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Figure 227 Human Readable - Clause Using the Function Satisfies All

a) Right-click on the word ‘Clause’ at the top of the [Clause Workspace] and select the

option ‘Add New Clause’.

b) Provide a descriptive name in the ‘Add New Clause’ pop-up window. This clause will be

named Blood Pressure; therefore, type Blood Pressure in the text field and select the

gray [OK] button.

Figure 228 Name Clause

c) Right-click on clause name Blood Pressure, hover over ‘Add’, and hover over Functions.

Select the Function Satisfies All.

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Figure 229 Select Function - Satisfies All

d) Right-click on the function Satisfies All added just below the clause name and hover over

the ‘Add’ option. Notice, only the option to add a QDM element is displayed.

Figure 230 Add QDM Element to LHS

Note: QDM Element is the only LHS option when using the functions Satisfies All or Satisfies Any, and an

attribute may not be applied to the QDM element used for the LHS of the clause logic.

e) Select the QDM Element in the expanded menu and add the QDM Element Diastolic

Blood Pressure: Physical Exam, Performed from the QDM element list by selecting the

QDM element name.

f) Right-click on the function Satisfies All, and hover over the ‘Add RHS’ Option. Select the

QDM Element in the expanded menu.

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Figure 231 Add QDM Element to RHS

g) Select the QDM element Diastolic: Physical Exam, Performed in the QDM element list.

Figure 232 Clause Workspace - QDM Element Applied to LHS and RHS

h) Right-click on the QDM element name Systolic Blood Pressure: Physical Exam Performed

located in the last position of the displayed logic.

Note: The same QDM element is repeated for the LHS and RHS of the logic. In other words, the LHS

QDM element is repeated in all child nodes of the logic statement. In this scenario, the QDM element

Systolic Blood Pressure: Physical Exam Performed is selected for the LHS of the logic statement, then

Systolic Blood Pressure: Physical Exam Performed is selected again for the first RHS of the statement.

i) Select ‘Edit Attribute’ from the right-click menu; select ‘Result’ from the Attribute

dropdown; select ‘less than’ from the ‘Mode’ dropdown; and type in ’90’ in the Quantity

text field.

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Figure 233 Edit Attribute - Enter Attribute, Mode, Quantity, and Units

j) Select ‘mmHg’ from the Unit dropdown, and select the [OK] button (gray) to apply the

attribute to the QDM element. The attribute is displayed in parentheses to the right of

the QDM element name, pictured below:

Figure 234 Attribute Added - result < 90mmHg

k) Again, right-click on the Function Satisfies All and hover over the ‘Add RHS’ option.

Select QDM Element in the expanded menu.

l) Select the QDM element Diastolic Blood Pressure: Physical Exam, Performed in the QDM

element list; right-click on the QDM element name Diastolic Blood Pressure: Physical

Exam performed located in the last position of the displayed logic; select ‘Edit Attribute’

from the right-click menu; select the ‘Attribute’ dropdown; and select ‘anatomical

location site’.

m) Next, select Value Set in the ‘Mode’ dropdown.

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Figure 235 Edit Attribute - Add Attribute, Mode, Value Set

n) Select Left Arm: attribute in the Value Set dropdown and select the [OK] button (gray)

to apply to the QDM element. In this instance, because the added attribute exceeds the

number of allowable characters, the QDM element displays a “1” in parentheses when

the attribute is applied. The applied attribute can be viewed by hovering over the QDM

element name and a tool tip displays the attribute in its entirety.

Figure 236 Attribute Added - anatomical location site: 'left arm: attribute'

o) Add the final right hand side (RHS) to the clause logic by right-clicking the function

SATISFIES ALL, hovering over ‘Add RHS’, and selecting Clause in the expanded menu.

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Figure 237 Add Clause to RHS

p) Select the desired clause from the pop up box, Most Recent Diastolic Blood Pressure, by

selecting the clause name and selecting the [Select] button (gray).

Figure 238 Select Desired Clause - Most Recent Diastolic Blood Pressure

Of note, the clause Most Recent Systolic Blood Pressure was built and stored within the

Clause Library. The logic for clause Most Recent Systolic Blood Pressure is pictured

below.

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Figure 239 Clause Workspace View of Added Clause

q) Select the yellow [Save] button (yellow) to retain changes.

Figure 240 Success Message - Clause Successfully Added to Clause

Subset Operator Clause – Union

This section describes how to build a clause using the subset operator UNION. Review the

Quality Data Model for additional information about how and when to construct logic using

the subset operator Union. This section is dedicated to demonstrating how to apply the

subset operator Union to measure logic using the MAT.

The clause to be constructed in this example is pictured below:

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Figure 241 Human Readable - Union of Encounters Clause

a) Right-click on the word ‘Clause’ at the top of the workspace and select the option ‘Add

New Clause’.

b) Provide a descriptive name in the ‘Add New Clause’ pop-up window. This clause will be

named Encounters; therefore, type Encounters in the text field and select the [OK]

button (gray).

Figure 242 Name Clause - Encounters

c) Right-click on the clause name ‘Encounters’, hover over the ‘Add’, then ‘Timing’, and

select the timing ‘During’

Figure 243 Add Timing - During

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d) Right-click on the timing ‘During’ which appears just below the clause name

‘Encounters’. Hover over ‘Add LHS’ and select the subset operator Union in the

expanded menu.

Figure 244 Right Click the Timing During - Add Union

e) Right-click on the subset operator Union and select QDM Element in the expanded

menu.

Figure 245 Right Click Union - Add QDM Element

f) From the QDM Element list box, select the first QDM Element Annual Wellness Visit by

selecting the QDM element name, Office Visit: Encounter Performed. The QDM element

selected appears indented and below the subset operator Union in the workspace.

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Figure 246 QDM Element Added - Office Visit: Encounter, Order

g) Repeat the actions in steps 5 & 6 to add the following QDM elements:

• Face-to-Face Interaction: Encounter Performed

• Preventive Care Services, Establish Office Visit 18 and Up: Encounter, Performed

• Preventive Care Services, Initial Office Visit 18 and Up: Encounter, Performed

• Home Health Services: Encounter, Performed

• Annual Wellness Visit: Encounter, Performed

h) Next, select the timing ‘During’, hover over the ‘Add RHS’ option and select QDM

Element.

Figure 247 Add RHS QDM Element

i) Select the QDM element, Measurement Period: Timing Element from the QDM element

list and select the [Select] button (gray). Measurement Period Timing Element is added

at the bottom on the measure logic and the clause is complete.

j) Select the [Save] button (yellow) to retain changes and the clause Encounters now

appears in the Clause Library.

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