- Initial Population =
- AND: Age >= 18 year(s) at: Occurrence A of $EncounterInpatient
- AND:
- OR: "Diagnosis, Active: Acute Myocardial Infarction (AMI) (ordinality: Principal)" starts during Occurrence A of $EncounterInpatient
- OR: "Diagnosis, Active: Acute Myocardial Infarction (AMI) (ordinality: Principal)" starts during ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- Denominator =
- AND:
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- AND: Union of:
- Most recent: "Occurrence A of Diagnostic Study, Performed: Electrocardiogram (ECG)" <= 1 hour(s) starts before start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
- First: "Occurrence A of Diagnostic Study, Performed: Electrocardiogram (ECG)" starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR:
- AND NOT: "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- AND: Union of:
- Most recent: "Occurrence A of Diagnostic Study, Performed: Electrocardiogram (ECG)" <= 1 hour(s) starts before start of Occurrence A of $EncounterInpatient
- First: "Occurrence A of Diagnostic Study, Performed: Electrocardiogram (ECG)" starts after start of Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Diagnostic Study, Performed: Electrocardiogram (ECG) (result: Acute or Evolving MI)"
- AND NOT: "Occurrence A of Diagnostic Study, Performed: Electrocardiogram (ECG) (result: STEMI Exclusions)"
- AND:
- OR:
- AND: First: "Occurrence A of Procedure, Performed: PCI (ordinality: Primary Procedure)" <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND NOT: "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- AND NOT: "Occurrence A of Procedure, Performed: PCI" starts after start of
- "Occurrence A of Medication, Administered: Fibrinolytic Therapy" during Occurrence A of $EncounterInpatient
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- AND: First: "Occurrence A of Procedure, Performed: PCI (ordinality: Primary Procedure)" <= 1440 minute(s) starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
- AND NOT: "Occurrence A of Procedure, Performed: PCI" starts after start of
- "Occurrence A of Medication, Administered: Fibrinolytic Therapy" starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
- Denominator Exclusions =
- OR: $AnotherHospitalOrHealthcareFacility <= 1 day(s) starts before start of
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- OR:
- AND: $AnotherHospitalOrHealthcareFacility <= 1 day(s) starts before start of Occurrence A of $EncounterInpatient
- AND NOT: "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Numerator =
- AND:
- OR:
- AND: "Occurrence A of Procedure, Performed: PCI (ordinality: Primary Procedure)" <= 90 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND NOT: "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- OR: "Encounter, Performed: Emergency Department Visit" satisfies all
- <= 90 minute(s) starts before start of "Procedure, Performed: PCI"
- <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Numerator Exclusions =
- Denominator Exceptions =
- OR: $ReasonForNoFibrinolyticTherapy <= 90 minute(s) starts after start of
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- OR:
- AND: $ReasonForNoFibrinolyticTherapy <= 90 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND NOT: "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Stratification =
- $EncounterInpatient =
- "Encounter, Performed: Encounter Inpatient" satisfies all
- (length of stay <= 120 day(s))
- ends during "Measurement Period"
- $ReasonForNoFibrinolyticTherapy =
- Union of:
- "Diagnosis, Active: Cardiopulmonary arrest"
- "Procedure, Performed: Endotracheal Intubation"
- "Procedure, Performed: Aortic balloon pump insertion"
- "Procedure, Performed: Ventricular Assist Device placement"
- $AnotherHospitalOrHealthcareFacility =
- Union of:
- "Transfer From: Ambulatory surgical center"
- "Transfer From: Transfer From Outpatient"
- "Transfer From: Transfer From Emergency Department (ED) Locations"
- "Transfer From: Transfer From Inpatient"
- "Diagnosis, Active: Acute Myocardial Infarction (AMI)" using "Acute Myocardial Infarction (AMI) Grouping Value Set (2.16.840.1.113883.3.666.5.3011)"
- "Diagnosis, Active: Cardiopulmonary arrest" using "Cardiopulmonary arrest Grouping Value Set (2.16.840.1.113883.3.666.5.748)"
- "Diagnostic Study, Performed: Electrocardiogram (ECG)" using "Electrocardiogram (ECG) Grouping Value Set (2.16.840.1.113883.3.666.5.735)"
- "Encounter, Performed: Emergency Department Visit" using "Emergency Department Visit SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.292)"
- "Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.307)"
- "Medication, Administered: Fibrinolytic Therapy" using "Fibrinolytic Therapy RXNORM Value Set (2.16.840.1.113883.3.666.5.736)"
- "Procedure, Performed: Aortic balloon pump insertion" using "Aortic balloon pump insertion SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.1151)"
- "Procedure, Performed: Endotracheal Intubation" using "Endotracheal Intubation Grouping Value Set (2.16.840.1.113762.1.4.1045.69)"
- "Procedure, Performed: PCI" using "PCI Grouping Value Set (2.16.840.1.113762.1.4.1045.67)"
- "Procedure, Performed: Ventricular Assist Device placement" using "Ventricular Assist Device placement Grouping Value Set (2.16.840.1.113883.3.666.5.3015)"
- "Transfer From: Ambulatory surgical center" using "Ambulatory surgical center SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.687)"
- "Transfer From: Transfer From Emergency Department (ED) Locations" using "Transfer From Emergency Department (ED) Locations SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.3006)"
- "Transfer From: Transfer From Inpatient" using "Transfer From Inpatient SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.3013)"
- "Transfer From: Transfer From Outpatient " using "Transfer From Outpatient SNOMEDCT Value Set (2.16.840.1.113883.3.67.1.101.950)"
- Attribute: "Result: Acute or Evolving MI" using "Acute or Evolving MI Grouping Value Set (2.16.840.1.113883.3.666.5.3022)"
- Attribute: "Ordinality: Primary Procedure" using "Primary Procedure SNOMEDCT Value Set (2.16.840.1.113762.1.4.1111.12)"
- Attribute: "Result: STEMI Exclusions" using "STEMI Exclusions Grouping Value Set (2.16.840.1.113762.1.4.1045.36)"
- Attribute: "Ordinality: Principal" using "Principal SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.14)"
- "Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDCREC Value Set (2.16.840.1.114222.4.11.837)"
- "Patient Characteristic Payer: Payer" using "Payer SOP Value Set (2.16.840.1.114222.4.11.3591)"
- "Patient Characteristic Race: Race" using "Race CDCREC Value Set (2.16.840.1.114222.4.11.836)"
- "Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex AdministrativeGender Value Set (2.16.840.1.113762.1.4.1)"