-
Initial Patient Population =
- AND NOT:
- OR: "Diagnosis, Active: Obstetrics" starts during "Occurrence A of Encounter, Performed: Inpatient Encounter"
- OR: "Diagnosis, Active: Obstetrics VTE" starts during "Occurrence A of Encounter, Performed: Inpatient Encounter"
- OR: "Diagnosis, Active: Venous Thromboembolism" starts during "Occurrence A of Encounter, Performed: Inpatient Encounter"
- 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"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- AND:
- OR: "Occurrence A of Encounter, Performed: Inpatient Encounter (length of stay < 2 day(s))"
- OR: "Occurrence A of Encounter, Performed: ICU Admission or Transfer (length of stay >= 1 day(s))" <= 1 day(s) starts after
start of "Occurrence A of Encounter, Performed: Inpatient Encounter (admission datetime)"
- OR:
- AND NOT: "Diagnosis, Active: Mental Disorders (ordinality: 'Principal Diagnosis')" ends before start of "Occurrence A of Encounter,
Performed: Inpatient Encounter"
- AND: "Diagnosis, Active: Mental Disorders (ordinality: 'Principal Diagnosis')" starts before or 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: "Intervention, Order: Palliative Care"
- OR: "Intervention, Performed: Palliative Care"
- starts during "Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR:
- OR: "Procedure, Performed: General Surgery (ordinality: 'Principal')"
- OR: "Procedure, Performed: Gynecological Surgery (ordinality: 'Principal')"
- OR: "Procedure, Performed: Hip Fracture Surgery (ordinality: 'Principal')"
- OR: "Procedure, Performed: Hip Replacement Surgery (ordinality: 'Principal')"
- OR: "Procedure, Performed: Intracranial Neurosurgery (ordinality: 'Principal')"
- OR: "Procedure, Performed: Knee Replacement Surgery (ordinality: 'Principal')"
- OR: "Procedure, Performed: Urological Surgery (ordinality: 'Principal')"
- during "Occurrence A of Encounter, Performed: Inpatient Encounter"
- OR:
- OR: "Intervention, Order: Palliative Care"
- OR: "Intervention, Performed: Palliative Care"
- starts during "Occurrence A of Encounter, Performed: Inpatient Encounter"
- OR:
- OR: "Intervention, Order: Palliative Care"
- OR: "Intervention, Performed: Palliative Care"
- <= 1 day(s) starts after end of ("Procedure, Performed: General or Neuraxial Anesthesia" <= 1 day(s) starts after start
of "Occurrence A of Encounter, Performed: Inpatient Encounter")
- OR:
- OR: "Diagnosis, Active: Hemorrhagic Stroke (ordinality: 'Principal Diagnosis')"
- OR: "Diagnosis, Active: Ischemic Stroke (ordinality: 'Principal Diagnosis')"
- starts during "Occurrence A of Encounter, Performed: Inpatient Encounter"
-
Numerator =
- 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:
- AND:
- OR:
- OR: "Medication, Administered not done: Medical Reason" for "Unfractionated Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Low Molecular Weight Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Factor Xa Inhibitor RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Warfarin RxNorm Value Set"
- <= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: Inpatient Encounter"
- OR:
- OR: "Medication, Administered not done: Medical Reason" for "Unfractionated Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Low Molecular Weight Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Factor Xa Inhibitor RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Warfarin RxNorm Value Set"
- during "Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR:
- OR: "Medication, Administered not done: Medical Reason" for "Unfractionated Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Low Molecular Weight Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Factor Xa Inhibitor RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Warfarin RxNorm Value Set"
- <= 1 day(s) starts after end of ("Procedure, Performed: General or Neuraxial Anesthesia" <= 1 day(s) starts after start
of "Occurrence A of Encounter, Performed: Inpatient Encounter")
- AND:
- OR:
- OR: "Device, Applied not done: Medical Reason" for "Intermittent pneumatic compression devices (IPC) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Medical Reason" for "Venous foot pumps (VFP) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Medical Reason" for "Graduated compression stockings (GCS) SNOMED-CT Value Set"
- during "Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR:
- OR: "Device, Applied not done: Medical Reason" for "Intermittent pneumatic compression devices (IPC) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Medical Reason" for "Venous foot pumps (VFP) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Medical Reason" for "Graduated compression stockings (GCS) SNOMED-CT Value Set"
- <= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: Inpatient Encounter"
- OR:
- OR: "Device, Applied not done: Medical Reason" for "Intermittent pneumatic compression devices (IPC) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Medical Reason" for "Venous foot pumps (VFP) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Medical Reason" for "Graduated compression stockings (GCS) SNOMED-CT Value Set"
- <= 1 day(s) starts after end of ("Procedure, Performed: General or Neuraxial Anesthesia" <= 1 day(s) starts after start
of "Occurrence A of Encounter, Performed: Inpatient Encounter")
- OR:
- OR: "Medication, Administered not done: Patient Refusal" for "Unfractionated Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Patient Refusal" for "Low Molecular Weight Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Patient Refusal" for "Factor Xa Inhibitor RxNorm Value Set"
- OR: "Medication, Administered not done: Patient Refusal" for "Warfarin RxNorm Value Set"
- OR: "Device, Applied not done: Patient Refusal" for "Graduated compression stockings (GCS) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Patient Refusal" for "Intermittent pneumatic compression devices (IPC) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Patient Refusal" for "Venous foot pumps (VFP) SNOMED-CT Value Set"
- during "Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR:
- OR: "Medication, Administered: Unfractionated Heparin (route: 'Subcutaneous route')"
- OR: "Medication, Administered: Low Molecular Weight Heparin"
- OR: "Medication, Administered not done: Patient Refusal" for "Factor Xa Inhibitor RxNorm Value Set"
- OR: "Medication, Administered not done: Patient Refusal" for "Warfarin RxNorm Value Set"
- OR: "Medication, Administered: Factor Xa Inhibitor"
- OR: "Device, Applied not done: Patient Refusal" for "Venous foot pumps (VFP) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Patient Refusal" for "Graduated compression stockings (GCS) SNOMED-CT Value Set"
- OR: "Medication, Administered: Warfarin"
- OR: "Device, Applied: Intermittent pneumatic compression devices (IPC)"
- OR: "Device, Applied: Venous foot pumps (VFP)"
- OR: "Medication, Administered not done: Patient Refusal" for "Unfractionated Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Patient Refusal" for "Low Molecular Weight Heparin RxNorm Value Set"
- OR: "Device, Applied not done: Patient Refusal" for "Intermittent pneumatic compression devices (IPC) SNOMED-CT Value Set"
- OR: "Device, Applied: Graduated compression stockings (GCS)"
- OR: "Medication, Administered: Unfractionated Heparin (route: 'Intravenous route')"
- OR: "Laboratory Test, Result: INR (result > 3 )"
- OR: "Risk Category Assessment: VTE Risk Assessment (result: 'Low Risk')"
- OR: "Medication, Administered: Direct Thrombin Inhibitor"
- OR:
- AND:
- OR: "Medication, Administered not done: Medical Reason" for "Unfractionated Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Low Molecular Weight Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Factor Xa Inhibitor RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Warfarin RxNorm Value Set"
- AND:
- OR: "Device, Applied not done: Medical Reason" for "Intermittent pneumatic compression devices (IPC) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Medical Reason" for "Venous foot pumps (VFP) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Medical Reason" for "Graduated compression stockings (GCS) SNOMED-CT Value Set"
- <= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: Inpatient Encounter"
- OR:
- OR: "Medication, Administered: Unfractionated Heparin (route: 'Subcutaneous route')"
- OR: "Medication, Administered: Low Molecular Weight Heparin"
- OR: "Device, Applied: Graduated compression stockings (GCS)"
- OR: "Medication, Administered not done: Patient Refusal" for "Unfractionated Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Patient Refusal" for "Low Molecular Weight Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Patient Refusal" for "Factor Xa Inhibitor RxNorm Value Set"
- OR: "Medication, Administered not done: Patient Refusal" for "Warfarin RxNorm Value Set"
- OR: "Device, Applied not done: Patient Refusal" for "Graduated compression stockings (GCS) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Patient Refusal" for "Intermittent pneumatic compression devices (IPC) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Patient Refusal" for "Venous foot pumps (VFP) SNOMED-CT Value Set"
- OR: "Risk Category Assessment: VTE Risk Assessment (result: 'Low Risk')"
- OR: "Medication, Administered: Factor Xa Inhibitor"
- OR: "Medication, Administered: Warfarin"
- OR: "Device, Applied: Intermittent pneumatic compression devices (IPC)"
- OR: "Device, Applied: Venous foot pumps (VFP)"
- OR:
- AND:
- OR: "Medication, Administered not done: Medical Reason" for "Unfractionated Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Low Molecular Weight Heparin RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Factor Xa Inhibitor RxNorm Value Set"
- OR: "Medication, Administered not done: Medical Reason" for "Warfarin RxNorm Value Set"
- AND:
- OR: "Device, Applied not done: Medical Reason" for "Intermittent pneumatic compression devices (IPC) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Medical Reason" for "Venous foot pumps (VFP) SNOMED-CT Value Set"
- OR: "Device, Applied not done: Medical Reason" for "Graduated compression stockings (GCS) SNOMED-CT Value Set"
- <= 1 day(s) starts after end of ("Procedure, Performed: General or Neuraxial Anesthesia" <= 1 day(s) starts after start
of "Occurrence A of Encounter, Performed: Inpatient Encounter")
-
Denominator Exceptions =
-
"Device, Applied: Graduated compression stockings (GCS)" using "Graduated compression stockings (GCS) SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.256)"
-
"Device, Applied: Intermittent pneumatic compression devices (IPC)" using "Intermittent pneumatic compression devices (IPC) SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.214)"
-
"Device, Applied: Venous foot pumps (VFP)" using "Venous foot pumps (VFP) SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.230)"
-
"Device, Applied not done: Medical Reason" using "Medical Reason SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.473)"
-
"Device, Applied not done: Medical Reason" using "Medical Reason SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.473)"
-
"Device, Applied not done: Medical Reason" using "Medical Reason SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.473)"
-
"Device, Applied not done: Patient Refusal" using "Patient Refusal SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.93)"
-
"Device, Applied not done: Patient Refusal" using "Patient Refusal SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.93)"
-
"Device, Applied not done: Patient Refusal" using "Patient Refusal SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.93)"
-
"Diagnosis, Active: Hemorrhagic Stroke" using "Hemorrhagic Stroke Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.212)"
-
"Diagnosis, Active: Ischemic Stroke" using "Ischemic Stroke Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.247)"
-
"Diagnosis, Active: Mental Disorders" using "Mental Disorders Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.262)"
-
"Diagnosis, Active: Obstetrics" using "Obstetrics Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.263)"
-
"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)"
-
"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: ICU Admission or Transfer" using "ICU Admission or Transfer SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.305)"
-
"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, Result: INR" using "INR LOINC Value Set (2.16.840.1.113883.3.117.1.7.1.213)"
-
"Medication, Administered: Direct Thrombin Inhibitor" using "Direct Thrombin Inhibitor RxNorm Value Set (2.16.840.1.113883.3.117.1.7.1.205)"
-
"Medication, Administered: Factor Xa Inhibitor" using "Factor Xa Inhibitor RxNorm Value Set (2.16.840.1.113883.3.117.1.7.1.211)"
-
"Medication, Administered: Low Molecular Weight Heparin" using "Low Molecular Weight Heparin RxNorm Value Set (2.16.840.1.113883.3.117.1.7.1.219)"
-
"Medication, Administered: Unfractionated Heparin" using "Unfractionated Heparin RxNorm Value Set (2.16.840.1.113883.3.117.1.7.1.218)"
-
"Medication, Administered: Warfarin" using "Warfarin RxNorm Value Set (2.16.840.1.113883.3.117.1.7.1.232)"
-
"Medication, Administered not done: Medical Reason" using "Medical Reason SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.473)"
-
"Medication, Administered not done: Medical Reason" using "Medical Reason SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.473)"
-
"Medication, Administered not done: Medical Reason" using "Medical Reason SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.473)"
-
"Medication, Administered not done: Medical Reason" using "Medical Reason SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.473)"
-
"Medication, Administered not done: Patient Refusal" using "Patient Refusal SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.93)"
-
"Medication, Administered not done: Patient Refusal" using "Patient Refusal SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.93)"
-
"Medication, Administered not done: Patient Refusal" using "Patient Refusal SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.93)"
-
"Medication, Administered not done: Patient Refusal" using "Patient Refusal SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.93)"
-
"Patient Characteristic Birthdate: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Procedure, Performed: General or Neuraxial Anesthesia" using "General or Neuraxial Anesthesia Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.254)"
-
"Procedure, Performed: General Surgery" using "General Surgery Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.255)"
-
"Procedure, Performed: Gynecological Surgery" using "Gynecological Surgery Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.257)"
-
"Procedure, Performed: Hip Fracture Surgery" using "Hip Fracture Surgery Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.258)"
-
"Procedure, Performed: Hip Replacement Surgery" using "Hip Replacement Surgery Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.259)"
-
"Procedure, Performed: Intracranial Neurosurgery" using "Intracranial Neurosurgery Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.260)"
-
"Procedure, Performed: Knee Replacement Surgery" using "Knee Replacement Surgery Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.261)"
-
"Procedure, Performed: Urological Surgery" using "Urological Surgery Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.272)"
-
"Risk Category Assessment: VTE Risk Assessment" using "VTE Risk Assessment LOINC Value Set (2.16.840.1.113883.3.117.1.7.1.357)"
-
Attribute: "Route: Subcutaneous route" using "Subcutaneous route SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.223)"
-
Attribute: "Route: Intravenous route" using "Intravenous route SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.222)"
-
Attribute: "Result: Low Risk" using "Low Risk SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.400)"
-
Attribute: "Ordinality: Principal" using "Principal SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.14)"
-
Attribute: "Ordinality: Principal Diagnosis" using "Principal Diagnosis SNOMED-CT Value Set (2.16.840.1.113883.3.117.2.7.1.14)"
-
"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)"