PC Data Definition v4.0

DATA ELEMENTS/
VARIABLE NAME
INSTRUCTIONS (DEFINITIONS, VALID VALUES) INCLUSIONS/SYNONYMS EXCLUSIONS
Confirm Diagnosis of Chronic Conditions Instruction: Determine if the patient has documentation of at least one of the specified chronic conditions. Click here for list of chronic conditions. None
[PCCONFIRMED] Yes (1): Select this option if the patient has documentation of at least one of the specified chronic conditions anywhere in the office/clinic record.

No/No reason documented (0): Select this option if the patient has no documentation of at least one of the specified chronic conditions anywhere in the office/clinic record.

If “No” – STOP ABSTRACTION

Medical record not found (2): Select this option if you are unable to find the patient’s medical record.
Office/Clinic Visit Date THIS ELEMENT IS SYNCHRONIZED WITH THE OFFICE/CLINIC VISIT DATE ELEMENT IN HF None None
[HFPCVISITDATE] Instruction: Enter the date of each visit to the office/clinic in MM/DD/YYYY format during the measurement period.
[HFPCINVALID] Instruction: Determine if the pre–populated visit date is invalid.

Yes (1): Select this option if the pre–populated visit date is invalid and indicate the reason why.

No (0): Select this option if the pre–populated visit is not invalid.

NOTE: This element defaults to No.
Blood Pressure Measurement Instruction: Determine if the patient’s BP was recorded at every office/clinic visit during the measurement period. None None
[PCBPMEASURE] Yes (1): Select this option if the patient’s BP measurement was recorded at this office/clinic visit.

No/No reason documented (0): Select this option if the patient’s BP measurement was not recorded at this office/clinic visit.

DATA ELEMENTS/
VARIABLE NAME
INSTRUCTIONS (DEFINITIONS, VALID VALUES) INCLUSIONS/SYNONYMS EXCLUSIONS
Breast Cancer Screening Instruction: Determine if a mammogram was performed during the measurement period or year prior to the measurement period.

Note: The default setting for this element is Claim Not Found.

Breast imaging, breast x–ray, breast cancer screening, diagnostic mammography, digital mammography, mammogram, screening mammography None
[PCMAMMOGRAM] Yes (1): Select this option if a mammogram was performed during the measurement period or year prior to the measurement period.

Note: Documentation in the medical record must include both of the following:
  • A note indicating the date the mammogram was performed
  • AND
  • The result of the finding

(Note: If there is evidence of two separate mastectomies, this patient may be excluded from the measure. The bilateral mastectomy must have occurred by the end of the measurement period.)

No/No reason documented (0): Select this option if a mammogram was not performed during the measurement period or year prior to the measurement period.

Not performed for medical reasons (3): Select this option if there was any documentation the patient had a bilateral mastectomy.

Claim Not Found (2): Select this option if you are not abstracting records for claims–based measures.

DATA ELEMENTS/
VARIABLE NAME
INSTRUCTIONS (DEFINITIONS, VALID VALUES) INCLUSIONS/SYNONYMS EXCLUSIONS
Colorectal Cancer Screening Instruction: Determine if colorectal cancer screening is current during the measurement period.

Colorectal cancer screening: documentation colorectal screening is “up–to–date” or “current” None
[PCFOBTPERFORM] Yes (1): Select this option if colorectal cancer screening is current.

Note: Current colorectal cancer screening is defined as performing any of the following:
  • Fecal occult blood test (FOBT) annually
  • Flexible sigmoidoscopy every five years
  • Annual FOBT plus flexible sigmoidoscopy every five years
  • Double–contrast barium enema every five years
  • Colonoscopy every ten years

No/No reason documented (0): Select this option if colorectal cancer screening is not current.
FOBT: ColoCARE, Coloscreen, EZ Detect, Fecal occult blood test, flushable reagent pads, flushable reagent stool blood test, guiac smear test, Hemoccult, Seracult, stool occult blood test
Not current for medical reasons (3): Select this option if the screening is not current due to medical reasons.

Not current for patient reasons (4): Select this option if the screening is not current due to patient reasons.

Not current for system reasons (5): Select this option if the screening is not current due to system reasons.
Not screened for medical reasons (3) may include: total colectomy, terminal illness, other reason documented by practitioner for not performing colorectal cancer screening

DATA ELEMENTS/
VARIABLE NAME
INSTRUCTIONS (DEFINITIONS, VALID VALUES) INCLUSIONS/SYNONYMS EXCLUSIONS
Influenza Immunization Instruction: Determine if the patient received an influenza immunization from September through February of the measurement period.

  None
[PCFLUSHOT] Yes (1): Select this option if the patient received an influenza immunization during the influenza season.

No/No reason documented (0): Select this option if the patient did not receive an influenza immunization during the influenza season.

Not received for medical reasons (3): Select this option if the patient did not receive an influenza immunization for medical reasons.

Not received for patient reasons (4): Select this option if the patient did not receive an influenza immunization for patient reasons.

Not received for system reasons (5): Select this option if the patient did not receive an influenza immunization for system reasons.
Not received for medical reasons (3) may include: egg allergy, adverse reaction to influenza vaccine, other reason documented by practitioner for not receiving an influenza immunization
Pneumonia Vaccination Instruction: Determine if the patient has ever received a pneumonia vaccination.

  None
[PCPNEUMOSHOT] Yes (1): Select this option if the patient has ever received a pneumonia vaccination.

No/No reason documented (0): Select this option if the patient has never received a pneumonia vaccination.

Not received for medical reasons (3): Select this option if the patient has never received a pneumonia vaccination for medical reasons.

Not received for patient reasons (4): Select this option if the patient has never received a pneumonia vaccination for patient reasons.
Not received for medical reasons (3) may include: anaphylactic reaction, other medical reason(s) documented by practitioner for not receiving pneumococcal vaccination