-
Initial Patient Population =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed:
Encounter Inpatient (admission datetime)"
- AND: "Diagnosis, Active: Hospital Measures - AMI (ordinality: 'Principal Diagnosis')" starts during "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 (discharge datetime)" during "Measurement Period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- AND:
- OR: "Intervention, Performed: Hospital Measures - Comfort Measure Only Intervention" starts during "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge status: 'Patient Expired')"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge status: 'Discharge To Another Hospital')"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge status: 'Home Hospice Care')"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge status: 'Inpatient Hospice Care')"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge status: 'Left Against Medical Advice')"
- OR:
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" 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: Encounter Inpatient"
-
Numerator =
- AND: "Medication, Discharge: Statins" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
-
Denominator Exceptions =
- AND:
- OR: "Laboratory Test, Result: LDL-c (result < 100 mg/dL)" <= 24 hour(s) starts after start of "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- OR: "Laboratory Test, Result: LDL-c (result < 100 mg/dL)" <= 30 day(s) starts before start of "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- OR: "Medication, Order not done: Medical Reasons AMI" for "Statins RxNorm Value Set" during "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- OR: "Medication, Order not done: Patient Reasons AMI" for "Statins RxNorm Value Set" during "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- OR: "Medication, Order not done: System Reasons AMI" for "Statins RxNorm Value Set" during "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- OR: "Medication, Discharge not done: Medical Reasons AMI" for "Statins RxNorm Value Set" during "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- OR: "Medication, Discharge not done: Patient Reasons AMI" for "Statins RxNorm Value Set" during "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- OR: "Medication, Discharge not done: System Reasons AMI" for "Statins RxNorm Value Set" during "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)"
-
"Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.3001)"
-
"Intervention, Performed: Hospital Measures - Comfort Measure Only Intervention" using "Hospital Measures - Comfort Measure Only Intervention SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.3002)"
-
"Laboratory Test, Result: LDL-c" using "LDL-c LOINC Value Set (2.16.840.1.113883.3.117.1.7.1.215)"
-
"Medication, Discharge not done: Medical Reasons AMI" using "Medical Reasons AMI SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.3003)"
-
"Medication, Discharge not done: Patient Reasons AMI" using "Patient Reasons AMI SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.3004)"
-
"Medication, Discharge not done: System Reasons AMI" using "System Reasons AMI SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.3005)"
-
"Medication, Discharge: Statins" using "Statins RxNorm Value Set (2.16.840.1.113883.3.117.1.7.1.824)"
-
"Medication, Order not done: Medical Reasons AMI" using "Medical Reasons AMI SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.3003)"
-
"Medication, Order not done: Patient Reasons AMI" using "Patient Reasons AMI SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.3004)"
-
"Medication, Order not done: System Reasons AMI" using "System Reasons AMI SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.3005)"
-
"Medication, Order: Statins" using "Statins RxNorm Value Set (2.16.840.1.113883.3.117.1.7.1.824)"
-
"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 SNOMED-CT Value Set (2.16.840.1.113883.3.526.2.643)"
-
Attribute: "Ordinality: Principal Diagnosis" using "Principal Diagnosis SNOMED-CT Value Set (2.16.840.1.113883.3.117.2.7.1.14)"
-
Attribute: "Discharge status: Patient Expired" using "Patient Expired Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.86)"
-
Attribute: "Discharge status: Discharge To Another Hospital" using "Discharge To Another Hospital SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.87)"
-
Attribute: "Discharge status: Home Hospice Care" using "Home Hospice Care SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.648)"
-
Attribute: "Discharge status: Inpatient Hospice Care" using "Inpatient Hospice Care SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.647)"
-
Attribute: "Discharge status: Left Against Medical Advice" using "Left Against Medical Advice SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.1106)"
-
"Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"
-
"Patient Characteristic Payer: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.114222.4.11.3591)"
-
"Patient Characteristic Race: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"
-
"Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex Administrative Sex Value Set (2.16.840.1.113762.1.4.1)"