------ Population Criteria 1 ------
- Initial Population =
- AND: Age >= 18 year(s) at: Occurrence A of $EncounterInpatient
- AND:
- OR:
- AND:
- OR: "Diagnosis, Active: Pneumonia (ordinality: Principal)" starts during Occurrence A of $EncounterInpatient
- OR:
- AND: "Diagnosis, Active: Respiratory failure acute or chronic (ordinality: Principal)" starts during Occurrence A of $EncounterInpatient
- AND: "Diagnosis, Active: Pneumonia" starts during Occurrence A of $EncounterInpatient
- OR:
- AND: "Diagnosis, Active: Septicemia (ordinality: Principal)" starts during Occurrence A of $EncounterInpatient
- AND: "Diagnosis, Active: Pneumonia" starts during 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: "Diagnosis, Active: Pneumonia" 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: Union of:
- "Diagnosis, Active: Diagnoses as Reasons For Admission to ICU due to Pneumonia"
- "Procedure, Performed: Procedures as Reasons for Admission to ICU Due to Pneumonia"
- <= 24 hour(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: "Diagnosis, Active: Pneumonia" <= 24 hour(s) starts after or concurrent with start of Occurrence A of $EncounterInpatient
- AND: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" satisfies any
- <= 24 hour(s) starts after start of Occurrence A of $EncounterInpatient
- <= 1 day(s) starts before or concurrent with start of Occurrence A of $EncounterInpatient
- AND: "Encounter, Performed: ICU Admission or Transfer" <= 24 hour(s) starts after or concurrent with start of Occurrence A of $EncounterInpatient
- OR:
- AND: Union of:
- "Diagnosis, Active: Diagnoses as Reasons For Admission to ICU due to Pneumonia"
- "Procedure, Performed: Procedures as Reasons for Admission to ICU Due to Pneumonia"
- starts during ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- AND: "Diagnosis, Active: Pneumonia" <= 24 hour(s) starts after or concurrent with start of ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- AND: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" satisfies any
- <= 24 hour(s) starts after start of ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- <= 1 day(s) starts before or concurrent with start of ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- AND: "Encounter, Performed: ICU Admission or Transfer" <= 24 hour(s) starts after or concurrent with start of ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- Denominator Exclusions =
- OR: Union of:
- "Diagnostic Study, Performed: Chest XRay Diagnostic Test" satisfies all
- (result: Radiologic Finding Normal)
- satisfies any
- <= 1 day(s) starts before start of Occurrence A of $EncounterInpatient
- <= 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 )
- during Occurrence A of $EncounterInpatient
- "Diagnostic Study, Performed: CT Scan Including Chest Diagnostic Test" satisfies all
- (result: Radiologic Finding Normal)
- satisfies any
- <= 1 day(s) starts before start of Occurrence A of $EncounterInpatient
- <= 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 )
- during Occurrence A of $EncounterInpatient
- OR: $InterventionComfortMeasures <= 1 day(s) starts after start of Union of:
- Occurrence A of $EncounterInpatient
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- OR: Union of:
- "Transfer From: Acute care hospital"
- "Transfer From: Ambulatory surgical center"
- "Transfer From: Emergency department location"
- "Transfer From: Transfer From Outpatient"
- <= 24 hour(s) starts before start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: "Diagnosis, Active: Prolonged QT Interval" <= 24 hour(s) starts after start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: Union of:
- "Procedure, Performed: Hemodialysis or Peritoneal Dialysis"
- "Procedure, Performed: Wound Care"
- "Procedure, Performed: Tracheostomy care"
- "Procedure, Performed: Ventilator care"
- "Diagnosis, Active: Healthcare associated pneumonia"
- <= 30 day(s) starts before start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: Union of:
- "Diagnosis, Active: Immunodeficient Conditions"
- "Diagnosis, Active: Cystic Fibrosis"
- "Medication, Allergy: Beta Lactams for Allergy Determination"
- "Diagnosis, Active: Organ Transplant Recipient"
- starts before end of Occurrence A of $EncounterInpatient
- OR: Union of:
- "Procedure, Performed: Immunocompromised Therapies"
- "Medication, Active: Systemic immunosuppressive therapy"
- "Encounter, Performed: Nursing Home or Extended Care Facility"
- "Encounter, Performed: Acute care hospital Inpatient Encounter"
- <= 90 day(s) starts before start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: Union of:
- "Diagnosis, Active: Immunocompromised Conditions" satisfies any
- <= 3 month(s) starts before start of Occurrence A of $EncounterInpatient
- <= 3 month(s) starts before start of ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- during Occurrence A of $EncounterInpatient
- "Laboratory Test, Performed: Neutrophil count" satisfies all
- (result < 500 per mm3)
- satisfies any
- <= 3 month(s) starts before start of Occurrence A of $EncounterInpatient
- <= 3 month(s) starts before start of ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- during Occurrence A of $EncounterInpatient
- Intersection of:
- Occurrence A of $EncounterInpatient
- "Encounter, Performed: Encounter Inpatient (length of stay <= 1 day(s))"
- Numerator =
- AND:
- OR:
- AND: "Medication, Administered: IV Macrolides ICU" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 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 )
- AND: Union of:
- "Medication, Administered: IV Beta lactams (route: Substance or Medication Administration Route IV)"
- "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams (route: Substance or Medication Administration Route IV)"
- <= 1440 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: "Medication, Administered: IV Macrolides ICU" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: Union of:
- "Medication, Administered: IV Beta lactams (route: Substance or Medication Administration Route IV)"
- "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams (route: Substance or Medication Administration Route IV)"
- <= 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
- OR:
- AND: "Medication, Administered: IV Antipseudomonal quinolones" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 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 )
- AND: Union of:
- "Medication, Administered: IV Beta lactams (route: Substance or Medication Administration Route IV)"
- "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams (route: Substance or Medication Administration Route IV)"
- <= 1440 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: "Medication, Administered: IV Antipseudomonal quinolones" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: Union of:
- "Medication, Administered: IV Beta lactams (route: Substance or Medication Administration Route IV)"
- "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams (route: Substance or Medication Administration Route IV)"
- <= 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
- OR:
- AND: "Medication, Administered: IV Quinolones Antipneumococcal" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 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 )
- AND: Union of:
- "Medication, Administered: IV Beta lactams (route: Substance or Medication Administration Route IV)"
- "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams (route: Substance or Medication Administration Route IV)"
- <= 1440 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: "Medication, Administered: IV Quinolones Antipneumococcal" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: Union of:
- "Medication, Administered: IV Beta lactams (route: Substance or Medication Administration Route IV)"
- "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams (route: Substance or Medication Administration Route IV)"
- <= 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
- OR:
- AND: "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 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 )
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 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 )
- AND: Union of:
- "Medication, Administered: IV Quinolones Antipneumococcal (route: Substance or Medication Administration Route IV)"
- "Medication, Administered: IV Macrolides ICU (route: Substance or Medication Administration Route IV)"
- <= 1440 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: "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: Union of:
- "Medication, Administered: IV Quinolones Antipneumococcal (route: Substance or Medication Administration Route IV)"
- "Medication, Administered: IV Macrolides ICU (route: Substance or Medication Administration Route IV)"
- <= 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
- OR:
- AND: "Diagnosis, Active: Francisella Tularensis or Yersinia pestis" <= 24 hour(s) starts after start of ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- AND: "Medication, Administered: IV Doxycycline" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 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 )
- AND: Union of:
- "Medication, Administered: IV Beta lactams (route: Substance or Medication Administration Route IV)"
- "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams (route: Substance or Medication Administration Route IV)"
- <= 1440 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: "Diagnosis, Active: Francisella Tularensis or Yersinia pestis" <= 24 hour(s) starts after start of Occurrence A of $EncounterInpatient
- AND: "Medication, Administered: IV Doxycycline" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: Union of:
- "Medication, Administered: IV Beta lactams (route: Substance or Medication Administration Route IV)"
- "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams (route: Substance or Medication Administration Route IV)"
- <= 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
- Numerator Exclusions =
- Denominator Exceptions =
- OR:
- AND: "Diagnosis, Active: Another Source of Infection" <= 24 hour(s) starts after start of ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- AND NOT: "Diagnosis, Active: Respiratory infection" <= 24 hour(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: "Diagnosis, Active: Another Source of Infection" <= 24 hour(s) starts after start of Occurrence A of $EncounterInpatient
- AND NOT: "Diagnosis, Active: Respiratory infection" <= 24 hour(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: "Medication, Active: Systemic corticosteroid/prednisone therapy" <= 90 day(s) starts before start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: Union of:
- "Laboratory Test, Performed: Bacterial culture (result: Positive Finding)"
- "Laboratory Test, Performed: Urine antigen test for Legionella pneumophila or Streptococcus pneumoniae (result: Positive Finding)"
- "Laboratory Test, Performed: PCR Test for Legionella pneumophila (result: Positive Finding)"
- <= 24 hour(s) starts after start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- Stratification =
------ Population Criteria 2 ------
- Initial Population =
- AND: Age >= 18 year(s) at: Occurrence A of $EncounterInpatient
- AND:
- OR:
- AND:
- OR: "Diagnosis, Active: Pneumonia (ordinality: Principal)" starts during Occurrence A of $EncounterInpatient
- OR:
- AND: "Diagnosis, Active: Respiratory failure acute or chronic (ordinality: Principal)" starts during Occurrence A of $EncounterInpatient
- AND: "Diagnosis, Active: Pneumonia" starts during Occurrence A of $EncounterInpatient
- OR:
- AND: "Diagnosis, Active: Septicemia (ordinality: Principal)" starts during Occurrence A of $EncounterInpatient
- AND: "Diagnosis, Active: Pneumonia" starts during 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: "Diagnosis, Active: Pneumonia" 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: "Diagnosis, Active: Pneumonia" <= 24 hour(s) starts after or concurrent with start of Occurrence A of $EncounterInpatient
- AND: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" satisfies any
- <= 24 hour(s) starts after start of Occurrence A of $EncounterInpatient
- <= 1 day(s) starts before or concurrent with 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: "Encounter, Performed: ICU Admission or Transfer" <= 24 hour(s) starts after or concurrent with start of Occurrence A of $EncounterInpatient
- OR:
- AND NOT: "Encounter, Performed: ICU Admission or Transfer" <= 24 hour(s) starts after or concurrent with start of ("Encounter, Performed: Emergency Department Visit" <= 1 day(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- AND: "Diagnosis, Active: Pneumonia" <= 24 hour(s) starts after or concurrent with start of ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- AND: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" satisfies any
- <= 24 hour(s) starts after start of ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- <= 1 day(s) starts before or concurrent with start of ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- Denominator Exclusions =
- OR: Union of:
- "Diagnostic Study, Performed: Chest XRay Diagnostic Test" satisfies all
- (result: Radiologic Finding Normal)
- satisfies any
- <= 1 day(s) starts before start of Occurrence A of $EncounterInpatient
- <= 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 )
- during Occurrence A of $EncounterInpatient
- "Diagnostic Study, Performed: CT Scan Including Chest Diagnostic Test" satisfies all
- (result: Radiologic Finding Normal)
- satisfies any
- <= 1 day(s) starts before start of Occurrence A of $EncounterInpatient
- <= 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 )
- during Occurrence A of $EncounterInpatient
- OR: $InterventionComfortMeasures <= 1 day(s) starts after start of Union of:
- Occurrence A of $EncounterInpatient
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- OR: Union of:
- "Transfer From: Acute care hospital"
- "Transfer From: Ambulatory surgical center"
- "Transfer From: Emergency department location"
- "Transfer From: Transfer From Outpatient"
- <= 24 hour(s) starts before start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: "Diagnosis, Active: Prolonged QT Interval" <= 24 hour(s) starts after start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: Union of:
- "Procedure, Performed: Hemodialysis or Peritoneal Dialysis"
- "Procedure, Performed: Wound Care"
- "Procedure, Performed: Tracheostomy care"
- "Procedure, Performed: Ventilator care"
- "Diagnosis, Active: Healthcare associated pneumonia"
- <= 30 day(s) starts before start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: Union of:
- "Diagnosis, Active: Immunodeficient Conditions"
- "Diagnosis, Active: Cystic Fibrosis"
- "Diagnosis, Active: Organ Transplant Recipient"
- starts before end of Occurrence A of $EncounterInpatient
- OR: Union of:
- "Procedure, Performed: Immunocompromised Therapies"
- "Medication, Active: Systemic immunosuppressive therapy"
- "Encounter, Performed: Nursing Home or Extended Care Facility"
- "Encounter, Performed: Acute care hospital Inpatient Encounter"
- <= 90 day(s) starts before start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: Union of:
- "Diagnosis, Active: Immunocompromised Conditions" satisfies any
- <= 3 month(s) starts before start of Occurrence A of $EncounterInpatient
- <= 3 month(s) starts before start of ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- during Occurrence A of $EncounterInpatient
- "Laboratory Test, Performed: Neutrophil count" satisfies all
- (result < 500 per mm3)
- satisfies any
- <= 3 month(s) starts before start of Occurrence A of $EncounterInpatient
- <= 3 month(s) starts before start of ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- during Occurrence A of $EncounterInpatient
- Intersection of:
- Occurrence A of $EncounterInpatient
- "Encounter, Performed: Encounter Inpatient (length of stay <= 1 day(s))"
- Numerator =
- AND:
- # Non-ICU Patients
- OR: "Medication, Administered: IV PO Quinolone Antipneumococcal" satisfies all
- (route: Route IV or PO)
- <= 1440 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: "Medication, Administered: IV PO Quinolone Antipneumococcal" satisfies all
- (route: Route IV or PO)
- <= 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
- OR: "Medication, Administered: IV Tigecycline" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 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: "Medication, Administered: IV Tigecycline" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 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
- OR:
- AND: "Medication, Administered: IV or IM Beta lactams" satisfies all
- (route: Route IV/IM)
- <= 1440 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 )
- AND: "Medication, Administered: IV or PO Macrolides Non ICU" satisfies all
- (route: Route IV or PO)
- <= 1440 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: "Medication, Administered: IV or IM Beta lactams" satisfies all
- (route: Route IV/IM)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: "Medication, Administered: IV or PO Macrolides Non ICU" satisfies all
- (route: Route IV or PO)
- <= 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
- OR:
- AND: "Medication, Administered: IV or IM Beta lactams" satisfies all
- (route: Route IV/IM)
- <= 1440 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 )
- AND: "Medication, Administered: IV or PO Doxycyclines" satisfies all
- (route: Route IV or PO)
- <= 1440 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: "Medication, Administered: IV or IM Beta lactams" satisfies all
- (route: Route IV/IM)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: "Medication, Administered: IV or PO Doxycyclines" satisfies all
- (route: Route IV or PO)
- <= 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
- OR:
- AND:
- # Pseudomonal risk: Non-ICU patients are evaluated for pseudomonal risk. If they meet this criteria they must receive a different antibiotic regimen than patient without a pseudomonal risk.
- OR: "Diagnosis, Active: Bronchiectasis" starts before start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: IV, IM, PO Antimicrobial Medications" <= 90 day(s) starts before start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: Union of:
- "Diagnosis, Active: COPD"
- "Diagnosis, Active: Chronic bronchitis"
- "Diagnosis, Active: Emphysema"
- "Diagnosis, Active: Interstitial lung disease"
- "Diagnosis, Active: Restrictive lung disease"
- "Diagnosis, Active: Structural lung disease"
- starts before end of Occurrence A of $EncounterInpatient
- AND:
- OR:
- AND: "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 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 )
- AND: "Medication, Administered: IV PO AntiPseudomonal Quinolones" satisfies all
- (route: Route IV or PO)
- <= 1440 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: "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: "Medication, Administered: IV PO AntiPseudomonal Quinolones" satisfies all
- (route: Route IV or PO)
- <= 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
- OR:
- AND: "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 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 )
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 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 )
- AND: Union of:
- "Medication, Administered: IV PO Quinolone Antipneumococcal (route: Route IV or PO)"
- "Medication, Administered: IV or PO Macrolides Non ICU (route: Route IV or PO)"
- <= 1440 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: "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: Union of:
- "Medication, Administered: IV PO Quinolone Antipneumococcal (route: Route IV or PO)"
- "Medication, Administered: IV or PO Macrolides Non ICU (route: Route IV or PO)"
- <= 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
- OR:
- AND:
- # Non-ICU patients with pseudomonal risk and an allergy to beta lactams receive a different antibiotic regimen than patients with just a pseudomonal risk or with no pseudomonal risk.
- OR: "Diagnosis, Active: Bronchiectasis" starts before start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: IV, IM, PO Antimicrobial Medications" <= 90 day(s) starts before start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: Union of:
- "Diagnosis, Active: COPD"
- "Diagnosis, Active: Chronic bronchitis"
- "Diagnosis, Active: Emphysema"
- "Diagnosis, Active: Interstitial lung disease"
- "Diagnosis, Active: Restrictive lung disease"
- "Diagnosis, Active: Structural lung disease"
- starts before end of Occurrence A of $EncounterInpatient
- AND: "Medication, Allergy: Beta Lactams for Allergy Determination" starts before end of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- AND:
- OR:
- AND: "Medication, Administered: IV or IM Aztreonam" satisfies all
- (route: Route IV/IM)
- <= 1440 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 )
- AND: "Medication, Administered: IV PO Quinolone Antipneumococcal" satisfies all
- (route: Route IV or PO)
- <= 1440 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 )
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 1440 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: "Medication, Administered: IV or IM Aztreonam" satisfies all
- (route: Route IV/IM)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: "Medication, Administered: IV PO Quinolone Antipneumococcal" satisfies all
- (route: Route IV or PO)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV)
- <= 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
- OR:
- AND: "Medication, Administered: IV or IM Aztreonam" satisfies all
- (route: Route IV/IM)
- <= 1440 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 )
- AND: "Medication, Administered: IV or PO Levofloxacin" satisfies all
- (route: Route IV or PO)
- <= 1440 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: "Medication, Administered: IV or IM Aztreonam" satisfies all
- (route: Route IV/IM)
- <= 1440 minute(s) starts after start of Occurrence A of $EncounterInpatient
- AND: "Medication, Administered: IV or PO Levofloxacin" satisfies all
- (route: Route IV or PO)
- <= 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
- Numerator Exclusions =
- Denominator Exceptions =
- OR:
- AND: "Diagnosis, Active: Another Source of Infection" <= 24 hour(s) starts after start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- AND NOT: "Diagnosis, Active: Respiratory infection" <= 24 hour(s) starts after start of Union of:
- "Encounter, Performed: Emergency Department Visit" ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: "Medication, Active: Systemic corticosteroid/prednisone therapy" <= 90 day(s) starts before start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- OR: Union of:
- "Laboratory Test, Performed: Bacterial culture (result: Positive Finding)"
- "Laboratory Test, Performed: Urine antigen test for Legionella pneumophila or Streptococcus pneumoniae (result: Positive Finding)"
- "Laboratory Test, Performed: PCR Test for Legionella pneumophila (result: Positive Finding)"
- <= 24 hour(s) starts after start of Union of:
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- Occurrence A of $EncounterInpatient
- Stratification =
- $EncounterInpatient =
- "Encounter, Performed: Encounter Inpatient" satisfies all
- (length of stay <= 120 day(s))
- ends during "Measurement Period"
- $InterventionComfortMeasures =
- Union of:
- "Intervention, Order: Comfort Measures"
- "Intervention, Performed: Comfort Measures"
- "Diagnosis, Active: Another Source of Infection" using "Another Source of Infection Grouping Value Set (2.16.840.1.113762.1.4.1111.28)"
- "Diagnosis, Active: Bronchiectasis" using "Bronchiectasis Grouping Value Set (2.16.840.1.113883.3.666.5.773)"
- "Diagnosis, Active: Chronic bronchitis " using "Chronic bronchitis Grouping Value Set (2.16.840.1.113883.3.666.5.775)"
- "Diagnosis, Active: COPD" using "COPD Grouping Value Set (2.16.840.1.113883.3.666.5.776)"
- "Diagnosis, Active: Cystic Fibrosis" using "Cystic Fibrosis Grouping Value Set (2.16.840.1.113883.3.464.1003.102.12.1002)"
- "Diagnosis, Active: Diagnoses as Reasons For Admission to ICU due to Pneumonia" using "Diagnoses as Reasons For Admission to ICU due to Pneumonia Grouping Value Set (2.16.840.1.113762.1.4.1045.84)"
- "Diagnosis, Active: Emphysema" using "Emphysema Grouping Value Set (2.16.840.1.113883.3.464.1003.102.12.1004)"
- "Diagnosis, Active: Francisella Tularensis or Yersinia pestis" using "Francisella Tularensis or Yersinia pestis Grouping Value Set (2.16.840.1.113883.3.666.5.2205)"
- "Diagnosis, Active: Healthcare associated pneumonia" using "Healthcare associated pneumonia Grouping Value Set (2.16.840.1.113883.3.666.5.783)"
- "Diagnosis, Active: Immunocompromised Conditions" using "Immunocompromised Conditions Grouping Value Set (2.16.840.1.113883.3.666.5.1940)"
- "Diagnosis, Active: Immunodeficient Conditions" using "Immunodeficient Conditions Grouping Value Set (2.16.840.1.113883.3.666.5.1726)"
- "Diagnosis, Active: Interstitial lung disease" using "Interstitial lung disease Grouping Value Set (2.16.840.1.113883.3.666.5.777)"
- "Diagnosis, Active: Organ Transplant Recipient" using "Organ Transplant Recipient Grouping Value Set (2.16.840.1.113762.1.4.1111.27)"
- "Diagnosis, Active: Pneumonia" using "Pneumonia Grouping Value Set (2.16.840.1.113883.3.666.5.752)"
- "Diagnosis, Active: Prolonged QT Interval" using "Prolonged QT Interval Grouping Value Set (2.16.840.1.113883.3.666.5.2197)"
- "Diagnosis, Active: Respiratory failure acute or chronic" using "Respiratory failure acute or chronic Grouping Value Set (2.16.840.1.113883.3.666.5.2319)"
- "Diagnosis, Active: Respiratory infection" using "Respiratory infection Grouping Value Set (2.16.840.1.113883.3.666.5.2162)"
- "Diagnosis, Active: Restrictive lung disease" using "Restrictive lung disease Grouping Value Set (2.16.840.1.113883.3.666.5.2160)"
- "Diagnosis, Active: Septicemia" using "Septicemia Grouping Value Set (2.16.840.1.113883.3.666.5.672)"
- "Diagnosis, Active: Structural lung disease" using "Structural lung disease Grouping Value Set (2.16.840.1.113883.3.666.5.774)"
- "Diagnostic Study, Performed: Chest XRay Diagnostic Test" using "Chest XRay Diagnostic Test Grouping Value Set (2.16.840.1.113762.1.4.1111.41)"
- "Diagnostic Study, Performed: CT Scan Including Chest Diagnostic Test" using "CT Scan Including Chest Diagnostic Test Grouping Value Set (2.16.840.1.113762.1.4.1111.42)"
- "Encounter, Performed: Acute care hospital Inpatient Encounter" using "Acute care hospital Inpatient Encounter SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.2289)"
- "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)"
- "Encounter, Performed: ICU Admission or Transfer" using "ICU Admission or Transfer SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.305)"
- "Encounter, Performed: Nursing Home or Extended Care Facility" using "Nursing Home or Extended Care Facility SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.2202)"
- "Intervention, Order: Comfort Measures " using "Comfort Measures SNOMEDCT Value Set (1.3.6.1.4.1.33895.1.3.0.45)"
- "Intervention, Performed: Comfort Measures " using "Comfort Measures SNOMEDCT Value Set (1.3.6.1.4.1.33895.1.3.0.45)"
- "Laboratory Test, Performed: Bacterial culture" using "Bacterial culture LOINC Value Set (2.16.840.1.113762.1.4.1111.22)"
- "Laboratory Test, Performed: Neutrophil count" using "Neutrophil count LOINC Value Set (2.16.840.1.113883.3.666.5.1035)"
- "Laboratory Test, Performed: PCR Test for Legionella pneumophila" using "PCR Test for Legionella pneumophila LOINC Value Set (2.16.840.1.113762.1.4.1111.23)"
- "Laboratory Test, Performed: Urine antigen test for Legionella pneumophila or Streptococcus pneumoniae" using "Urine antigen test for Legionella pneumophila or Streptococcus pneumoniae LOINC Value Set (2.16.840.1.113762.1.4.1111.20)"
- "Medication, Active: Systemic corticosteroid/prednisone therapy" using "Systemic corticosteroid/prednisone therapy RXNORM Value Set (2.16.840.1.113883.3.666.5.805)"
- "Medication, Active: Systemic immunosuppressive therapy" using "Systemic immunosuppressive therapy RXNORM Value Set (2.16.840.1.113883.3.666.5.803)"
- "Medication, Administered: IV Aminoglycosides" using "IV Aminoglycosides RXNORM Value Set (2.16.840.1.113883.3.666.5.727)"
- "Medication, Administered: IV Antipneumococcal/antipseudomonal beta lactams" using "IV Antipneumococcal/antipseudomonal beta lactams RXNORM Value Set (2.16.840.1.113883.3.666.5.759)"
- "Medication, Administered: IV Antipseudomonal quinolones" using "IV Antipseudomonal quinolones RXNORM Value Set (2.16.840.1.113883.3.666.5.896)"
- "Medication, Administered: IV Beta lactams" using "IV Beta lactams RXNORM Value Set (2.16.840.1.113883.3.666.5.770)"
- "Medication, Administered: IV Doxycycline" using "IV Doxycycline RXNORM Value Set (2.16.840.1.113883.3.666.5.2204)"
- "Medication, Administered: IV Macrolides ICU" using "IV Macrolides ICU RXNORM Value Set (2.16.840.1.113883.3.666.5.758)"
- "Medication, Administered: IV or IM Aztreonam" using "IV or IM Aztreonam RXNORM Value Set (2.16.840.1.113883.3.666.5.779)"
- "Medication, Administered: IV or IM Beta lactams" using "IV or IM Beta lactams RXNORM Value Set (2.16.840.1.113883.3.666.5.720)"
- "Medication, Administered: IV or PO Doxycyclines" using "IV or PO Doxycyclines RXNORM Value Set (2.16.840.1.113883.3.666.5.840)"
- "Medication, Administered: IV or PO Levofloxacin" using "IV or PO Levofloxacin RXNORM Value Set (2.16.840.1.113883.3.666.5.760)"
- "Medication, Administered: IV or PO Macrolides Non ICU" using "IV or PO Macrolides Non ICU RXNORM Value Set (2.16.840.1.113883.3.666.5.772)"
- "Medication, Administered: IV PO AntiPseudomonal Quinolones" using "IV PO AntiPseudomonal Quinolones RXNORM Value Set (2.16.840.1.113883.3.666.5.804)"
- "Medication, Administered: IV PO Quinolone Antipneumococcal" using "IV PO Quinolone Antipneumococcal RXNORM Value Set (2.16.840.1.113883.3.666.5.463)"
- "Medication, Administered: IV Quinolones Antipneumococcal" using "IV Quinolones Antipneumococcal RXNORM Value Set (2.16.840.1.113883.3.666.5.465)"
- "Medication, Administered: IV Tigecycline" using "IV Tigecycline RXNORM Value Set (2.16.840.1.113883.3.666.5.2203)"
- "Medication, Administered: IV, IM, PO Antimicrobial Medications" using "IV, IM, PO Antimicrobial Medications RXNORM Value Set (2.16.840.1.113883.3.666.5.693)"
- "Medication, Allergy: Beta Lactams for Allergy Determination" using "Beta Lactams for Allergy Determination RXNORM Value Set (2.16.840.1.113883.3.666.5.1058)"
- "Procedure, Performed: Hemodialysis or Peritoneal Dialysis" using "Hemodialysis or Peritoneal Dialysis Grouping Value Set (2.16.840.1.113883.3.666.5.2282)"
- "Procedure, Performed: Immunocompromised Therapies" using "Immunocompromised Therapies Grouping Value Set (2.16.840.1.113883.3.666.5.2348)"
- "Procedure, Performed: Procedures as Reasons for Admission to ICU Due to Pneumonia" using "Procedures as Reasons for Admission to ICU Due to Pneumonia Grouping Value Set (2.16.840.1.113762.1.4.1111.26)"
- "Procedure, Performed: Tracheostomy care" using "Tracheostomy care Grouping Value Set (2.16.840.1.113762.1.4.1045.77)"
- "Procedure, Performed: Ventilator care" using "Ventilator care SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.782)"
- "Procedure, Performed: Wound Care " using "Wound Care Grouping Value Set (2.16.840.1.113883.3.666.5.2192)"
- "Transfer From: Acute care hospital" using "Acute care hospital SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.684)"
- "Transfer From: Ambulatory surgical center" using "Ambulatory surgical center SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.687)"
- "Transfer From: Emergency department location" using "Emergency department location SNOMEDCT Value Set (2.16.840.1.113762.1.4.1111.14)"
- "Transfer From: Transfer From Outpatient " using "Transfer From Outpatient SNOMEDCT Value Set (2.16.840.1.113883.3.67.1.101.950)"
- Attribute: "Route: Substance or Medication Administration Route IV" using "Substance or Medication Administration Route IV SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.1108)"
- Attribute: "Route: Route IV/IM" using "Route IV/IM SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.1109)"
- Attribute: "Route: Substance or Medication Administration Route IV, oral or IM" using "Substance or Medication Administration Route IV, oral or IM SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.1111)"
- Attribute: "Result: Radiologic Finding Normal" using "Radiologic Finding Normal SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.2365)"
- Attribute: "Route: Route IV or PO" using "Route IV or PO SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.1112)"
- Attribute: "Result: Positive Finding" using "Positive Finding SNOMEDCT Value Set (2.16.840.1.113883.3.464.1003.195.11.1008)"
- 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)"