a medication with the following codes: - **ATC**: N02AA55, N02AA05, N02AJ18, N02AJ19, N02AJ17, N02AA56 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Proton pump inhibitor prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for proton pump inhibitor recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **proton pump inhibitor** is a medication with the following codes: - **ATC**: starting with A02BC --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Thiazide prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a thiazide, excluding combinations, recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **thiazide** is a medication with the following codes: - **ATC**: starting with C03AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Thyroid hormone prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a thyroid hormone recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **thyroid hormone** is a medication with the following codes: - **ATC**: starting with H03AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Tramadol combinations prescribed in the past year | Number of active patients who have had a coded prescription for tramadol combinations recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **tramadol combinations** is a medication with the following codes: - **ATC**: N02AX52, N02AJ13, N02AJ14, N02AJ15 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Tramadol prescribed in the past year | Number of active patients who have had a coded prescription for tramadol recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **tramadol** is a medication with the following codes: - **ATC**: N02AX02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Clindamycin prescribed in the past year | Number of active patients who have had a coded prescription for clindamycin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **clindamycin** is a medication with the following codes: - **ATC**: J01FF01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Azithromycin prescribed in the past year | Number of active patients who have had a coded prescription for azithromycin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **azithromycin** is a medication with the following codes: - **ATC**: J01FA10 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Ampicillin prescribed in the past year | Number of active patients who have had a coded prescription for ampicillin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **ampicillin** is a medication with the following codes: - **ATC**: J01CA01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Cloxacillin prescribed in the past year | Number of active patients who have had a coded prescription for cloxacillin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **cloxacillin** is a medication with the following codes: - **ATC**: J01CF02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Levofloxacin prescribed in the past year | Number of active patients who have had a coded prescription for levofloxacin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **levofloxacin** is a medication with one of the following codes: - **ATC**: J01MA12 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Amoxicillin prescribed in the past year | Number of active patients who have had a coded prescription for amoxicillin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **amoxicillin** is a medication with the following codes: - **ATC**: J01CA04 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - All Prescribing | Patients with 5 or more prescriptions in the past year - Age 18+ | Number of active patients, 18 years and older, who have been prescribed 5 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 18 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - All Prescribing | Patients with 5 or more prescriptions in the past year - Age 65+ | Number of active patients, 65 years and older, who have been prescribed 5 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - Antibiotic Prescribing | Erythromycin prescribed in the past year | Number of active patients who have had a coded prescription for erythromycin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **erythromycin** is a medication with one of the following codes: - **ATC**: J01FA01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Minocycline prescribed in the past year | Number of active patients who have had a coded prescription for minocycline (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **minocycline** is a medication with one of the following codes: - **ATC**: J01AA08 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Tetracycline prescribed in the past year | Number of active patients who have had a coded prescription for tetracycline (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **tetracycline** is a medication with one of the following codes: - **ATC**: J01AA07 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Nitrofurantoin prescribed in the past year | Number of active patients who have had a coded prescription for nitrofurantoin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **nitrofurantoin** is a medication with one of the following codes: - **ATC**: J01XE01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Sulfamethoxazole and trimethoprim prescribed in the past year | Number of active patients who have had a coded prescription for sulfamethoxazole and trimethoprim (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **sulfamethoxazole and trimethoprim** is a medication with one of the following codes: - **ATC**: J01EE01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Cefuroxime prescribed in the past year | Number of active patients who have had a coded prescription for cefuroxime (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **cefuroxime** is a medication with one of the following codes: - **ATC**: J01DC02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Cefalexin prescribed in the past year | Number of active patients who have had a coded prescription for cefalexin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **cefalexin** is a medication with one of the following codes: - **ATC**: J01DB01 At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Cefixime prescribed in the past year | Number of active patients who have had a coded prescription for cefixime (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **cefixime** is a medication with the following codes: - **ATC**: J01DD08 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Cefaclor prescribed in the past year | Number of active patients who have had a coded prescription for cefaclor (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **cefaclor** is a medication with the following codes: - **ATC**: J01DC04 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Penicillin-V prescribed in the past year | Number of active patients who have had a coded prescription for penicillin-V (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **penicillin V** is a medication with the following codes: - **ATC**: J01CE02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Other antibiotic prescribed in the past year | Number of active patients who have had a coded prescription for other antibiotics (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **other antibiotic** is a medication with one of the following codes: - **ATC**: Starting with J01, excluding: J01FA09, J01FA10, J01FA0, J01FF01, J01CF02, J01CA01, J01CA04, J01MA12, J01MA14, J01MA02, J01AA02, J01AA07, J01AA08, J01EE01, J01XE01, J01DB01, J01DC02, J01DC04, J01DD08, J01CE02, J01CE10 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Ciprofloxacin prescribed in the past year | Number of active patients who have had a coded prescription for ciprofloxacin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **ciprofloxacin** is a medication with one of the following codes: - **ATC**: J01MA02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Moxifloxacin prescribed in the past year | Number of active patients who have had a coded prescription for moxifloxacin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **moxifloxacin** is a medication with one of the following codes: - **ATC**: J01MA14 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Doxycycline prescribed in the past year | Number of active patients who have had a coded prescription for doxycycline (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **doxycycline** is a medication with one of the following codes: - **ATC**: J01AA02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Antibiotic prescribed in the past year | Number of active patients who have had a coded prescription for an antibiotic (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **antibiotic** is a medication with one of the following codes: - **ATC**: J01AA02, J01AA07, J01AA08, J01CA01, J01CA04, J01DC04, J01CF02, J01DB01, J01DC02, J01DD08, J01EE01, J01FA01, J01FA09, J01FA10, J01FF01, J01MA02, J01MA12, J01MA14, J01XE01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Clarithromycin prescribed in the past year | Number of active patients who have had a coded prescription for clarithromycin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **clarithromycin** is a medication with one of the following codes: - **ATC**: J01FA09 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Clindamycin prescribed in the past year | Number of active patients who have had a coded prescription for clindamycin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **clindamycin** is a medication with the following codes: - **ATC**: J01FF01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Azithromycin prescribed in the past year | Number of active patients who have had a coded prescription for azithromycin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **azithromycin** is a medication with the following codes: - **ATC**: J01FA10 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Ampicillin prescribed in the past year | Number of active patients who have had a coded prescription for ampicillin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **ampicillin** is a medication with the following codes: - **ATC**: J01CA01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Cloxacillin prescribed in the past year | Number of active patients who have had a coded prescription for cloxacillin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **cloxacillin** is a medication with the following codes: - **ATC**: J01CF02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Levofloxacin prescribed in the past year | Number of active patients who have had a coded prescription for levofloxacin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **levofloxacin** is a medication with one of the following codes: - **ATC**: J01MA12 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Antibiotic Prescribing | Amoxicillin prescribed in the past year | Number of active patients who have had a coded prescription for amoxicillin (excluding topical) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **amoxicillin** is a medication with the following codes: - **ATC**: J01CA04 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | OUD and prescribed any opioid in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for any opioid recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | OUD and prescribed an OAT in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for an OAT recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **Suboxone** is a medication with the following codes: - **ATC**: N07BC51 --- Where **methadone** is a medication with the following codes: - **ATC**: N07BC02 --- Where **Kadian (slow-release oral morphine)** is a medication with the following codes: - **DIN**: 02242163, 02184451, 02184443, 02184435 --- Where **Sublocade** is a medication with the following codes: - **ATC**: N07BC01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | OUD and prescribed Methadone in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Methadone recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **methadone** is a medication with the following codes: - **ATC**: N07BC02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | OUD and prescribed Kadian in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Kadian recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **Kadian (slow-release oral morphine)** is a medication with the following codes: - **DIN**: 02242163, 02184451, 02184443, 02184435 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | OUD and prescribed Suboxone in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Suboxone recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where suboxone is a medication with the following codes: - **ATC**: N07BC51 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | OAT prescribed in the past year | Number of active patients who have had a coded prescription for an OAT recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **Suboxone** is a medication with the following codes: - **ATC**: N07BC51 --- Where **methadone** is a medication with the following codes: - **ATC**: N07BC02 --- Where **Kadian (slow-release oral morphine)** is a medication with the following codes: - **DIN**: 02242163, 02184451, 02184443, 02184435 --- Where **Sublocade** is a medication with the following codes: - **ATC**: N07BC01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Chronic pain and prescribed an opioid in the past year | Number of active patients with chronic pain (based on the problem list) who have had a coded prescription for an opioid recorded in the EMR in the past year. | Number of active patients with chronic pain (based on the problem list) recorded in the EMR. | Where **chronic pain** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 338.2, 338.3, or 338.4 - **SNOMED CT**: exactly 444746004, 14150005, 15749801000119104, 12400181000119108, 111985007, 51881000119109, 134407002, 631000119102, 735935009, 762602002, 432615008, 11892641000119101, 823843010, 136713011, 136791000119103, 109771000119103, 237067000, 133731000119108, or 1121000119107 --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Opioid prescribed in the past year | Number of active patients who have had a coded prescription for an opioid recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Opioid prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for an opioid recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Benzodiazepine and opioid prescribed in the past year | Number of active patients who have had a coded prescription for a benzodiazepine and an opioid recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Benzodiazepine and opioid prescribed in the past year - age 65+ | Number of active patients, 65 years and older, who have had a coded prescription for a benzodiazepine and an opioid recorded in the EMR in the past year. | Number of active patients, 65 years and older, recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Codeine combinations (excluding psycholeptics) prescribed in the past year | Number of active patients who have had a coded prescription for codeine combinations (excluding psycholeptics) recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **codeine combinations (excluding psycholeptics)** is a medication with the following codes: - **ATC**: N02AA79, N02AJ07, N02AJ08, N02AJ09, N02AJ06 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Codeine combinations with psycholeptics prescribed in the past year | Number of active patients who have had a coded prescription for codeine combinations with psycholeptics recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **codeine combinations with psycholeptics** is a medication with the following codes: - **ATC**: N02AA59 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Fentanyl prescribed in the past year | Number of active patients who have had a coded prescription for fentanyl recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **fentanyl** is a medication with the following codes: - **ATC**: N02AB03 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Hydromorphone prescribed in the past year | Number of active patients who have had a coded prescription for hydromorphone recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **hydromorphone** is a medication with the following codes: - **ATC**: N02AA03 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Methadone combinations (excluding psycholeptics) prescribed in the past year | Number of active patients who have had a coded prescription for methadone combinations excluding psycholeptics recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **methadone combinations (excluding psycholeptics)** is a medication with the following codes: - **ATC**: N07BC05, N07BC02, or N02AC52 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Morphine prescribed in the past year | Number of active patients who have had a coded prescription for morphine recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **morphine** is a medication with the following codes: - **ATC**: N02AA01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Oxycodone combinations prescribed in the past year | Number of active patients who have had a coded prescription for oxycodone combinations recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **oxycodone combinations** is a medication with the following codes: - **ATC**: N02AA55, N02AA05, N02AJ18, N02AJ19, N02AJ17, N02AA56 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Tramadol combinations prescribed in the past year | Number of active patients who have had a coded prescription for tramadol combinations recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **tramadol combinations** is a medication with the following codes: - **ATC**: N02AX52, N02AJ13, N02AJ14, N02AJ15 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Opioid Prescribing | Tramadol prescribed in the past year | Number of active patients who have had a coded prescription for tramadol recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | Where **tramadol** is a medication with the following codes: - **ATC**: N02AX02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Polypharmacy | Patients with 5 or more prescriptions in the past year - Age 80+ | Number of active patients, 80 years and older, who have been prescribed 5 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 80 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - Polypharmacy | Patients with 10 or more prescriptions in the past year - Age 18+ | Number of active patients, 18 years and older, who have been prescribed 10 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 18 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - Polypharmacy | Patients with 10 or more prescriptions in the past year - Age 65+ | Number of active patients, 65 years and older, who have been prescribed 10 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - Polypharmacy | Patients with 10 or more prescriptions in the past year - Age 80+ | Number of active patients, 80 years and older, who have been prescribed 10 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 80 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - Polypharmacy | Patients with 15 or more prescriptions in the past year - Age 18+ | Number of active patients, 18 years and older, who have been prescribed 15 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 18 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - Polypharmacy | Patients with 15 or more prescriptions in the past year - Age 65+ | Number of active patients, 65 years and older, who have been prescribed 15 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - Polypharmacy | Patients with 15 or more prescriptions in the past year - Age 80+ | Number of active patients, 80 years and older, who have been prescribed 15 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 80 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - Polypharmacy | Patients with 5 or more prescriptions in the past year - Age 18+ | Number of active patients, 18 years and older, who have been prescribed 5 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 18 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - Polypharmacy | Patients with 5 or more prescriptions in the past year - Age 65+ | Number of active patients, 65 years and older, who have been prescribed 5 or more medications in the past year, based on unique ATC codes, as recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - Prescriptions for Diseases | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - all ages | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 6-11 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 6 to 11 years old, with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 6 to 11 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 12-17 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 18+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 18 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 18 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 65+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 65 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 65 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | COPD being treated with inhalers and prescribed a low-carbon inhaler in the past year | Number of active patients with COPD (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients with COPD (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Patients prescribed a high-carbon inhaler who do not have Asthma or COPD - age 19+ | Number of active patients, 19 years and older, being treated with inhalers, who have had a coded prescription for a high-carbon inhaler in the past year and who do not have a diagnosis for Asthma or COPD (based on the problem list) recorded in the EMR. | Number of active patients, 19 years and older, with a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | COPD and prescribed an inhaler in the past year | Number of active patients with COPD (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Heart failure and prescribed three or more of the four foundational medication classes in the past year | Number of active patients with HF (based on the problem list) who have had coded prescriptions for three or more of the four foundational medication classes for heart failure recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **renin-angiotensin-aldosterone system (RAAS) inhibitors** is a medication with the following codes: - **ATC**: starting with C09A, C09B, C09C, or C09D --- Where **selective beta blocker** is a medication with the following codes: - **ATC**: starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, C07CG --- Where **SGLT2 inhibitors** is a medication with the following codes: - **ATC**: starting with A10BK, or exactly A10BD15, A10BD16, A10BD19, A10BD20, A10BD21, A10BD23, A10BD24, A10BD25, or A10BD27 --- Where **mineralocorticoid receptor antagonist** is a medication with the following codes: - **ATC**: starting with C03DA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Heart failure and prescribed an ARNI in the past year | Number of active patients with HF (based on the problem list) who have had a coded prescription for an ARNI recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **angiotensin Receptor/Neprilysin inhibitor (ARNI)** is a medication with the following codes: - **ATC**: C09DX04 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Heart failure and prescribed an SGLT2 inhibitor in the past year | Number of active patients with HF (based on the problem list) who have had a coded prescription for a SGLT2 Inhibitor recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **SGLT2 inhibitors** is a medication with the following codes: - **ATC**: starting with A10BK, or exactly A10BD15, A10BD16, A10BD19, A10BD20, A10BD21, A10BD23, A10BD24, A10BD25, or A10BD27 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Heart failure and prescribed an MRA in the past year | Number of active patients with HF (based on the problem list) who have had a coded prescription for an MRA recorded in the EMR in the past year. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **mineralocorticoid receptor antagonist** is a medication with the following codes: - **ATC**: starting with C03DA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Heart failure and prescribed a RAAS inhibitor in the past year | Number of active patients with HF (based on the problem list) that have had a coded prescription for a RAAS inhibitor in the past year recorded in the EMR. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Heart failure and prescribed a selective beta-blocker in the past year | Number of active patients with HF (based on the problem list) who have had a coded prescription for a beta blocker in the past year as recorded in the EMR. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **selective beta blocker** is a medication with the following codes: - **ATC**: starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, C07CG. --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Asthma and prescribed 3 or more reliever inhalers in the past year | Number of active patients with asthma (based on the problem list) who have been prescribed 3 or more reliever inhalers in the past year. | Number of active patients with Asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Diabetes type 2 and prescribed antidiabetic agents other than insulin and metformin in the past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had at least one coded prescription for antidiabetic agents other than insulin and metformin recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **antidiabetic agents other than insulin and metformin** is a medication with the following codes: - **ATC**: starting with A10B or A10X, excluding A10BA02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Diabetes type 2 and prescribed "metformin only" in the past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had a coded prescription for metformin only (no prescription for insulin or other non-insulin antidiabetic agents) recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **metformin only** is a medication with the following codes: - **ATC**: A10BA02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Diabetes type 2 and prescribed semaglutide in the past year | Number of active patients with diabetes type 2 (based on the problem list) who have had a coded prescription for a semaglutide recorded in the EMR in the past year. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **semaglutide** is a medication with the following codes: - **ATC**: A10BJ06 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Diabetes type 2 and no antidiabetic agent prescription in the past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had no prescription for insulin or non-insulin antidiabetic agents recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Diabetes and prescribed SGLT2 inhibitor in the past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) who have had a coded prescription for a SGLT2 Inhibitor recorded in the EMR in the past year. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **SGLT2 inhibitors** is a medication with the following codes: - **ATC**: starting with A10BK --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | OUD and prescribed any opioid in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for any opioid recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | OUD and prescribed an OAT in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for an OAT recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **Suboxone** is a medication with the following codes: - **ATC**: N07BC51 --- Where **methadone** is a medication with the following codes: - **ATC**: N07BC02 --- Where **Kadian (slow-release oral morphine)** is a medication with the following codes: - **DIN**: 02242163, 02184451, 02184443, 02184435 --- Where **Sublocade** is a medication with the following codes: - **ATC**: N07BC01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | OUD and prescribed Methadone in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Methadone recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **methadone** is a medication with the following codes: - **ATC**: N07BC02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | OUD and prescribed Kadian in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Kadian recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where **Kadian (slow-release oral morphine)** is a medication with the following codes: - **DIN**: 02242163, 02184451, 02184443, 02184435 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | OUD and prescribed Suboxone in the past 60 days | Number of active patients with OUD (based on the problem list) who have had a coded prescription for Suboxone recorded in the EMR in the past 60 days. | Number of active patients with OUD (based on the problem list) recorded in the EMR. | Where **opioid use disorder** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 304.0, 304.7, or 305.5, excluding when the fifth digit is “3” - **SNOMED CT**: exactly 5602001 or 75544000 --- Where suboxone is a medication with the following codes: - **ATC**: N07BC51 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - all ages | Number of active patients with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients with Asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 6-11 | Number of active patients, 6 to 11 years old, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 6 to 11 years old, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 12-17 | Number of active patients, 12 to 17 years old, with Asthma (based on the problem list) being treated with inhalers that have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 12 to 17 years old, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 18+ | Number of active patients, 18 years and older, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 18 years and older, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 65+ | Number of active patients, 65 years and older, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 65 years and older, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Any reliever inhaler and no controller inhaler | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who are being treated with reliever inhalers or Symbicort, who have a prescription for a reliever inhaler and did not have a prescription for a controller inhaler in the past year. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - High-carbon reliever inhaler and high-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was high-carbon and whose last prescription, in the past year, for a controller inhaler was high-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 -- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - High-carbon reliever inhaler and low-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was high-carbon and whose last prescription, in the past year, for a controller inhaler was low-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort*** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Low-carbon reliever inhaler and high-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was low-carbon and whose last prescription, in the past year, for a controller inhaler was high-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort*** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Low-carbon reliever inhaler and low-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was low-carbon or Symbicort and whose last prescription, in the past year, for a controller inhaler was low-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Diabetes and prescribed a statin in the past year | Number of active patients, 40 years and older, with diabetes (based on the problem list and excluding gestational diabetes) who have had a coded prescription for a statin recorded in the EMR in the past year. | Number of active patients, 40 years and older, with diabetes (based on the problem list and excluding gestational diabetes) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **HMG-CoA reductase inhibitor (Statin)** is a medication with the following codes: - **ATC**: starting with C10AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Diabetes type 2 and prescribed a GLP-1 agonist in the past year | Number of active patients with diabetes type 2 (based on the problem list) who have had a coded prescription for a GLP-1 agonist recorded in the EMR in the past year. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **glucagon-like peptide-1 (GLP-1) agonist** is a medication with the following codes: - **ATC**: starting with A10BJ or exactly A10BX16 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Diabetes, obesity, and prescribed a GLP-1 agonist in the past year | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and obesity by documentation in the problem list or by last measurement (BMI greater than or equal to 30 or waist circumference greater than or equal to 102 for males or greater than or equal to 88 for females), who have had a coded prescription for a GLP-1 agonist recorded in the EMR in the past year. | Number of active patients with diabetes (based on the problem list and excluding gestational diabetes) and obesity by documentation in the problem list or by last measurement (BMI greater than or equal to 30 or waist circumference greater than or equal to 102 for males or greater than or equal to 88 for females) as recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **glucagon-like peptide-1 (GLP-1) agonist** is a medication with the following codes: - **ATC**: starting with A10BJ or exactly A10BX16 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Hypothyroidism and prescribed thyroid hormone in the past year | Number of active patients with hypothyroidism (based on the problem list) who have had a coded prescription for a thyroid hormone recorded in the EMR in the past year. | Number of active patients with hypothyroidism (based on the problem list) recorded in the EMR. | Where **hypothyroidism** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 244 - **SNOMED CT**: 40930008 --- Where **thyroid hormone** is a medication with the following codes: - **ATC**: starting with H03AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Asthma and prescribed an inhaler in the past year | Number of active patients with asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Number of active patients with asthma (based on the problem list) recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Diabetes type 2 and prescribed insulin in past 6 months | Number of active patients with diabetes type 2 (based on the problem list) who have had at least one coded prescription for insulin recorded in the EMR in the past 6 months. | Number of active patients with diabetes type 2 (based on the problem list) recorded in the EMR. | Where **diabetes type 2** means a patient has diabetes, excluding gestational diabetes and diabetes type 1. The patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250, excluding when the fifth digit is '1' or '3' - **SNOMED CT**: exactly 73211009 or 44054006 --- Where **insulin** is a medication with the following codes: - **ATC**: starting with A10A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Chronic pain and prescribed an opioid in the past year | Number of active patients with chronic pain (based on the problem list) who have had a coded prescription for an opioid recorded in the EMR in the past year. | Number of active patients with chronic pain (based on the problem list) recorded in the EMR. | Where **chronic pain** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 338.2, 338.3, or 338.4 - **SNOMED CT**: exactly 444746004, 14150005, 15749801000119104, 12400181000119108, 111985007, 51881000119109, 134407002, 631000119102, 735935009, 762602002, 432615008, 11892641000119101, 823843010, 136713011, 136791000119103, 109771000119103, 237067000, 133731000119108, or 1121000119107 --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | Impaired renal function and prescribed digoxin in the past year - age 65+ | Number of active patients, 65 years and older, with impaired renal function (based on calGFR<60) who have had a coded prescription for digoxin recorded in the EMR in the past year. | Number of active patients, 65 years and older, with impaired renal function (based on calGFR<60) as recorded in the EMR. | Where **digoxin** is a medication with the following codes: - **ATC**: starting with C01AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Prescriptions for Diseases | HFrEF and prescribed three or more of the four foundational medication classes in the past year | Number of active patients with HFrEF (based on the problem list) who have had coded prescriptions for three or more of the four foundational medication classes for heart failure recorded in the EMR in the past year. | Number of active patients with HFrEF (based on the problem list) recorded in the EMR. | Where **heart failure with reduced ejection fraction (HFrEF)** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428.2 - **SNOMED CT**: exactly 426263006, 48447003, 703272007, 417996009, 441481004 --- Where **renin-angiotensin-aldosterone system (RAAS) inhibitors** is a medication with the following codes: - **ATC**: starting with C09A, C09B, C09C, or C09D --- Where **selective beta blocker** is a medication with the following codes: - **ATC**: starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, C07CG --- Where **SGLT2 inhibitors** is a medication with the following codes: - **ATC**: starting with A10BK, or exactly A10BD15, A10BD16, A10BD19, A10BD20, A10BD21, A10BD23, A10BD24, A10BD25, or A10BD27 --- Where **mineralocorticoid receptor antagonist** is a medication with the following codes: - **ATC**: starting with C03DA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Medication Prescribing - Use of Medication by Patients | Heart failure and ACE inhibitor or ARB long term medication | Number of active patients with HF (based on the problem list) with at least one active continuous medication of ACEI or ARB recorded in the EMR. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Heart failure and selective beta-blocker medication | Number of active patients with HF (based on the problem list) with at least one active medication for a beta blocker recorded in the EMR. | Number of active patients with HF (based on the problem list) recorded in the EMR. | Where **congestive heart failure** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 428 - **SNOMED CT**: exactly 42343007, 266308000, 155375008, 698296002, 16838951000119100, 194767001, 77737007, 418304008, 446221000, 48447003, 426263006, 56675007, 703272007, 84114007, 85232009, or 96311000119109 --- Where **selective beta blocker** is a medication with the following codes: - **ATC**: starting with C07AB, C07BB, C07CB, C07DB, C07EB, C07FB, C07AG, C07BG, C07CG. --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Metformin use - age 65+ | Number of active patients, 65 years and older, with an active medication for metformin recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **metformin** is a medication with the following codes: - **ATC**: A10BA02, A10BD02, A10BD03, A10BD05, A10BD07, A10BD08, A10BD10, A10BD11, A10BD13, A10BD14, A10BD15, A10BD16, A10BD17, A10BD18, A10BD20, A10BD22, A10BD23, A10BD25, A10BD26, A10BD27, or A10BD28 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Antipsychotic use - age 65+ | Number of active patients, 65 years and older, with an active medication for an antipsychotic recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **antipsychotic** is a medication with the following codes: - **ATC**: starting with N05A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Antidepressant use | Number of active patients with an active medication for an antidepressant recorded in the EMR. | Number of active patients recorded in the EMR. | Where **antidepressants** is a medication with the following codes: - **ATC**: starting with N06A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Digoxin use | Number of active patients with an active medication for digoxin recorded in the EMR. | Number of active patients recorded in the EMR. | Where **digoxin** is a medication with the following codes: - **ATC**: starting with C01AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Morphine use | Number of active patients with an active medication for morphine recorded in the EMR. | Number of active patients recorded in the EMR. | Where **morphine** is a medication with the following codes: - **ATC**: N02AA01 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Hydromorphone use | Number of active patients with an active medication for hydromorphone recorded in the EMR. | Number of active patients recorded in the EMR. | Where **hydromorphone** is a medication with the following codes: - **ATC**: N02AA03 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Proton pump inhibitor use - age 65+ | Number of active patients, 65 years and older, with an active medication for proton pump inhibitor recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **proton pump inhibitor** is a medication with the following codes: - **ATC**: starting with A02BC --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Fentanyl use | Number of active patients with an active medication for fentanyl recorded in the EMR. | Number of active patients recorded in the EMR. | Where **fentanyl** is a medication with the following codes: - **ATC**: N02AB03 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Codeine combinations with psycholeptics use | Number of active patients with an active medication for codeine combinations with psycholeptics recorded in the EMR. | Number of active patients recorded in the EMR. | Where **codeine combinations with psycholeptics** is a medication with the following codes: - **ATC**: N02AA59 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Antidepressant use - age 65+ | Number of active patients, 65 years and older, with an active medication for an antidepressant recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **antidepressants** is a medication with the following codes: - **ATC**: starting with N06A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Tramadol use | Number of active patients with an active medication for tramadol recorded in the EMR. | Number of active patients recorded in the EMR. | Where **tramadol** is a medication with the following codes: - **ATC**: N02AX02 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Methadone combinations use (excluding psycholeptics) | Number of active patients with an active medication for methadone combinations excluding psycholeptics recorded in the EMR. | Number of active patients recorded in the EMR. | Where **methadone combinations (excluding psycholeptics)** is a medication with the following codes: - **ATC**: N07BC05, N07BC02, or N02AC52 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Chronic pain and opioid use | Number of active patients with an active opioid medication in the long term medication list, and Chronic Pain (based on the problem list) recorded in the EMR. | Number of active patients with chronic pain (based on the problem list) recorded in the EMR. | Where **chronic pain** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 338.2, 338.3, or 338.4 - **SNOMED CT**: exactly 444746004, 14150005, 15749801000119104, 12400181000119108, 111985007, 51881000119109, 134407002, 631000119102, 735935009, 762602002, 432615008, 11892641000119101, 823843010, 136713011, 136791000119103, 109771000119103, 237067000, 133731000119108, or 1121000119107 --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Tramadol combinations use | Number of active patients with an active medication for tramadol combinations recorded in the EMR. | Number of active patients recorded in the EMR. | Where **tramadol combinations** is a medication with the following codes: - **ATC**: N02AX52, N02AJ13, N02AJ14, N02AJ15 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Benzodiazepine use | Number of active patients with an active medication for a benzodiazepine recorded in the EMR. | Number of active patients recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Impaired renal function and digoxin use - age 65+ | Number of active patients, 65 years and older, with impaired renal function (based on calGFR<60) and an active medication for digoxin recorded in the EMR. | Number of active patients, 65 years and older, with impaired renal function (based on calGFR<60) as recorded in the EMR. | Where **digoxin** is a medication with the following codes: - **ATC**: starting with C01AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | NSAID use | Number of active patients with an active medication for an NSAID recorded in the EMR. | Number of active patients recorded in the EMR. | Where **NSAID** is a medication with the following codes: - **ATC**: starting with M01A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Benzodiazepine and opioid use | Number of active patients with an active medication for a benzodiazepine and an opioid recorded in the EMR. | Number of active patients recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Oxycodone combinations use | Number of active patients with an active medication for oxycodone combinations recorded in the EMR. | Number of active patients recorded in the EMR. | Where **oxycodone combinations** is a medication with the following codes: - **ATC**: N02AA55, N02AA05, N02AJ18, N02AJ19, N02AJ17, N02AA56 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Codeine combinations use (excluding psycholeptics) | Number of active patients with an active medication for codeine combinations (excluding psycholeptics) recorded in the EMR. | Number of active patients recorded in the EMR. | Where **codeine combinations (excluding psycholeptics)** is a medication with the following codes: - **ATC**: N02AA79, N02AJ07, N02AJ08, N02AJ09, N02AJ06 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Benzodiazepine use - age 65+ | Number of active patients, 65 years and older, with an active medication for a benzodiazepine recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Thiazide use - age 65+ | Number of active patients, 65 years and older, with an active medication for a thiazide excluding combinations recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **thiazide** is a medication with the following codes: - **ATC**: starting with C03AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Opioid use - age 65+ | Number of active patients, 65 years and older, with an active medication for an opioid medication recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Angiotensin II antagonist use - age 65+ | Number of active patients, 65 years and older, with an active medication for an angiotensin II antagonist excluding combinations recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **angiotensin II antagonist** is a medication with the following codes: - **ATC**: starting with C09C or C09D --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Dihydropyridine calcium channel blocker use - age 65+ | Number of active patients, 65 years and older, with an active medication for a calcium channel blocker recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **calcium channel blocker** is a medication with the following codes: - **ATC**: starting with C08CA or C08GA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Thyroid hormone use - age 65+ | Number of active patients, 65 years and older, with an active medication for a thyroid hormone recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **thyroid hormone** is a medication with the following codes: - **ATC**: starting with H03AA --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | ACE inhibitor use - age 65+ | Number of active patients, 65 years and older, with an active medication for ACE inhibitor excluding combinations recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **ACE inhibitor** is a medication with the following codes: - **ATC**: starting with C09A or C09B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Beta-blocker use - age 65+ | Number of active patients, 65 years and older, with an active medication for a selective beta-blocking agent recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **beta blocker** is a medication with the following codes: - **ATC**: starting with C07AA, C07AB, C07BA, C07BB, C07CA, C07CB, C07DA, C07DB, C07EA, C07EB, C07FA, C07FB --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | Benzodiazepine and opioid use - age 65+ | Number of active patients, 65 years and older, with an active medication for a benzodiazepine and an opioid recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **benzodiazepine** is a medication with the following codes: - **ATC**: starting with N03AE, N05BA, N05CD, or N05CF --- Where **opioid** is a medication with the following codes: - **ATC**: starting with N02A, N07BC, or N01AH --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | NSAID use - age 65+ | Number of active patients, 65 years and older, with an active medication for an NSAID recorded in the EMR. | Number of active patients, 65 years and older, recorded in the EMR. | Where **NSAID** is a medication with the following codes: - **ATC**: starting with M01A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Medication Prescribing - Use of Medication by Patients | INR monitoring of patients with an active vitamin K antagonist medication | Number of active patients with an active vitamin K antagonist medication, such as warfarin and no INR result in the last month recorded in the EMR. | Number of active patients with an active Vitamin K Antagonist medication, such as warfarin recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Medication Prescribing - Use of Medication by Patients | Antipsychotic use | Number of active patients with an active medication for an antipsychotic recorded in the EMR. | Number of active patients recorded in the EMR. | Where **antipsychotic** is a medication with the following codes: - **ATC**: starting with N05A --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | MOIS | OSCAR | ||||
| Patient Medical Home | Active patients - nonbinary or unspecified | Number of active nonbinary patients or patients with an unspecified sex/gender, with an encounter in the past 3 years recorded in the EMR. | Number of active patients with an encounter in the past 3 years recorded in the EMR. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. --- Where **"nonbinary or unspecified"** refers to a patient whose sex or gender is not recorded as male or female in the EMR. This includes entries such as **T, O, U, X, I, Unknown, Other**, or a **blank** value in the Sex or Gender field. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past 3 years - nonbinary or unspecified | Number of encounters with active nonbinary patients or patients with an unspecified sex/gender, recorded in the EMR in the past 3 years. | Number of encounters with active patients recorded in the EMR in the past 3 years. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. --- Where **"nonbinary or unspecified"** refers to a patient whose sex or gender is not recorded as male or female in the EMR. This includes entries such as **T, O, U, X, I, Unknown, Other**, or a **blank** value in the Sex or Gender field. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past year - nonbinary or unspecified | Number of encounters with active nonbinary patients or patients with an unspecified sex/gender, recorded in the EMR in the past year. | Number of encounters with active patients recorded in the EMR in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. --- Where **"nonbinary or unspecified"** refers to a patient whose sex or gender is not recorded as male or female in the EMR. This includes entries such as **T, O, U, X, I, Unknown, Other**, or a **blank** value in the Sex or Gender field. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Active patients - age 0-18 | Number of active patients, 0 to 18 years old, with an encounter in the past 3 years recorded in the EMR. | Number of active patients with an encounter in the past 3 years recorded in the EMR. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Active patients - age 19-39 | Number of active patients, 19 to 39 years old, with an encounter in the past 3 years recorded in the EMR. | Number of active patients with an encounter in the past 3 years recorded in the EMR. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Active patients - age 40-64 | Number of active patients, 40 to 64 years old, with an encounter in the past 3 years recorded in the EMR. | Number of active patients with an encounter in the past 3 years recorded in the EMR. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Active patients - age 65+ | Number of active patients, 65 years and older, with an encounter in the past 3 years recorded in the EMR. | Number of active patients with an encounter in the past 3 years recorded in the EMR. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Active patients - male | Number of active male patients with an encounter in the past 3 years recorded in the EMR. | Number of active patients with an encounter in the past 3 years recorded in the EMR. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Active patients - female | Number of active female patients with an encounter in the past 3 years recorded in the EMR. | Number of active patients with an encounter in the past 3 years recorded in the EMR. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past 3 years - age 0-18 | Number of encounters with active patients, 0 to 18 years old, recorded in the EMR in the past 3 years. | Number of encounters with active patients recorded in the EMR in the past 3 years. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past 3 years - age 19-39 | Number of encounters with active patients, 19 to 39 years old, recorded in the EMR in the past 3 years. | Number of encounters with active patients recorded in the EMR in the past 3 years. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past 3 years - age 40-64 | Number of encounters with active patients, 40 to 64 years old, recorded in the EMR in the past 3 years. | Number of encounters with active patients recorded in the EMR in the past 3 years. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past 3 years - age 65+ | Number of encounters with active patients, 65 years and older, recorded in the EMR in the past 3 years. | Number of encounters with active patients recorded in the EMR in the past 3 years. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past 3 years - female | Number of encounters with active female patients recorded in the EMR in the past 3 years. | Number of encounters with active patients recorded in the EMR in the past 3 years. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past 3 years - male | Number of encounters with active male patients recorded in the EMR in the past 3 years. | Number of encounters with active patients recorded in the EMR in the past 3 years. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Active patients - invalid or no date of birth | Number of active patients with an invalid or no date of birth and an encounter in the past 3 years recorded in the EMR. | Number of active patients with an encounter in the past 3 years recorded in the EMR. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past 3 years - invalid or no date of birth | Number of encounters with active patients, that have an invalid or no date of birth, recorded in the EMR in the past 3 years. | Number of encounters with active patients recorded in the EMR in the past 3 years. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past year - age 0-18 | Number of encounters with active patients, 0 to 18 years old, recorded in the EMR in the past year. | Number of encounters with active patients recorded in the EMR in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past year - age 19-39 | Number of encounters with active patients, 19 to 39 years old, recorded in the EMR in the past year. | Number of encounters with active patients recorded in the EMR in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past year - age 40-64 | Number of encounters with active patients, 40 to 64 years old, recorded in the EMR in the past year. | Number of encounters with active patients recorded in the EMR in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past year - age 65+ | Number of encounters with active patients, 65 years and older, recorded in the EMR in the past year. | Number of encounters with active patients recorded in the EMR in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past year - female | Number of encounters with active female patients recorded in the EMR in the past year. | Number of encounters with active patients recorded in the EMR in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past year - invalid or no date of birth | Number of encounters with active patients, that have an invalid or no date of birth, recorded in the EMR in the past year. | Number of encounters with active patients recorded in the EMR in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home | Encounters in the past year - male | Number of encounters with active male patients recorded in the EMR in the past year. | Number of encounters with active patients recorded in the EMR in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home - Continuity | Panel patients with an encounter in the past 3 months | Number of panel patients that had an encounter with their provider in the past 3 months. | Number of unique patients that had an encounter with the provider in the past 3 months. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home - Continuity | Provider’s encounters with panel patients in the past 3 months | Number of encounters in the past 3 months in which the provider is the primary point of care for the patient. | Number of encounters of a provider in the past 3 months. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home - Continuity | Encounters of panel patients with their MRP in the past year | Number of encounters of active patients in the past year in which the care provider is the primary point of care for the patient. | Number of encounters of a provider's panel patients in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home - Continuity | Provider's encounters with panel patients in the past year | Number of encounters in the past year in which the provider is the primary point of care for the patient. | Number of encounters of a provider in the past year. | **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home - Continuity | "Active" patients with designated MRP | Number of active patients with at least one encounter in the past three years who have a designated MRP in that clinic. | Number of active patients with at least one encounter in the past three years. | This measure is meaningful only at clinic level and up. For the individual physician, this measure will always be 100%. --- **"Encounter"** refers to the following definitions for each supported EMR: - **MOIS**: An encounter that is signed off and has a status other than N (No Show), C (Cancel), or R (Rebook). - **OSCAR**: An encounter with a signed encounter note. - **Med Access**: A visit that has been signed. - **Profile**: An encounter with status Complete or Resolved. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Patient Medical Home - Continuity | Patients marked active with a designated MRP | Number of patients that are marked as active in the EMR who have a designated MRP at the clinic. | Number of patients that are marked as active in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Planetary Health | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - all ages | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 6-11 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 6 to 11 years old, with COPD or asthma (based on the problem list) who are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 6 to 11 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 12-17 | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 12 to 17 years old, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 18+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 18 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 18 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Prescriptions issued for low-carbon inhalers to patients with COPD or Asthma that are being treated with inhalers - age 65+ | Number of prescriptions recorded in the EMR for low-carbon inhalers issued in the past year to active patients, 65 years and older, with COPD or Asthma (based on the problem list) that are being treated with inhalers. | Number of prescriptions for inhalers issued to active patients, 65 years and older, with COPD or Asthma (based on the problem list) in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | COPD being treated with inhalers and prescribed a low-carbon inhaler in the past year | Number of active patients with COPD (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients with COPD (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Patients prescribed a high-carbon inhaler who do not have Asthma or COPD - age 19+ | Number of active patients, 19 years and older, being treated with inhalers, who have had a coded prescription for a high-carbon inhaler in the past year and who do not have a diagnosis for Asthma or COPD (based on the problem list) recorded in the EMR. | Number of active patients, 19 years and older, with a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | COPD and prescribed an inhaler in the past year | Number of active patients with COPD (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Number of active patients with COPD (based on the problem list) recorded in the EMR. | Where **chronic obstructive pulmonary disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 491, 492, 494, or 496 - **SNOMED CT**: exactly 739041012, 23287019, 475422013, 475426011, 475424014, 475423015, 475430014, 475427019, 475425010, 475421018, 475429016, 475419011, 475420017, 475428012, 475431013, 47938003, 135836000, 313296004, 87433001, 313299006, 13645005, D2-30410 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Asthma and prescribed 3 or more reliever inhalers in the past year | Number of active patients with asthma (based on the problem list) who have been prescribed 3 or more reliever inhalers in the past year. | Number of active patients with Asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - all ages | Number of active patients with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients with Asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 6-11 | Number of active patients, 6 to 11 years old, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 6 to 11 years old, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 12-17 | Number of active patients, 12 to 17 years old, with Asthma (based on the problem list) being treated with inhalers that have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 12 to 17 years old, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 18+ | Number of active patients, 18 years and older, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 18 years and older, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Asthma being treated with inhalers and prescribed a low-carbon inhaler in the past year - age 65+ | Number of active patients, 65 years and older, with asthma (based on the problem list) being treated with inhalers who have had a coded prescription for a low-carbon inhaler recorded in the EMR in the past year. | Number of active patients, 65 years and older, with asthma (based on the problem list) who have had a coded prescription for an inhaler recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Any reliever inhaler and no controller inhaler | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who are being treated with reliever inhalers or Symbicort, who have a prescription for a reliever inhaler and did not have a prescription for a controller inhaler in the past year. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - High-carbon reliever inhaler and high-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was high-carbon and whose last prescription, in the past year, for a controller inhaler was high-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 -- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - High-carbon reliever inhaler and low-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was high-carbon and whose last prescription, in the past year, for a controller inhaler was low-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort*** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Low-carbon reliever inhaler and high-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was low-carbon and whose last prescription, in the past year, for a controller inhaler was high-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort*** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **high carbon inhaler** is a Metered-Dose inhaler (MDI) with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02510987, 02244291, 02244292, 02244293, 02245126, 02245127, 02361752, 02361760, 02247686, 02518058, 02294745, 02526557 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Asthma being treated with inhalers categorized by their inhalers’ carbon emissions - Low-carbon reliever inhaler and low-carbon controller inhaler | Number of active patients, 12 to 65 years old, with Asthma who are being treated with reliever inhalers or Symbicort, whose last prescription, in the past year, for a reliever inhaler was low-carbon or Symbicort and whose last prescription, in the past year, for a controller inhaler was low-carbon. | Number of active patients, 12 to 65 years old, with Asthma (based on the problem list) who have had a coded prescription for a reliever inhaler or Symbicort recorded in the EMR in the past year. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **reliever inhaler** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 02247686, 00786616, 02243115, 02469359, 02419106 --- Where **symbicort** is an inhaler with one of the following codes: - **DIN**: 02245385, 02248218, 02245386 --- Where **controller inhaler** is an inhaler with one of the following codes: - **DIN**: 02242029, 02242030, 02285606, 02285614, 02503115, 02503123, 02503131, 02244291, 02244292, 02244293, 02294745, 02526557, 02510987, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02245126, 02245127, 02361752, 02361760, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02518058, 02439530, 02418282, 02418401, 02441888, 02246793, 02409720, 02394936, 02423596, 02435381 --- Where **low carbon inhaler** is a Dry Powder or Soft Mist inhaler (DPI and SMI) with one of the following codes: - **DIN**: 00786616, 02243115, 02469359, 02237245, 02237246, 02237247, 02467895, 02467909, 02467917, 02446561, 02446588, 02438690, 02243595, 02243596, 00852074, 00851752, 00851760, 02237225, 02237224, 02376938, 02231129, 02230898, 02498685, 02498707, 02498693, 02245385, 02248218, 02245386, 02408872, 02444186, 02240835, 02240836, 02240837, 02495597, 02495600, 02495619, 02494507, 02494515, 02494523, 02501244, 02474522, 02515776, 02439530, 02418282, 02418401, 02246793, 02409720, 02394936, 02423596 --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Short-acting bronchodilator prescribed in the past year - age 0-2 | Number of active patients, 0 to 2 years old, who have had a coded prescription for a short-acting bronchodilator recorded in the EMR in the past year. | Number of active patients, 0 to 2 years old, recorded in the EMR. | Where **short-acting bronchodilator** is an inhaler with one of the following codes: - **DIN**: 02232570, 02326450, 02245669, 02419858, 02241497, 00786616, 02243115, 02469359, 02419106, 02213486, 02173360, 01926934, 02208245, 02208237, 02208229, 02239365, 00860808, 02231675 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Planetary Health | Asthma and prescribed an inhaler in the past year | Number of active patients with asthma (based on the problem list) that have had a coded prescription for an inhaler recorded in the EMR in the past year. | Number of active patients with asthma (based on the problem list) recorded in the EMR. | Where **asthma** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 493 - **SNOMED CT**: exactly 195967001, 195983001, 195970002, 195973000, 195980003, 304527002, 708093000 or 281239006 --- Where **inhaler** means an inhaler with one of the following codes: - **ATC**: starting with R03A or R03B --- At this time, we do not capture uncoded or compounded prescriptions. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Prevention - Obesity and Waist Circumference | Overweight and obesity in adolescents - age 12-19 | Number of active patients, 12 to 19 years old, with a body mass index (BMI) over 85th percentile (based on WHO standard values) for their age and sex recorded in the EMR. | Number of active patients, 12 to 19 years old, recorded in the EMR. | For more information about the WHO standard values for overweight and obese adolescents, visit www.who.int | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Prevention - Obesity and Waist Circumference | BMI or WC documentation in the past 2 years - age 12-19 | Number of active patients, 12 to 19 years old, who have either: - a BMI recorded in the EMR or - a height and weight recorded in the EMR or - a WC recorded in the EMR within the past 2 years. | Number of active patients, 12 to 19 years old, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Prevention - Obesity and Waist Circumference | BMI or WC documentation in the past 2 years - age 20+ | Number of active patients, 20 years and older, who have either: - a BMI recorded in the EMR OR - a height and weight recorded in the EMR OR - a WC recorded in the EMR within the past 2 years. | Number of active patients, 20 years and older, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Prevention - Obesity and Waist Circumference | Obesity by last measurement - age 20+ | Number of active patients, 20 years and older, whose most recent Body Mass Index (BMI) reading is greater than or equal to 30 or waist circumference is greater than or equal to 102 cm for males and greater than or equal to 88 cm for females as recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Prevention - Obesity and Waist Circumference | Obesity by last measurement or health concern - age 20+ | Number of active patients, 20 years and older, with obesity documented in their problem list or whose most recent Body Mass Index (BMI) reading is greater than or equal to 30 or waist circumference is greater than or equal to 102 cm for males and greater than or equal to 88 cm for females as recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **obesity** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 278 or starting with 278.0 - **SNOMED CT**: exactly 414916001 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Prevention - Obesity and Waist Circumference | Obesity by health concern - age 20+ | Number of active patients, 20 years and older, with obesity (based on the problem list) recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | Where **obesity** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 278 or starting with 278.0 - **SNOMED CT**: exactly 414916001 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Prevention - Physical Activity | Physical inactivity documented - age 12-19 | Number of active patients, 12 to 19 years old, with less than 150 minutes of physical activity per week as recorded in the EMR. | Number of active patients, 12 to 19 years old, recorded in the EMR. | YES | MOIS | |||||||
| Prevention - Physical Activity | Physical inactivity documented - age 12-19 | Number of active patients, 20 years and older, with less than 150 minutes of physical activity per week as recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | YES | MOIS | |||||||
| Prevention - Physical Activity | Physical activity documented in the past 2 years - age 12-19 | Number of active patients, 12 to 19 years old, with physical activity status recorded in the EMR within the past 2 years. | Number of active patients, 12 to 19 years old, recorded in the EMR. | YES | YES | MOIS | OSCAR | |||||
| Prevention - Physical Activity | Physical activity documented in the past 2 years - age 12-19 | Number of active patients, 20 years and older, with physical activity status recorded in the EMR within the past 2 years. | Number of active patients, 20 years and older, recorded in the EMR. | YES | YES | MOIS | OSCAR | |||||
| Prevention - Tobacco Use | Tobacco use documented in the past 2 years - age 12-19 | Number of active patients, 12 to 19 years old, with their tobacco use status recorded in the EMR in the past 2 years. | Number of active patients, 12 to 19 years old, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Prevention - Tobacco Use | Tobacco use documented in the past 2 years - age 20+ | Number of active patients, 20 years and older, with their tobacco use status recorded in the EMR in the past 2 years. | Number of active patients, 20 years and older, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Prevention - Tobacco Use | Current tobacco use - age 12-19 | Number of active patients, 12 to 19 years old, who are current tobacco users as recorded in the EMR. | Number of active patients, 12 to 19 years old, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Prevention - Tobacco Use | Current tobacco use - age 20+ | Number of active patients, 20 years and older, who are current tobacco users as recorded in the EMR. | Number of active patients, 20 years and older, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Prevention - Vaccinations | Patients with vaccinations recorded in the past 3 years | Number of active patients with at least one documented vaccination in the EMR during last three years. | Number of active patients recorded in the EMR. | YES | MOIS | |||||||
| Prevention - Vaccinations | Patients with vaccinations recorded in past year | Number of active patients with at least one Vaccination recorded in the EMR in the past year. | Number of active patients recorded in the EMR. | YES | MOIS | |||||||
| Prevention - Vaccinations | Pneumococcal vaccination documented in the past year - age 65+ | Number of active patients, 65 years and older, who have at least one pneumococcal vaccination recorded in the EMR (this can be the primary vaccination or a booster), have declined the vaccination or have an indication on their record that pneumococcal vaccination is not clinically appropriate for them. | Number of active patients, 65 years and older, recorded in the EMR. | YES | MOIS | |||||||
| Prevention - Vaccinations | Influenza vaccination documented in the past year - age 65+ | Number of active patients, 65 years and older, who have one influenza vaccination recorded in the EMR within the past year, have declined the vaccination, have an indication on their record that influenza vaccination is not clinically appropriate for them. | Number of active patients, 65 years and older, recorded in the EMR. | YES | MOIS | |||||||
| Screening - Blood-borne Pathogen | HIV screening - age 18-70 | Number of active patients, 18 to 70 years old, who have a lab result for HIV screening recorded in the EMR in the past 5 years. | Number of active patients, 18 to 70 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Screening - Blood-borne Pathogen | Complete STI/BBP testing including HIV test | Number of active patients who are not HIV positive and have a lab result recorded in the EMR for hepatitis B, hepatitis C, chlamydia, gonorrhea or syphilis during the period of 15 months ago to 3 months ago, and also have HIV lab results 15 days before to 3 months after the other tests. | Number of active patients who are not HIV positive and have a lab result recorded in the EMR for any of these diseases: hepatitis B, hepatitis C, chlamydia, gonorrhea or syphilis, during the period of 15 months ago to 3 months ago. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Screening - Blood-borne Pathogen | HIV screening - female, age 18-70 | Number of active female patients, 18 to 70 years old, with at least 1 HIV screening test result recorded in the EMR in the past year. | Number of active female patients, 18 to 70 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Screening - Blood-borne Pathogen | HIV screening - male, age 18-70 | Number of active male patients, 18 to 70 years old, with at least 1 HIV screening test result recorded in the EMR in the past year. | Number of active male patients, 18 to 70 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Screening - Cancer | Colorectal cancer screening - FIT and other fecal occult blood tests | Number of active patients, 50 to 74 years old, who have had a FIT or other fecal occult blood test recorded in the EMR in the past 2 years. | Number of active patients, 50 to 74 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Screening - Cancer | Colorectal cancer screening | Number of active patients, 50 to 74 years old, who have had a FIT or other fecal occult blood test recorded in the EMR in the past 2 years or a colonoscopy or sigmoidoscopy recorded in the EMR in the past 10 years. | Number of active patients, 50 to 74 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Screening - Cancer | Cervical cancer screening - 3 years | Number of active female patients, 25 to 69 years old, who have not had a hysterectomy and have a cervical screening lab result (HPV screening or pap test) recorded in the EMR in the past 3 years. | Number of active female patients, 25 to 69 years old, who have not had a hysterectomy recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Screening - Cancer | Cervical cancer screening - 5 years | Number of active female patients, 25 to 69 years old, who have not had a hysterectomy and have a cervical screening lab result (HPV screening or pap test) recorded in the EMR in the past 5 years. | Number of active female patients, 25 to 69 years old, who have not had a hysterectomy recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Screening - Cancer | Breast cancer screening - Age 40-49 | Number of active female patients, 40 to 49 years old, without breast cancer, who have had a mammogram recorded in the EMR in the past 2 years. | Number of active female patients, 40 to 49 years old, without breast cancer recorded in the EMR. | YES | YES | MOIS | Profile | |||||
| Screening - Cancer | Breast cancer screening - Age 75+ | Number of active female patients, 75 years and older, without breast cancer, who have had a mammogram recorded in the EMR in the past 2 years. | Number of active female patients, 75 years and older, without breast cancer recorded in the EMR. | YES | YES | MOIS | Profile | |||||
| Screening - Cancer | Breast cancer screening - Age 50-74 | Number of active female patients, 50 to 74 years old, without breast cancer, who have had a mammogram recorded in the EMR in the past 2 years. | Number of active female patients, 50 to 74 years old, without breast cancer recorded in the EMR. | YES | YES | MOIS | Profile | |||||
| Screening - Cancer | Colorectal cancer screening - colonoscopy or sigmoidoscopy | Number of active patients, 50 to 74 years old, who have had a colonoscopy or sigmoidoscopy recorded in the EMR in the past 10 years. | Number of active patients, 50 to 74 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Screening - Other | Cholesterol screening in the past 5 years - male, age 40+ | Number of active male patients, 40 years and older, who do not have CVD (based on the problem list), and who have a result for total cholesterol, HDL cholesterol, or LDL cholesterol recorded in the EMR in the past 5 years. | Number of active male patients, 40 years and older, who do not have CVD (based on the problem list) recorded in the EMR. | Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Screening - Other | Cholesterol screening in the past 10 years - male, age 40+ | Number of active male patients, 40 years and older, who do not have CVD (based on the problem list), and who have a result for total cholesterol, HDL cholesterol, or LDL cholesterol recorded in the EMR in the past 10 years. | Number of active male patients, 40 years and older, who do not have CVD (based on the problem list) recorded in the EMR. | Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Screening - Other | Cholesterol screening in the past 5 years - female, age 40+ | Number of active female patients, 40 years and older, who do not have CVD (based on the problem list), and who have a result for total cholesterol, HDL cholesterol, or LDL cholesterol recorded in the EMR in the past 5 years. | Number of active female patients, 40 years and older, who do not have CVD (based on the problem list) recorded in the EMR. | Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Screening - Other | Cholesterol screening in the past 10 years - female, age 40+ | Number of active female patients, 40 years and older, who do not have CVD (based on the problem list), and who have a result for total cholesterol, HDL cholesterol, or LDL cholesterol recorded in the EMR in the past 10 years. | Number of active female patients, 40 years and older, who do not have CVD (based on the problem list) recorded in the EMR. | Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Screening - Other | Kidney disease screening | Number of active patients with diabetes, hypertension, or CVD (based on the problem list), who do not have CKD, and who have a uACR result recorded in the EMR in the past year. | Number of active patients with diabetes, hypertension, or CVD (based on the problem list), who do not have CKD (based on the problem list) recorded in the EMR. | Where **diabetes** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 250 - **SNOMED CT**: exactly 73211009, 46635009 or 44054006 --- Where **hypertension** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 401 or 405 - **SNOMED CT**: exactly 38341003, 48146000, 10725009, 59621000, 56218007, 89242004, 194785008, 74451002, 31992008, 427889009, 194788005, 59997006, 428575007 or 31992008 --- Where **cardiovascular disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: exactly 393, 394, 394.0, 394.1, 394.2, 394.9, 395, 395.0, 395.1, 395.2, 395.9, 396, 397, 397.0, 397.1, 397.9, 398, 398.0, 398.9, 412, 413, 414, 414.0, 414.1, 414.8, 414.9, 423, 423.0, 423.1, 423.2, 423.8, 423.9, 424, 424.0, 424.1, 424.2, 424.3, 424.9, 425, 425.0, 425.1, 425.2, 425.3, 425.4, 425.5, 425.6, 425.7, 425.8, 425.9, 426, 426.0, 426.1, 426.2, 426.3, 426.4, 426.5, 426.6, 426.7, 426.8, 426.9, 427, 427.0, 427.1 ,427.2, 427.3, 427.4, 427.5, 427.6, 427.8, 427.9, 428, 428.0, 428.1, 428.9, 429, 429.0, 429.1, 429.2, 429.3, 429.4, 429.5, 429.6, 429.8, 429.9, 430, 431, 432, 432.0, 432.1, 432.9, 433, 433.0, 433.1, 433.2, 433.3, 433.8, 433.9, 434, 434.0, 434.1, 434.9, 435, 436, 437, 437.0, 437.1, 437.2, 437.3, 437.4, 437.5, 437.6, 437.8, 437.9, 438, 440, 440.0, 440.1, 440.2, 440.8, 440.9, 441, 441.0, 441.1, 441.2, 441.3, 441.4, 441.5, 441.6, 441.7, 442, 442.0, 442.1, 442.2, 442.3, 442.8, 442.9, 443, 443.0, 443.1, 443.8, 443.9, 444, 444.0, 444.1, 444.2, 444.8, 444.9, 446, 446.0, 446.1, 446.2, 446.3, 446.4, 446.5, 446.6, 446.7, 447, 447.0, 447.1, 447.2, 447.3, 447.4, 447.5, 447.6, 447.7, 447.8, 447.9, 448, 448.0, 448.1, or 448.9 --- Where **chronic kidney disease** means a patient has at least one of the following codes listed in their problem list: - **ICD9**: starting with 582 or 585, or exactly 587 - **SNOMED CT**: exactly 90688005, 709044004, 431855005, or 236425005 | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile |
| Screening - Other | Diabetes screening | Number of active patients, 40 years and older, who have at least one lab test result for fasting blood sugar, HbA1c, or glucose tolerance test (2 hours after 75g oral glucose) documented in their EMR in the past 3 years. | Number of active patients, 40 years and older, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Screening - Other | BP documented in the past 5 years - age 80+ | Number of active patients, 80 years and older, with blood pressure recorded in EMR in the past 5 years. | Number of active patients, 80 years and older, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Screening - Other | Abdominal aortic aneurysm screening | Number of active male patients, 65 to 80 years old, with an abdominal or renal imaging result (ultrasound or serendipitous finding on MRI/CT) relevant for abdominal aortic aneurysm screening. In order to qualify for this measure, the imaging result must be performed between ages 60 and 80 or have a "no aneurysm" statement in their diagnostic imaging results (negative screening). | Number of active male patients, 65 to 80 years old, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Screening - Other | BP documented in the past 2 years - age 18-44 | Number of active patients, 18 to 44 years old, with blood pressure recorded in EMR in the past 2 years. | Number of active patients, 18 to 44 years old, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Screening - Other | BP documented in the past 2 years - age 45-79 | Number of active patients, 45 to 79 years old, with blood pressure recorded in EMR in the past 2 years. | Number of active patients, 45 to 79 years old, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Screening - Other | BP documented in the past 2 years - age 80+ | Number of active patients, 80 years and older, with blood pressure recorded in EMR in the past 2 years. | Number of active patients, 80 years and older, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Screening - Other | BP documented in the past 5 years - age 18-44 | Number of active patients, 18 to 44 years old, with blood pressure recorded in EMR in the past 5 years. | Number of active patients, 18 to 44 years old, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Screening - Other | BP documented in the past 5 years - age 45-79 | Number of active patients, 45 to 79 years old, with blood pressure recorded in EMR in the past 5 years. | Number of active patients, 45 to 79 years old, recorded in the EMR. | YES | YES | YES | MOIS | OSCAR | Profile | |||
| Screening - Sexually Transmitted Diseases | Chlamydia screening | Number of active female patients, 15 to 24 years old, who have had a chlamydia lab test recorded in the EMR in the past year. | Number of active female patients, 15 to 24 years old, recorded in the EMR. | YES | YES | YES | YES | MOIS | OSCAR | MA | Profile | |
| Social Determinants | Poverty prevalence | Number of active patients with evidence of poverty during past three years as documented in their EMR. | Number of active patients recorded in the EMR. | YES | MOIS | |||||||
| Social Determinants | Poverty documentation | Number of active patients with evidence of poverty documentation during past three years as documented in their EMR. | Number of active patients recorded in the EMR. | YES | MOIS |