-
Initial Patient Population =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed:
Non-Elective Inpatient Encounter"
- AND: "Occurrence A of Encounter, Performed: Non-Elective Inpatient Encounter (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter, Performed: Non-Elective Inpatient Encounter" ends during "Measurement Period"
- AND:
- OR: "Diagnosis, Active: Ischemic Stroke (ordinality: 'Principal')"
- OR: "Diagnosis, Active: Hemorrhagic Stroke (ordinality: 'Principal')"
- starts during "Occurrence A of Encounter, Performed: Non-Elective Inpatient Encounter"
-
Denominator =
- AND: "Initial Patient Population"
- AND: "Diagnosis, Active: Ischemic Stroke (ordinality: 'Principal')" starts during "Occurrence A of Encounter, Performed: Non-Elective
Inpatient Encounter"
-
Denominator Exclusions =
- AND:
- OR:
- AND: "Occurrence A of Encounter, Performed: Non-Elective Inpatient Encounter (length of stay < 2 day(s))"
- AND NOT: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence
A of Encounter, Performed: Non-Elective Inpatient Encounter"
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence A of
Encounter, Performed: Non-Elective Inpatient Encounter"
- AND: Difference between dates < 2 days of:
- AND: "Occurrence A of Encounter, Performed: Non-Elective Inpatient Encounter (discharge datetime)"
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit (admission datetime)"
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence A of
Encounter, Performed: Non-Elective Inpatient Encounter"
- AND:
- OR:
- OR: "Medication, Administered: Thrombolytic (t-PA) Therapy"
- OR: "Procedure, Performed: Intravenous or Intra-arterial Thrombolytic (t-PA) Therapy"
- <= 24 hour(s) starts before start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR:
- AND: "Occurrence A of Medication, Administered: Thrombolytic (t-PA) Therapy" starts after start of "Occurrence A of Encounter,
Performed: Emergency Department Visit"
- AND: "Occurrence A of Medication, Administered: Thrombolytic (t-PA) Therapy" starts before or during "Occurrence A of Encounter,
Performed: Non-Elective Inpatient Encounter"
- OR:
- OR:
- OR: "Medication, Administered: Thrombolytic (t-PA) Therapy"
- OR: "Procedure, Performed: Intravenous or Intra-arterial Thrombolytic (t-PA) Therapy"
- <= 24 hour(s) starts before start of "Occurrence A of Encounter, Performed: Non-Elective Inpatient Encounter"
- OR: "Medication, Administered: Thrombolytic (t-PA) Therapy" during "Occurrence A of Encounter, Performed: Non-Elective Inpatient
Encounter"
- OR:
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence A of
Encounter, Performed: Non-Elective Inpatient Encounter"
- AND:
- OR: "Intervention, Order: Comfort Measures"
- OR: "Intervention, Performed: Comfort Measures"
- <= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR:
- OR: "Intervention, Order: Comfort Measures"
- OR: "Intervention, Performed: Comfort Measures"
- <= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: Non-Elective Inpatient Encounter"
-
Numerator =
- AND:
- OR: "Medication, Administered: Antithrombotic Therapy" <= 1 day(s) starts after start of "Occurrence A of Encounter, Performed:
Non-Elective Inpatient Encounter"
- OR:
- AND: "Medication, Administered: Antithrombotic Therapy" <= 1 day(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: Non-Elective Inpatient Encounter"
-
Denominator Exceptions =
- AND:
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before start of "Occurrence A of
Encounter, Performed: Non-Elective Inpatient Encounter"
- AND:
- OR: "Medication, Order not done: Medical Reason" for "Antithrombotic ingredient specific "
- OR: "Medication, Administered not done: Medical Reason" for "Antithrombotic Therapy "
- OR: "Medication, Order not done: Patient Refusal" for "Antithrombotic ingredient specific "
- OR: "Medication, Administered not done: Patient Refusal" for "Antithrombotic Therapy "
- <= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR:
- OR: "Medication, Order not done: Medical Reason" for "Antithrombotic ingredient specific "
- OR: "Medication, Administered not done: Medical Reason" for "Antithrombotic Therapy "
- OR: "Medication, Order not done: Patient Refusal" for "Antithrombotic ingredient specific "
- OR: "Medication, Administered not done: Patient Refusal" for "Antithrombotic Therapy "
- <= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: Non-Elective Inpatient Encounter"
-
"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)"
-
"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: Antithrombotic Therapy" using "Antithrombotic Therapy RXNORM Value Set (2.16.840.1.113883.3.117.1.7.1.201)"
-
"Medication, Administered: Thrombolytic (t-PA) Therapy" using "Thrombolytic (t-PA) Therapy RXNORM Value Set (2.16.840.1.113883.3.117.1.7.1.226)"
-
"Medication, Order not done: Medical Reason" using "Medical Reason SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.473)"
-
"Medication, Order not done: Patient Refusal" using "Patient Refusal SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.93)"
-
"Medication, Order: Antithrombotic ingredient specific" using "Antithrombotic ingredient specific RXNORM Value Set (2.16.840.1.113762.1.4.1021.8)"
-
"Patient Characteristic Birthdate: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Procedure, Performed: Intravenous or Intra-arterial Thrombolytic (t-PA) Therapy" using "Intravenous or Intra-arterial Thrombolytic (t-PA) Therapy Grouping Value Set (2.16.840.1.113762.1.4.1045.21)"
-
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 AdministrativeSex Value Set (2.16.840.1.113762.1.4.1)"