- Initial Population =
- AND: Age >= 18 year(s) at: Occurrence A of $EncounterInpatientNonElective
- AND: Union of:
- "Diagnosis, Active: Hemorrhagic Stroke (ordinality: Principal)"
- "Diagnosis, Active: Ischemic Stroke (ordinality: Principal)"
- starts during Occurrence A of $EncounterInpatientNonElective
- Denominator =
- AND: "Diagnosis, Active: Ischemic Stroke (ordinality: Principal)" starts during Occurrence A of $EncounterInpatientNonElective
- Denominator Exclusions =
- OR: "Occurrence A of Laboratory Test, Performed: LDL-c" satisfies all
- (result < 70 mg/dL)
- satisfies any
- <= 30 day(s) ends before start of $EncounterInpatientNonElective
- starts during $EncounterInpatientNonElective
- OR: Intersection of:
- Occurrence A of $EncounterInpatientNonElective
- "Encounter, Performed: Non-Elective Inpatient Encounter" satisfies any
- (discharge status: Discharge To Acute Care Facility)
- (discharge status: Left Against Medical Advice)
- (discharge status: Patient Expired)
- (discharge status: Discharged to Home for Hospice Care)
- (discharge status: Discharged to Health Care Facility for Hospice Care)
- OR: $InterventionComfortMeasures starts during
- "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatientNonElective
- OR: $InterventionComfortMeasures starts during Occurrence A of $EncounterInpatientNonElective
- Numerator =
- AND: "Medication, Discharge: Statin" starts during Occurrence A of $EncounterInpatientNonElective
- Numerator Exclusions =
- Denominator Exceptions =
- OR: "Medication, Allergy: Statin Allergen" starts before or concurrent with end of Occurrence A of $EncounterInpatientNonElective
- OR: Union of:
- "Medication, Discharge not done: Patient Refusal" for "Statin ingredient specific"
- "Medication, Discharge not done: Medical Reason" for "Statin ingredient specific"
- starts during Occurrence A of $EncounterInpatientNonElective
- Stratification =
- $EncounterInpatientNonElective =
- "Encounter, Performed: Non-Elective Inpatient Encounter" 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: 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)"
- "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: Non-Elective Inpatient Encounter" using "Non-Elective Inpatient Encounter SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.424)"
- "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: LDL-c" using "LDL-c LOINC Value Set (2.16.840.1.113883.3.117.1.7.1.215)"
- "Medication, Allergy: Statin Allergen" using "Statin Allergen RXNORM Value Set (2.16.840.1.113883.3.117.1.7.1.423)"
- "Medication, Discharge: Statin" using "Statin RXNORM Value Set (2.16.840.1.113883.3.117.1.7.1.225)"
- "Medication, Discharge: Statin ingredient specific" using "Statin ingredient specific RXNORM Value Set (2.16.840.1.113762.1.4.1021.7)"
- "Medication, Discharge not done: Patient Refusal" using "Patient Refusal SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.93)"
- "Medication, Discharge not done: Medical Reason" using "Medical Reason SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.473)"
- Attribute: "Discharge status: Left Against Medical Advice" using "Left Against Medical Advice SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.308)"
- Attribute: "Discharge status: Patient Expired" using "Patient Expired SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.309)"
- Attribute: "Discharge status: Discharge To Acute Care Facility" using "Discharge To Acute Care Facility SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.87)"
- Attribute: "Discharge status: Discharged to Home for Hospice Care" using "Discharged to Home for Hospice Care SNOMEDCT 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 SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.207)"
- 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)"