-
Initial Patient Population =
- AND: "Diagnosis, Active: Hospital Measures - AMI (ordinality: 'Principal')" starts during "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- 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"
-
Denominator =
- AND: "Initial Patient Population"
- 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: MOST RECENT:"Occurrence A of Diagnostic Study, Performed: Hospital Measures-ECG" <= 1 hour(s) starts before start of
"Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR: FIRST:"Occurrence A of Diagnostic Study, Performed: Hospital Measures-ECG" starts after start of "Occurrence A of Encounter,
Performed: Emergency Department Visit"
- AND: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-Acute or Evolving MI')"
- AND NOT:
- AND: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-Acute or Evolving MI')"
- AND: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'NSTEMI')"
- AND NOT: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'NSTEMI')"
- AND: FIRST:"Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG" starts after start of "Occurrence A of Diagnostic
Study, Performed: Hospital Measures-ECG"
- OR:
- AND NOT: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- AND:
- OR: MOST RECENT:"Occurrence A of Diagnostic Study, Performed: Hospital Measures-ECG" <= 1 hour(s) starts before start of
"Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR: FIRST:"Occurrence A of Diagnostic Study, Performed: Hospital Measures-ECG" starts after start of "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- AND: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-Acute or Evolving MI')"
- AND NOT:
- AND: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-Acute or Evolving MI')"
- AND: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'NSTEMI')"
- AND NOT: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'NSTEMI')"
- AND: FIRST:"Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG" starts after start of "Occurrence A of Diagnostic
Study, Performed: Hospital Measures-ECG"
- AND:
- OR:
- AND: FIRST:"Occurrence A of Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 6 hour(s) starts after start
of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Medication, Administered: Hospital Measures-Fibrinolytic Therapy" starts after start of ("Occurrence
A of Procedure, Performed: PCI" 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: FIRST:"Occurrence A of Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 6 hour(s) starts after start
of "Occurrence A of Encounter, Performed: Emergency Department Visit"
- AND NOT: "Occurrence A of Medication, Administered: Hospital Measures-Fibrinolytic Therapy" starts after start of ("Occurrence
A of Procedure, Performed: PCI" starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit")
-
Denominator Exclusions =
- AND:
- OR:
- AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during
"Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start
of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start
of "Occurrence A of Encounter, Performed: Emergency Department Visit"
- 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 Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during
"Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR:
- AND:
- OR: "Transfer From: Hospital Measures-Ambulatory surgical center"
- OR: "Transfer From: Hospital Measures-Hospital outpatient department"
- OR: "Transfer From: Hospital Measures-ED Locations"
- OR: "Transfer From: Hospital Measures-Acute care hospital"
- <= 1 day(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND:
- OR: "Transfer From: Hospital Measures-Ambulatory surgical center"
- OR: "Transfer From: Hospital Measures-Hospital outpatient department"
- OR: "Transfer From: Hospital Measures-ED Locations"
- OR: "Transfer From: Hospital Measures-Acute care hospital"
- <= 1 day(s) starts before start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence A of
Encounter, Performed: Encounter Inpatient"
-
Numerator =
- AND:
- OR:
- AND: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 30 minute(s) starts after start of "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 30 minute(s) starts after start of "Occurrence
A of Encounter, Performed: Emergency Department Visit"
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence A of
Encounter, Performed: Encounter Inpatient"
-
Denominator Exceptions =
- AND:
- OR:
- AND:
- OR: "Medication, Administered not done: Medical Reason" for "Hospital Measures-Fibrinolytic Therapy "
- OR: "Medication, Administered not done: Patient Refusal" for "Hospital Measures-Fibrinolytic Therapy "
- OR: "Procedure, Performed: Hospital Measures-Aortic balloon pump insertion"
- OR: "Procedure, Performed: Endotrachael Intubation"
- OR: "Procedure, Performed: Hospital Measures-Ventricular Assist Device placement"
- OR: "Diagnosis, Active: Hospital Measures-Cardiopulmonary arrest"
- <= 30 minute(s) starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence A of
Encounter, Performed: Encounter Inpatient"
- OR:
- AND:
- OR: "Medication, Administered not done: Medical Reason" for "Hospital Measures-Fibrinolytic Therapy "
- OR: "Medication, Administered not done: Patient Refusal" for "Hospital Measures-Fibrinolytic Therapy "
- OR: "Procedure, Performed: Hospital Measures-Aortic balloon pump insertion"
- OR: "Procedure, Performed: Endotrachael Intubation"
- OR: "Procedure, Performed: Hospital Measures-Ventricular Assist Device placement"
- OR: "Diagnosis, Active: Hospital Measures-Cardiopulmonary arrest"
- <= 30 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence
A of Encounter, Performed: Encounter Inpatient"
-
"Diagnosis, Active: Hospital Measures - AMI" using "Hospital Measures - AMI Grouping Value Set (2.16.840.1.113883.3.666.5.3011)"
-
"Diagnosis, Active: Hospital Measures-Cardiopulmonary arrest" using "Hospital Measures-Cardiopulmonary arrest Grouping Value Set (2.16.840.1.113883.3.666.5.748)"
-
"Diagnostic Study, Performed: Hospital Measures-ECG" using "Hospital Measures-ECG Grouping Value Set (2.16.840.1.113883.3.666.5.735)"
-
"Diagnostic Study, Result: Hospital Measures-ECG" using "Hospital Measures-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 not done: Medical Reason" using "Medical Reason SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.473)"
-
"Medication, Administered not done: Patient Refusal" using "Patient Refusal SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.93)"
-
"Medication, Administered: Hospital Measures-Fibrinolytic Therapy" using "Hospital Measures-Fibrinolytic Therapy RXNORM Value Set (2.16.840.1.113883.3.666.5.736)"
-
"Patient Characteristic Birthdate: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" using "Clinical Trial Participant SNOMEDCT Value Set (2.16.840.1.113883.3.526.2.643)"
-
"Procedure, Performed: Endotrachael Intubation" using "Endotrachael Intubation Grouping Value Set (2.16.840.1.113762.1.4.1045.69)"
-
"Procedure, Performed: Hospital Measures-Aortic balloon pump insertion" using "Hospital Measures-Aortic balloon pump insertion SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.1151)"
-
"Procedure, Performed: Hospital Measures-Ventricular Assist Device placement" using "Hospital Measures-Ventricular Assist Device placement Grouping Value Set (2.16.840.1.113883.3.666.5.3015)"
-
"Procedure, Performed: PCI" using "PCI Grouping Value Set (2.16.840.1.113762.1.4.1045.67)"
-
"Transfer From: Hospital Measures-Acute care hospital" using "Hospital Measures-Acute care hospital SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.3013)"
-
"Transfer From: Hospital Measures-Ambulatory surgical center" using "Hospital Measures-Ambulatory surgical center SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.687)"
-
"Transfer From: Hospital Measures-ED Locations" using "Hospital Measures-ED Locations SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.3006)"
-
"Transfer From: Hospital Measures-Hospital outpatient department" using "Hospital Measures-Hospital outpatient department SNOMEDCT Value Set (2.16.840.1.113883.3.67.1.101.950)"
-
Attribute: "Result: Hospital Measures-Acute or Evolving MI" using "Hospital Measures-Acute or Evolving MI Grouping Value Set (2.16.840.1.113883.3.666.5.3022)"
-
Attribute: "Ordinality: Principal" using "Principal SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.14)"
-
Attribute: "Result: NSTEMI" using "NSTEMI Grouping Value Set (2.16.840.1.113762.1.4.1045.36)"
-
"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)"