-
Initial Patient Population =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient" ends during "Measurement Period"
- AND:
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence A of
Encounter, Performed: Encounter Inpatient"
- 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: Encounter Inpatient"
-
Denominator =
- AND: "Initial Patient Population"
- AND:
- OR: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')" <= 4 day(s) starts before start of "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- OR: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')" during "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence A of
Encounter, Performed: Encounter Inpatient"
- AND:
- OR: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')" <= 4 day(s) starts before start of "Occurrence
A of Encounter, Performed: Emergency Department Visit"
- OR: "Diagnostic Study, Result: VTE Diagnostic Test (result: 'VTE Confirmed')" during "Occurrence A of Encounter, Performed:
Emergency Department Visit"
- AND:
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence A of
Encounter, Performed: Encounter Inpatient"
- AND: "Medication, Administered: Unfractionated Heparin (route: 'Intravenous route')" starts during "Occurrence A of Encounter,
Performed: Emergency Department Visit"
- OR: "Medication, Administered: Unfractionated Heparin (route: 'Intravenous route')" starts during "Occurrence A of Encounter,
Performed: Encounter Inpatient"
-
Denominator Exclusions =
- AND:
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence A of
Encounter, Performed: Encounter Inpatient"
- AND:
- OR: "Intervention, Order: Comfort Measures"
- OR: "Intervention, Performed: Comfort Measures"
- starts during "Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR:
- OR: "Intervention, Order: Comfort Measures"
- OR: "Intervention, Performed: Comfort Measures"
- starts during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge status: 'Discharge To Another Hospital')"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge status: 'Left Against Medical Advice')"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge status: 'Patient Expired')"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge status: 'Discharged to Home for Hospice Care')"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge status: 'Discharged to Health Care Facility for
Hospice Care')"
-
Numerator =
- AND:
- OR: "Occurrence A of Medication, Order: Unfractionated Heparin" starts during "Occurrence A of Encounter, Performed: Encounter
Inpatient"
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence A of
Encounter, Performed: Encounter Inpatient"
- AND: "Occurrence A of Medication, Order: Unfractionated Heparin" starts during "Occurrence A of Encounter, Performed: Emergency
Department Visit"
- AND:
- AND:
- AND:
- OR: "Procedure, Performed: Treatment Adjusted by Protocol"
- OR: "Procedure, Performed: Clinical Pathway Protocol"
- AND: "Laboratory Test, Performed: Platelet Count"
- starts after start of "Occurrence A of Medication, Order: Unfractionated Heparin (route: 'Intravenous route')"
- during "Occurrence A of Encounter, Performed: Encounter Inpatient"
-
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, 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 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)"
-
"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: 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 SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.253)"
-
"Procedure, Performed: Treatment Adjusted by Protocol" using "Treatment Adjusted by Protocol SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.278)"
-
Attribute: "Discharge status: Discharge To Another Hospital" using "Discharge To Another Hospital SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.87)"
-
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: "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: "Route: Intravenous route" using "Intravenous route SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.222)"
-
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: "Result: VTE Confirmed" using "VTE Confirmed SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.407)"
-
"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 AdministrativeSex Value Set (2.16.840.1.113762.1.4.1)"