-
Initial Patient Population =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed:
Inpatient Encounter"
- AND: "Occurrence A of Encounter, Performed: Inpatient Encounter (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter, Performed: Inpatient Encounter (discharge datetime)" during "Measurement Period"
- AND:
- OR:
- AND: "Occurrence A of Encounter, Performed: Inpatient Encounter (admission datetime)" <= 1 hour(s) starts after end of "Occurrence
A of Encounter, Performed: Emergency Department Visit (facility location departure datetime)"
- AND:
- OR: "Diagnosis, Active: Venous Thromboembolism"
- OR: "Diagnosis, Active: Obstetrics VTE"
- starts during "Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR:
- OR: "Diagnosis, Active: Venous Thromboembolism"
- OR: "Diagnosis, Active: Obstetrics VTE"
- starts during "Occurrence A of Encounter, Performed: Inpatient Encounter"
-
Denominator =
- AND: "Initial Patient Population"
- AND:
- OR:
- AND: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')"
- AND: "Diagnostic Study, Performed: VTE Diagnostic Test"
- <= 2 day(s) starts before start of "Occurrence A of Encounter, Performed: Inpatient Encounter"
- OR:
- AND: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')"
- AND: "Diagnostic Study, Performed: VTE Diagnostic Test"
- during "Occurrence A of Encounter, Performed: Inpatient Encounter"
- OR:
- AND: "Occurrence A of Encounter, Performed: Inpatient Encounter (admission datetime)" <= 1 hour(s) starts after end of "Occurrence
A of Encounter, Performed: Emergency Department Visit (facility location departure datetime)"
- AND:
- OR:
- AND: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')"
- AND: "Diagnostic Study, Performed: VTE Diagnostic Test"
- <= 2 day(s) starts before start of "Occurrence A of Encounter, Performed: Emergency Department Visit (facility location
arrival datetime)"
- OR:
- AND: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')"
- AND: "Diagnostic Study, Performed: VTE Diagnostic Test"
- during "Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR:
- AND: "Diagnostic Study, Performed: VTE Diagnostic Test" during "Occurrence A of Encounter, Performed: Emergency Department
Visit"
- AND: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')" during "Occurrence A of Encounter, Performed:
Inpatient Encounter"
- AND:
- OR: "Medication, Administered: Unfractionated Heparin (route: 'Intravenous route')" during "Occurrence A of Encounter, Performed:
Inpatient Encounter"
- OR:
- AND: "Occurrence A of Encounter, Performed: Inpatient Encounter (admission datetime)" <= 1 hour(s) starts after end of "Occurrence
A of Encounter, Performed: Emergency Department Visit (facility location departure datetime)"
- AND: "Medication, Administered: Unfractionated Heparin (route: 'Intravenous route')" starts during "Occurrence A of Encounter,
Performed: Emergency Department Visit"
-
Denominator Exclusions =
- AND:
- OR: "Occurrence A of Encounter, Performed: Inpatient Encounter (discharge status: 'Discharge To Another Hospital')"
- OR: "Occurrence A of Encounter, Performed: Inpatient Encounter (discharge status: 'Left Against Medical Advice')"
- OR: "Occurrence A of Encounter, Performed: Inpatient Encounter (discharge status: 'Patient Expired')"
- OR: "Occurrence A of Encounter, Performed: Inpatient Encounter (discharge status: 'Discharged to Home for Hospice Care')"
- OR: "Occurrence A of Encounter, Performed: Inpatient Encounter (discharge status: 'Discharged to Health Care Facility for
Hospice Care')"
- OR:
- AND: "Occurrence A of Encounter, Performed: Inpatient Encounter (admission datetime)" <= 1 hour(s) starts after end of "Occurrence
A of Encounter, Performed: Emergency Department Visit (facility location departure datetime)"
- AND:
- OR: "Intervention, Order: Palliative Care"
- OR: "Intervention, Performed: Palliative Care"
- starts during "Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR:
- OR: "Intervention, Order: Palliative Care"
- OR: "Intervention, Performed: Palliative Care"
- starts during "Occurrence A of Encounter, Performed: Inpatient Encounter"
-
Numerator =
- AND:
- OR:
- AND: "Laboratory Test, Performed: Platelet Count"
- AND:
- OR: "Procedure, Performed: Treatment Adjusted by Protocol"
- OR: "Procedure, Performed: Clinical Pathway Protocol"
- starts after start of "Medication, Order: Unfractionated Heparin (route: 'Intravenous route')"
- OR:
- AND: "Medication, Administered: Unfractionated Heparin (stop datetime)" <= 24 hour(s) starts after start of "Medication,
Administered: Unfractionated Heparin (start datetime)"
- AND:
- OR: "Procedure, Performed: Treatment Adjusted by Protocol"
- OR: "Procedure, Performed: Clinical Pathway Protocol"
- starts after start of "Medication, Order: Unfractionated Heparin (route: 'Intravenous route')"
- starts during "Occurrence A of Encounter, Performed: Inpatient Encounter"
-
Denominator Exceptions =
-
"Diagnosis, Active: Obstetrics VTE" using "Obstetrics VTE Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.264)"
-
"Diagnosis, Active: Venous Thromboembolism" using "Venous Thromboembolism Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.279)"
-
"Diagnostic Study, Performed: VTE Diagnostic Test" using "VTE Diagnostic Test Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.276)"
-
"Diagnostic Study, Result: VTE Diagnostic Test" using "VTE Diagnostic Test Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.276)"
-
"Encounter, Performed: Emergency Department Visit" using "Emergency Department Visit Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.293)"
-
"Encounter, Performed: Inpatient Encounter" using "Inpatient Encounter SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.23)"
-
"Intervention, Order: Palliative Care" using "Palliative Care SNOMED-CT Value Set (2.16.840.1.113883.3.526.2.1076)"
-
"Intervention, Performed: Palliative Care" using "Palliative Care SNOMED-CT Value Set (2.16.840.1.113883.3.526.2.1076)"
-
"Laboratory Test, Performed: Platelet Count" using "Platelet Count LOINC Value Set (2.16.840.1.113883.3.117.1.7.1.267)"
-
"Medication, Administered: Unfractionated Heparin" using "Unfractionated Heparin RxNorm Value Set (2.16.840.1.113883.3.117.1.7.1.218)"
-
"Medication, Order: Unfractionated Heparin" using "Unfractionated Heparin RxNorm Value Set (2.16.840.1.113883.3.117.1.7.1.218)"
-
"Patient Characteristic Birthdate: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Procedure, Performed: Clinical Pathway Protocol" using "Clinical Pathway Protocol SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.253)"
-
"Procedure, Performed: Treatment Adjusted by Protocol" using "Treatment Adjusted by Protocol SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.278)"
-
Attribute: "Result: VTE Confirmed" using "VTE Confirmed SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.407)"
-
Attribute: "Route: Intravenous route" using "Intravenous route SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.222)"
-
Attribute: "Discharge status: Discharge To Another Hospital" using "Discharge To Another Hospital SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.87)"
-
Attribute: "Discharge status: Left Against Medical Advice" using "Left Against Medical Advice SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.308)"
-
Attribute: "Discharge status: Patient Expired" using "Patient Expired SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.309)"
-
Attribute: "Discharge status: Discharged to Home for Hospice Care" using "Discharged to Home for Hospice Care SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.209)"
-
Attribute: "Discharge status: Discharged to Health Care Facility for Hospice Care" using "Discharged to Health Care Facility for Hospice Care SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.207)"
-
"Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"
-
"Patient Characteristic Payer: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.114222.4.11.3591)"
-
"Patient Characteristic Race: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"
-
"Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex Administrative Sex Value Set (2.16.840.1.113762.1.4.1)"