- Initial Population =
- AND: Age>= 18 year(s) at: Occurrence A of $EncounterInpatientNonElective
- AND:
- OR: Intersection of:
- Occurrence A of $EncounterInpatientNonElective
- "Encounter, Performed: Non-Elective Inpatient Encounter (principal diagnosis: Ischemic Stroke)"
- OR: Intersection of:
- Occurrence A of $EncounterInpatientNonElective
- "Encounter, Performed: Non-Elective Inpatient Encounter (principal diagnosis: Hemorrhagic Stroke)"
- Denominator =
- AND: Intersection of:
- Occurrence A of $EncounterInpatientNonElective
- "Encounter, Performed: Non-Elective Inpatient Encounter (principal diagnosis: Ischemic Stroke)"
- Denominator Exclusions =
- OR:
- AND: Intersection of:
- Occurrence A of $EncounterInpatientNonElective
- "Encounter, Performed: Non-Elective Inpatient Encounter (length of stay < 2 day(s))"
- AND NOT: "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatientNonElective
- OR: "Encounter, Performed: Emergency Department Visit" satisfies all:
- <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatientNonElective
- < 2 day(s) starts before end of Occurrence A of $EncounterInpatientNonElective
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatientNonElective
- AND:
- OR: Union of:
- "Medication, Administered: Thrombolytic (t-PA) Therapy"
- "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: "Medication, Administered: Thrombolytic (t-PA) Therapy" satisfies all:
- starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
- starts before end of Occurrence A of $EncounterInpatientNonElective
- OR: Union of:
- "Medication, Administered: Thrombolytic (t-PA) Therapy"
- "Procedure, Performed: Intravenous or Intra-arterial Thrombolytic (t-PA) Therapy"
- <= 24 hour(s) starts before start of Occurrence A of $EncounterInpatientNonElective
- OR: "Medication, Administered: Thrombolytic (t-PA) Therapy" starts during Occurrence A of $EncounterInpatientNonElective
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatientNonElective
- AND: $InterventionComfortMeasures <= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
- OR: $InterventionComfortMeasures <= 1 day(s) starts after start of Occurrence A of $EncounterInpatientNonElective
- Numerator =
- AND:
- OR: "Medication, Administered: Antithrombotic Therapy" <= 1 day(s) starts after start of Occurrence A of $EncounterInpatientNonElective
- OR: "Encounter, Performed: Emergency Department Visit" satisfies all:
- <= 1 day(s) starts before start of "Medication, Administered: Antithrombotic Therapy"
- <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatientNonElective
- Numerator Exclusions =
- Denominator Exceptions =
- OR:
- AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatientNonElective
- AND: Union of:
- "Medication, Order not done: Medical Reason" for "Antithrombotic Therapy"
- "Medication, Administered not done: Medical Reason" for "Antithrombotic Therapy"
- "Medication, Order not done: Patient Refusal" for "Antithrombotic Therapy"
- "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:
- AND: Union of:
- "Medication, Order not done: Medical Reason" for "Antithrombotic Therapy"
- "Medication, Administered not done: Medical Reason" for "Antithrombotic Therapy"
- "Medication, Order not done: Patient Refusal" for "Antithrombotic Therapy"
- "Medication, Administered not done: Patient Refusal" for "Antithrombotic Therapy"
- <= 1 day(s) starts after start of Occurrence A of $EncounterInpatientNonElective
- AND NOT: "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatientNonElective
- Stratification =
- $InterventionComfortMeasures =
- Union of:
- "Intervention, Order: Comfort Measures"
- "Intervention, Performed: Comfort Measures"
- $EncounterInpatientNonElective =
- "Encounter, Performed: Non-Elective Inpatient Encounter" satisfies all:
- (length of stay <= 120 day(s))
- ends during "Measurement Period"
- "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: 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, 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, Order: Antithrombotic Therapy" using "Antithrombotic Therapy RXNORM Value Set (2.16.840.1.113883.3.117.1.7.1.201)"
- "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)"
- "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: "Principal diagnosis: Ischemic Stroke" using "Ischemic Stroke Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.247)"
- Attribute: "Principal diagnosis: Hemorrhagic Stroke" using "Hemorrhagic Stroke Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.212)"
- "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)"