Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival
Acute myocardial infarction (AMI) patients with ST-segment elevation on the ECG closest to arrival time receiving fibrinolytic therapy during the hospital stay and having a time from hospital arrival to fibrinolysis of 30 minutes or less.
Oklahoma Foundation for Medical Quality
Oklahoma Foundation for Medical Quality
National Quality Forum
Finalized Date/Time
Measure specifications are in the Public Domain.
LOINC (R) is a registered trademark of the Regenstrief Institute.
This material contains SNOMED Clinical Terms (R) (SNOMED CT(c)) copyright 2004-2010 International Health Terminology Standards Development Organization. All rights reserved.
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Time to fibrinolytic therapy is a strong predictor of outcome in patients with an acute myocardial infarction. Nearly 2 lives per 1000 patients are lost per hour of delay (Fibrinolytic Therapy Trialists' Collaborative Group, 1994). National guidelines recommend that fibrinolytic therapy be given within 30 minutes of hospital arrival in patients with ST-elevation myocardial infarction (O'Gara, 2013).
National guidelines recommend that fibrinolytic therapy be given within 30 minutes of hospital arrival in patients with ST-elevation myocardial infarction.
Higher score indicates better quality
NQF ID Number
Disclaimer
None
eMeasure Identifier
60
measureStartDate
measureEndDate
Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, et al. ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of Patients With Acute Myocardial Infarction). 2004.
Fibrinolytic Therapy Trialists (FTT) Collaborative Group. Indications for fibrinolytic therapy in suspected acute myocardial infarction: collaborative overview of early mortality and major morbidity results from all randomized trials of more than 1000 patients. Lancet. 1994;343:311-22.
Krumholz HM, Anderson JL, Bachelder BL, Fesmire FM, Fihn SD, Foody JM, et al. ACC/AHA 2008 performance measures for adults with ST-elevation and non–ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures (Writing Committee to Develop Performance Measures for ST-Elevation and Non–ST-Elevation Myocardial Infarction). J Am Coll Cardiol. 2008;52:2046–99.
O’Gara PT, Kushner FG, Ascheim DD, Casey DE, Jr, Chung MK, de Lemos JA, et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2013;61:485–510.
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Because of QDM limitations to identify the closest event to another event, the denominator will identify the last ECG performed within 1 hour prior to hospital arrival OR the first ECG performed after hospital arrival.
Denominator element guidance:
For the denominator data element "Diagnostic Study, Result: Hospital Measures-ECG Impression," EHR implementations will need to develop mechanisms to capture ECG findings to support denominator criteria for this measure. The measure specification indicates allowable findings. The source of the ECG results should be a physician/APN/PA (rather than the ECG machine's computerized results).
Numerator element guidance:
This measure expects fibrinolytic therapy within 30 minutes of hospital arrival. Those patients receiving fibrinolysis greater than 30 minutes after arrival may be excluded from the denominator only if there is a documented reason for a delay or documented occurrence of intubation, cardiopulmonary arrest or mechanical circulatory assist device placement within the first 30 minutes after arrival. Patients receiving fibrinolysis greater than 30 minutes after arrival and with no reason provided are not compliant with the numerator criteria and will remain in the denominator.
Exclusion element guidance:
The intent for the exclusion for patients who are clinical trial participants was to be limited to patients participating in a clinical trial for acute myocardial infarction (AMI), ST elevation myocardial infarction (STEMI), non-ST elevation myocardial infarction (non-STEMI), heart attack, or acute coronary syndrome (ACS), the same conditions as covered by the measure. However, the value set specifying clinical trial participation is not limited to a specific type of trial.
Transfers from another hospital are excluded since care may have been delivered in the other setting. Transfers from those hospitals are considered exclusions regardless of whether the receiving hospital has the same or different hospital unique identifier as the transferring hospital.
Exception element guidance:
Medical or patient reasons for not performing a procedure or giving a medication are categories for valid medical or patient reasons that are not specifically listed in the exclusion section of the measure. Each is expected to be captured and made available for measurement or clinical decision support within the EHR workflow but the exact method or location of capture is a local or vendor decision.
Denominator, Numerator, Exclusion and Exception element guidance:
The criteria indicate scenarios in which the patient is admitted to the hospital directly or the patient is admitted from the Emergency Department (ED). The calculation is to indicate the timing from arrival at the facility to the occurrence of an event.
Transmission Format
None
Initial Patient Population
All hospital discharges for acute myocardial infarction (AMI) with hospital stays <= 120 days during the measurement year for patients age 18 and older at the time of hospital admission with ST-elevation on electrocardiogram (ECG) who received fibrinolytic therapy.
Denominator
Patients age 18 and older with an ICD-9-CM Principal Diagnosis Code for AMI AND ST-segment elevation on the last ECG performed prior to hospital arrival or the first ECG performed after hospital arrival; AND Fibrinolytic therapy received within 6 hours after hospital arrival AND Fibrinolytic therapy is primary reperfusion therapy.
Denominator Exclusions
Patients enrolled in clinical trials.
Patients received as a transfer from an inpatient or outpatient department of another hospital.
Patients received as a transfer from the emergency/observation department of another hospital.
Patients received as a transfer from an ambulatory surgery center.
Numerator
AMI patients whose time from hospital arrival to fibrinolysis is 30 minutes or less.
Numerator Exclusions
Not Applicable
Denominator Exceptions
Patients who did not receive fibrinolytic therapy within 30 minutes and had a documented reason for delay in fibrinolytic therapy.
Measure Population
Not Applicable
Measure Observations
Not Applicable
Supplemental Data Elements
For every patient evaluated by this measure also identify payer, race, ethnicity and sex.
Acute Myocardial Infarction (AMI)
Population criteria
-
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 (ordinality: 'Principal')
Occurrence A of Encounter, Performed: Encounter Inpatient
Patient Characteristic Birthdate: birth date
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))
Occurrence A of Encounter, Performed: Encounter Inpatient
Measurement Period
Initial Patient Population
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Diagnostic Study, Performed: Hospital Measures-ECG
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Diagnostic Study, Performed: Hospital Measures-ECG
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-Acute or Evolving MI')
Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-Acute or Evolving MI')
Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'NSTEMI')
Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'NSTEMI')
Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG
Occurrence A of Diagnostic Study, Performed: Hospital Measures-ECG
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Diagnostic Study, Performed: Hospital Measures-ECG
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Diagnostic Study, Performed: Hospital Measures-ECG
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-Acute or Evolving MI')
Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-Acute or Evolving MI')
Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'NSTEMI')
Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'NSTEMI')
Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG
Occurrence A of Diagnostic Study, Performed: Hospital Measures-ECG
Occurrence A of Medication, Administered: Hospital Measures-Fibrinolytic Therapy
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Medication, Administered: Hospital Measures-Fibrinolytic Therapy
Occurrence A of Procedure, Performed: PCI
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Medication, Administered: Hospital Measures-Fibrinolytic Therapy
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Medication, Administered: Hospital Measures-Fibrinolytic Therapy
Occurrence A of Procedure, Performed: PCI
Occurrence A of Encounter, Performed: Emergency Department Visit
Initial Patient Population
Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant
Occurrence A of Encounter, Performed: Emergency Department Visit
Transfer From: Hospital Measures-Ambulatory surgical center
Transfer From: Hospital Measures-Hospital outpatient department
Transfer From: Hospital Measures-ED Locations
Transfer From: Hospital Measures-Acute care hospital
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Encounter Inpatient
Transfer From: Hospital Measures-Ambulatory surgical center
Transfer From: Hospital Measures-Hospital outpatient department
Transfer From: Hospital Measures-ED Locations
Transfer From: Hospital Measures-Acute care hospital
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Encounter Inpatient
Denominator
Medication, Administered not done: Medical Reason
Medication, Administered not done: Patient Refusal
Procedure, Performed: Hospital Measures-Aortic balloon pump insertion
Procedure, Performed: Endotrachael Intubation
Procedure, Performed: Hospital Measures-Ventricular Assist Device placement
Diagnosis, Active: Hospital Measures-Cardiopulmonary arrest
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Encounter Inpatient
Medication, Administered not done: Medical Reason
Medication, Administered not done: Patient Refusal
Procedure, Performed: Hospital Measures-Aortic balloon pump insertion
Procedure, Performed: Endotrachael Intubation
Procedure, Performed: Hospital Measures-Ventricular Assist Device placement
Diagnosis, Active: Hospital Measures-Cardiopulmonary arrest
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Encounter Inpatient
Denominator
Medication, Administered: Hospital Measures-Fibrinolytic Therapy
Occurrence A of Encounter, Performed: Encounter Inpatient
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Encounter Inpatient
Medication, Administered: Hospital Measures-Fibrinolytic Therapy
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Emergency Department Visit
Occurrence A of Encounter, Performed: Encounter Inpatient
Data criteria (QDM Data Elements)
-
"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)"
Diagnosis, Active: Hospital Measures - AMI
Diagnosis, Active: Hospital Measures-Cardiopulmonary arrest
Procedure, Performed: Hospital Measures-Aortic balloon pump insertion
Transfer From: Hospital Measures-Acute care hospital
Transfer From: Hospital Measures-Ambulatory surgical center
Transfer From: Hospital Measures-Hospital outpatient department
Patient Characteristic Birthdate: birth date
Transfer From: Hospital Measures-ED Locations
Clinical Trial Participant
Hospital Measures-Fibrinolytic Therapy
Hospital Measures-ECG
Procedure, Performed: Hospital Measures-Ventricular Assist Device placement
Encounter Inpatient
Emergency Department Visit
Hospital Measures-ECG
PCI
Procedure, Performed: Endotrachael Intubation
Patient Characteristic Clinical Trial Participant: Clinical Trial Participant
Medication, Administered: Hospital Measures-Fibrinolytic Therapy
Medication, Administered not done: Medical Reason
Medication, Administered not done: Patient Refusal
Diagnostic Study, Result: Hospital Measures-ECG
Encounter, Performed: Encounter Inpatient
Encounter, Performed: Emergency Department Visit
Diagnostic Study, Performed: Hospital Measures-ECG
Procedure, Performed: PCI
Reporting Stratification
- None
Supplemental Data Elements
-
"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)"
Patient Characteristic Ethnicity: Ethnicity
Patient Characteristic Sex: ONC Administrative Sex
Patient Characteristic Payer: Payer
Patient Characteristic Race: Race