Name	Description
Colorectal cancer resection	Resection of colon or rectal cancer
PROCEDURES INCLUDE `Colorectal Cancer Resection` with status completed
Colorectal signs or symptoms	Patient reported symptoms or has signs concerning for colorectal cancer after the last screening test.
REVIEW OF SYMPTOMS includes `Blood in Stool` OR REVIEW OF SYMPTOMS includes `Iron-deficiency Anemia without Specified Cause` OR REVIEW OF SYMPTOMS inclues `Non-bleeding colorectal symptoms` OR CONDITIONS include `Blood in Stool` OR CONDITIONS include `Iron-deficiency Anemia without Specified Cause` OR CONDITIONS include `Non-bleeding colorectal symptoms`
Confirmed advanced precancerous polyp(s) in first-degree relative(s)	Confirmed advanced polyp (polyp >= 10 mm, adenoma with tubulovillous or villous hystology, or adenoma or serrated lesion (sessile serrated polyp, traditional serrated adenoma) with high-grade dysplasia.
Structured documentation of `Confirmed Advanced Precancerous Polyp(s) in First-Degree Relative`
CT colonography	Evidence of results from CT colonography. Can be determined from presence of diagnostic report or result documented in a structured form.
DIAGNOSTIC REPORT of type `CT colonography` exists OR Documented result of `CT colonography` exists
Colonoscopy	Evidence of results from colonoscopy. Can be determined from presence of diagnostic report or result documented in a structured form.
DIAGNOSTIC REPORT of type `Colonoscopy` exists OR Documented result of `Colonoscopy Procedure` exists
Current colorectal cancer	Currently diagnosed with invasive or non-invasive colorectal cancer, without having achieved remission
CONDITIONS include `Colorectal Cancer` with status active
Family history of colorectal cancer	Patient has one or more relatives with a history of colorectal cancer
CONDITIONS include `Family History of Colorectal Cancer` OR FAMILY HISTORY includes DIAGNOSIS `Colorectal Cancer` OR FAMILY HISTORY includes DIAGNOSIS `History of Colorectal Cancer`
Family history of genetic marker for hereditary syndrome associated with colorectal cancer
FAMILY HISTORY includes DIAGNOSIS 'Genetic marker for Lynch syndrome' OR FAMILY HISTORY includes DIAGNOSIS 'Genetic marker for FAP/AFAP' OR FAMILY HISTORY includes DIAGNOSIS 'Genetic marker for MAP' OR FAMILY HISTORY includes DIAGNOSIS 'Genetic marker for Peutz-Jeghers syndrome' OR FAMILY HISTORY includes DIAGNOSIS 'Genetic marker for juvenile polyposis syndrome' OR FAMILY HISTORY includes DIAGNOSIS 'Genetic marker for Cowden syndrome'
Family history of hereditary syndrome associated with colorectal cancer
FAMILY HISTORY includes DIAGNOSIS `Lynch syndrome` OR FAMILY HISTORY includes DIAGNOSIS `Familial adenomatous polyposis` OR FAMILY HISTORY includes DIAGNOSIS `Attenuated familial adenomatous polyposis` OR FAMILY HISTORY includes DIAGNOSIS `MUTYH-associated polyposis` OR FAMILY HISTORY includes DIAGNOSIS `Peutz-Jegher syndrome` OR FAMILY HISTORY includes DIAGNOSIS `Juvenile polyposis syndrome` OR FAMILY HISTORY includes DIAGNOSIS `Serrated polyposis syndrome` OR FAMILY HISTORY includes DIAGNOSIS `Cowden syndrome` OR FAMILY HISTORY includes DIAGNOSIS `Familial Colorectal Cancer Type X`
Family history of potentially precancerous polyp(s)	Patient has one or more relatives with a history of advanced polyps
CONDITIONS include `Family History of Potentially Precancerous Polyps` OR FAMILY HISTORY includes DIAGNOSIS `Potentially Precancerous Polyp(s) Condition`
Finding of adequate bowel preparation
DIAGNOSTIC REPORT result of `Adequate bowel preparation` OR STRUCTURED DOCUMENTATION of `Adequate bowel preparation`
Finding of colorectal cancer	Finding of colorectal cancer as a result of a direct visualization test.
DIAGNOSTIC REPORT result of `Colorectal cancer finding` OR STRUCTURED DOCUMENTATION `Colorectal cancer finding`
C-RADS category C4 finding	Finding of colorectal cancer (C-RADS category C4) as a result associated a diagnostic report or structured documentation.
DIAGNOSTIC REPORT result of `C-RADS category C4` OR STRUCTURED DOCUMENTATION of `C-RADS category C4`
Finding of inadequate CT Colonography	Finding of inadequate study (C-RADS category C0) as a result associated a diagnostic report or structured documentation.
DIAGNOSTIC REPORT result of `C-RADS category C0` OR STRUCTURED DOCUMENTATION of `C-RADS category C0`
Finding(s) of potentially precancerous polyp(s)	Finding of potentially precancerous polyp(s) as a result of a diagnostic report or structured documentation
DIAGNOSTIC REPORT result is `Potentially Precancerous Polyp Finding(s)` OR STRUCTURED DOCUMENTATION of `Potentially Precancerous Polyp Finding(s)`EXISTS
Flexible sigmoidoscopy	Evidence of results from flexible sigmoidoscopy. Can be determined from presence of diagnostic report or result documented in a structured form.
DIAGNOSTIC REPORT of type `Flexible Sigmoidoscopy`exists OR Documented result of `Flexible Sigmoidoscopy Procedure`exists
C-RADS category C2, C2a, C2a OR C3 finding	Finding of potentially precancerous polyp(s) (C-RADS categories C2a and C3, or C2 prior to 2023) in a diagnostic report or in structured documentation.
DIAGNOSTIC REPORT result of `C-RADS category C2a` OR DIAGNOSTIC REPORT result of `C-RADS category 3` OR DIAGNOSTIC REPORT result of `C-RADS category C2` OR STRUCTURED DOCUMENTATION of `C-RADS category C2a`` OR STRUCTURED DOCUMENTATION of `C-RADS category 3` OR STRUCTURED DOCUMENTATION of `C-RADS category C2`
Recommended follow-up interval	Diagnostic report result or structured documentation of the recommended interval for the next screening or surveillance test provided by the endoscopist.
DIAGNOSTIC REPORT result with code `Recommended follow-up interval` AND result VALUE EXISTS OR STRUCTURED DOCUMENTATION of `Recommended follow-up interval` AND VALUE EXISTS
Complete colonoscopy	Finding of examination complete to cecum.
DIAGNOSTIC REPORT result of `Complete Colonoscopy` OR STRUCTURED DOCUMENTATION of `Complete Colonoscopy`
Genetic marker for hereditary syndrome associated with colorectal cancer	Patient has tested positive for a pathogenic or likely pathogenic variant of a gene associated with hereditary syndrome that puts patients at increased risk of colorectal cancer.
'Genetic marker for Lynch syndrome' OR 'Genetic marker for FAP/AFAP' OR 'Genetic marker for MAP' OR 'Genetic marker for Peutz-Jeghers syndrome' OR 'Genetic marker for juvenile polyposis syndrome' OR 'Genetic marker for Cowden syndrome'
Hereditary syndrome-associated variant status known	Patient has been tested for a known familial pathogenic/likely pathogenic variant associated with a hereditary cancer syndrome.
STRUCTURED DOCUMENTATION of `Lynch-syndrome associated variant status`exists OR STRUCTURED DOCUMENTATION of `APC variant status`exists OR STRUCTURED DOCUMENTATION of `MUYTH variant status`exists OR STRUCTURED DOCUMENTATION of `STK variant status`exists OR STRUCTURED DOCUMENTATION of `BMPR1A variant status` exists OR STRUCTURED DOCUMENTATION of `SMAD4 variant status`exists OR STRUCTURED DOCUMENTATION of `PTEN variant status`exists
Genetic marker for Lynch syndrome	Patient has tested positive for a pathogenic or likely pathogenic variant of a gene associated with Lynch syndrome (MLH1, MSH2, MSH6, PMS2, EPCAM)
STRUCTURED DOCUMENTATION of `Lynch-syndrome associated variant status`exists AND (`Genetic variation clinical significance` is `Pathogenic` OR `Likely Pathogenic`)
Genetic marker for FAP/AFAP	Patient has tested positive for a pathogenic or likely pathogenic variant of a gene associated with FAP/AFAP (APC).
STRUCTURED DOCUMENTATION of `APC variant status`exists AND (`Genetic variation clinical significance` is `Pathogenic` OR `Likely Pathogenic`)
Genetic marker for MAP	Patient has tested positive for a pathogenic or likely pathogenic variant of a gene associated with MAP (MUTYH).
STRUCTURED DOCUMENTATION of `MUYTH variant status`exits AND (`Genetic variation clinical significance` is `Pathogenic` OR `Likely Pathogenic`)
Genetic marker for Peutz-Jeghers syndrome	Patient has tested positive for a pathogenic or likely pathogenic variant of a gene associated with Peutz-Jeghers syndrome (STK11).
STRUCTURED DOCUMENTATION of `STK variant status`exists AND `Genetic variation clinical significance` is `Pathogenic`
Genetic marker for juvenile polyposis syndrome	Patient has tested positive for a pathogenic or likely pathogenic variant of a gene associated with juvenile polyposis syndrome (BMPR1A, SMAD4).
STRUCTURED DOCUMENTATION of `BMPR1A variant status`EXISTS AND (`Genetic variation clinical significance` is `Pathogenic`) OR STRUCTURED DOCUMENTATION of `SMAD4 variant status`exists AND `Genetic variation clinical significance` is `Pathogenic`)
Genetic marker for Cowden syndrome	Patient has tested positive for a pathogenic or likely pathogenic variant of a gene associated with Cowden syndrome (PTEN)
STRUCTURED DOCUMENTATION of `PTEN variant status`exists AND (`Genetic variation clinical significance` is `Pathogenic`OR `Likely pathogenic`)
FOBT test	Evidence of results for fecal occult blood test (gFOBT or FIT)
LABORATORY TEST with code `Fecal Occult Blood Test` AND status (final OR ammended or corrected)
Pending colonoscopy	Active order or referral for colonoscopy.
ORDER with code `Colonoscopy Procedure` AND active status OR REFERRAL with code `Colonoscopy Procedure` AND active status
Pending CT colonography	Active order or referral for colonoscopy.
ORDER with code `CT Colonography Procedure` AND active status OR REFERRAL with code `CT Colonography Procedure` AND active status
Pending flexible sigmoidoscopy	Active order or referral for colonoscopy.
ORDER with code `Flexible Sigmoidoscopy Procedure` AND active status OR REFERRAL with code `Flexible Sigmoidoscopy Procedure` AND active status
Pending FOBT test	Active order or referral for colonoscopy.
ORDER with code `Fecal Occult Blood Test` AND active status OR REFERRAL with code `Fecal Occult Blood Test` AND active status
Pending stool DNA-FIT test	Active order or referral for colonoscopy.
ORDER with code `Stool DNA-FIT test` AND active status OR REFERRAL with code `Stool DNA-FIT test` AND active status
Most recent screening test is colonoscopy
'Colonoscopy' EXISTS AND NOT EXISTS latest of (latest 'FOBT test', latest 'Stool DNA-FIT test', latest 'CT colonography', latest 'Flexible sigmoidoscopy') OR 'Colonoscopy' EXISTS AND Date of latest 'Colonoscopy' is after DATE of latest of (latest 'FOBT test', latest 'Stool DNA-FIT test', latest 'CT colonography', latest 'Flexible sigmoidoscopy')
Most recent screening test is CT colonography
'CT colonography' EXISTS AND NOT EXISTS latest of (latest 'FOBT test', latest 'Stool DNA-FIT test', latest 'Colonoscopy', latest 'Flexible sigmoidoscopy') OR 'CT colonography' EXISTS AND DATE of latest 'CT colonography'is after DATE of latest of (latest 'FOBT test', latest 'Stool DNA-FIT test', latest 'Colonoscopy', latest 'Flexible sigmoidoscopy')
Most recent screening test is flexible sigmoidoscopy
'Flexible sigmoidoscopy' EXISTS AND NOT EXISTS latest of (latest 'FOBT test', latest 'Stool DNA-FIT test', latest 'Colonoscopy', latest 'CT colonography') OR 'Flexible sigmoidoscopy' exists and DATE of latest 'Flexible sigmoidoscopy' is after DATE of latest of (latest 'FOBT test', latest 'Stool DNA-FIT test', latest 'Colonoscopy', latest 'CT colonography')
Most recent screening test is gFOBT or FIT test
'FOBT test' EXISTS AND NOT EXISTS latest of (latest 'stool DNA-FIT test', latest 'Colonoscopy', latest 'CT colonography', latest 'Flexible sigmoidoscopy') OR 'FOBT test' EXISTS AND DATE of latest 'FOBT test' is after DATE of latest of (latest 'Stool DNA-FIT test', latest 'Colonoscopy', latest 'CT colonography', latest 'Flexible sigmoidoscopy')
Most recent screening test is stool DNA-FIT test
'Stool DNA-FIT test' EXISTS AND NOT EXISTS DATE of latest of (latest 'FOBT test', latest 'Colonoscopy', latest 'CT colonography', latest 'Flexible sigmoidoscopy') OR 'Stool DNA-FIT test' EXISTS AND DATE of latest 'Stool DNA-FIT test' is after DATE of latest of (latest 'FOBT test', latest 'Colonoscopy', latest 'CT colonography', latest 'Flexible sigmoidoscopy')
Patient receiving Hospice Services	Hospice services used by patient during the measurement period.
CONDITIONS or ENCOUNTER DIAGNOSES include codes from `Hospice Intervention` or `Hospice Encounter`
Patient receiving Palliative Care Services	Palliative care services used by patient during the measurement period.
CONDITIONS or ENCOUNTER DIAGNOSES include codes from `Palliative Care Intervention` or `Palliative Care Encounter` OR CONDITIONS include `Palliative Care Diagnosis`
Patient age 66 or older in Institutional Special Needs Plans or residing in long-term care facility	Patients age 66 or older in Institutional Special Needs Plans (SNP) or residing in long term care with POS code 32, 33, 34, 54, or 56 for more than 90 consecutive days during the measurement period.
AGE >= 66 years AND ENCOUNTER DIAGNOSES with POS code 32, 33, 34, 54 or 56 for more than 90 consecutive days
Patient with Frailty AND Medication for Dementia	Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND a dispensed medication for dementia during the measurement period or the year prior to the measurement period.
AGE >= 66 years AND >= 1 ENCOUNTER DIAGNOSES include `Frailty Diagnosis` AND >= 1 MEDICATIONS include `Dementia Medications` with dispense
Patient with Frailty AND Advanced Illness	Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period AND either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient, observation, ED or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period.
AGE >= 66 years AND >= 1 ENCOUNTER DIAGNOSES include `Frailty Diagnosis` AND EITHER >= 1 ENCOUNTER of type acute inpatient where DIAGNOSES include `Advanced Illness` OR >= 2 ENCOUNTERS of type outpatient, observation, ED or nonacute inpatient where DIAGNOSES include `Advanced Illness`
Personal history of colorectal cancer	Past history of invasive or non-invasive colorectal cancer, with remission.
CONDITIONS include `Colorectal Cancer` with status inactive OR status in remission OR CONDITIONS include `History of Colorectal Cancer`
Personal history of Crohns disease
CONDITIONS include `Crohn's Disease` with status active CONDITIONS include `Crohn's Disease` with status in remission
Personal history of hereditary syndrome associated with colorectal cancer
CONDITIONS include `Lynch syndrome` with status active OR CONDITIONS include `Familial adenomatous polyposis` with status active OR CONDITIONS include `Attenuated familial adenomatous polyposis` with status active OR CONDITIONS include `MUTYH-associated polyposis` with status active OR CONDITIONS include `Serrated polyposis syndrome` with status active OR CONDITIONS include `Juvenile polyposis syndrome` with status active OR CONDITIONS include `Peutz-Jegher syndrome` with status active OR CONDITIONS include `Cowden syndrome` with status active
Personal history of inflammatory bowel disease	Personal history of IBD (Ulcerative colitis or Crohn's disease)
'Personal history of ulcerative colitis' OR 'Personal history of Crohns disease'
Personal history of potentially precancerous polyp(s)
CONDITIONS include `Potentially Precancerous Polyp(s) Condition` OR 'Finding(s) of potentially precancerous polyp(s)' associated with any previous 'Colonoscopy' exists
Personal history of ulcerative colitis
CONDITIONS include `Ulcerative Colitis` with status active OR CONDITIONS include `Ulcerative Colitis` with status in remission
Previous screening test result	Evidence of past results for any of the USPSTF recommended colorectal cancer screening tests.
'Colonoscopy' OR 'Flexible sigmoidoscopy' OR 'FOBT test' OR 'Stool DNA-FIT test' OR 'CT colonography'
Stool DNA-FIT test	Multitargeted stool DNA test with fecal immunochemical testing (MT-sDNA or FIT-DNA or sDNA-FIT)
LABORATORY TEST with code `Stool DNA-FIT test`and status final OR LABORATORY TEST with code `Stool DNA-FIT test`and status ammended OR LABORATORY TEST with code `Stool DNA-FIT test`and status corrected
Total colectomy	Patient has a history of total resection of the colon.
PROCEDURES INCLUDE `Total Colectomy` with status completed
Youngest affected relative age at diagnosis	Age at diagnosis for relative diagnosed earliest in life with either colorectal cancer or confirmed advanced precancerous polyp(s).
STRUCTURED DOCUMENTATION of `Age of earliest affected relative at diagnosis` VALUE