-
Initial Patient Population =
- AND: "Diagnosis, Active: Hospital Measures - AMI (ordinality: 'Hospital Measures - Principal')" starts during "Occurrence
A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed:
Hospital Measures-Encounter Inpatient"
- AND: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter Inpatient (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter Inpatient (discharge datetime)" during "Measurement
Period"
-
Denominator =
- AND: "Initial Patient Population"
- AND:
- AND: FIRST:"Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG Impression" during
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter ED" <= 1 day(s) starts before start of "Occurrence
A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- AND:
- OR: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG Impression (result: 'Hospital Measures-Acute or Evolving
MI')"
- OR: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG Impression (result: 'Hospital Measures-LBBB')"
- AND:
- AND: FIRST:"Occurrence A of Medication, Administered: Hospital Measures-Fibrinolytic Therapy" during
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter ED" <= 1 day(s) starts before start of "Occurrence
A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- AND NOT:
- AND: "Occurrence A of Medication, Administered: Hospital Measures-Fibrinolytic Therapy" starts after start of "Occurrence
A of Procedure, Performed: Hospital Measures-PCI"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-PCI" during
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter ED" <= 1 day(s) starts before start of "Occurrence
A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- AND: "Occurrence A of Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 6 hour(s) starts after start of
FIRST :
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter ED" <= 1 day(s) starts before start of "Occurrence
A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
-
Denominator Exclusions =
- AND:
- OR:
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start
of "Occurrence A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during
"Occurrence A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- OR:
- 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: Hospital Measures-Encounter Inpatient"
-
Numerator =
- AND: "Occurrence A of Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 30 minute(s) starts after start
of FIRST :
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter ED" <= 1 day(s) starts before start of "Occurrence
A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
-
Denominator Exceptions =
- AND NOT: "Occurrence A of Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 30 minute(s) starts after
start of FIRST :
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter ED" <= 1 day(s) starts before start of "Occurrence
A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- AND:
- OR: "Medication, Administered not done: Medical Reason" for "Hospital Measures-Fibrinolytic Therapy RxNorm Value Set"
- OR: "Medication, Administered not done: Patient Reason" for "Hospital Measures-Fibrinolytic Therapy RxNorm Value Set"
- OR: "Procedure, Performed: Hospital Measures-Aortic balloon pump insertion"
- OR: "Procedure, Performed: Hospital Measures-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 FIRST:
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
- OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter ED" <= 1 day(s) starts before start of "Occurrence
A of Encounter, Performed: Hospital Measures-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, Result: Hospital Measures-ECG Impression" using "Hospital Measures-ECG Impression LOINC Value Set (2.16.840.1.113883.3.666.5.3018)"
-
"Encounter, Performed: Hospital Measures-Encounter ED" using "Hospital Measures-Encounter ED SNOMED-CT Value Set (2.16.840.1.113883.3.526.2.900)"
-
"Encounter, Performed: Hospital Measures-Encounter Inpatient" using "Hospital Measures-Encounter Inpatient SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.625)"
-
"Medication, Administered not done: Medical Reason" using "Medical Reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.2.313)"
-
"Medication, Administered not done: Patient Reason" using "Patient Reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.2.311)"
-
"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 SNOMED-CT Value Set (2.16.840.1.113883.3.526.2.643)"
-
"Procedure, Performed: Hospital Measures-Aortic balloon pump insertion" using "Hospital Measures-Aortic balloon pump insertion SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.1151)"
-
"Procedure, Performed: Hospital Measures-Endotrachael intubation" using "Hospital Measures-Endotrachael intubation SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.747)"
-
"Procedure, Performed: Hospital Measures-PCI" using "Hospital Measures-PCI SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.737)"
-
"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)"
-
"Transfer From: Hospital Measures-Acute care hospital" using "Hospital Measures-Acute care hospital SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.3013)"
-
"Transfer From: Hospital Measures-Ambulatory surgical center" using "Hospital Measures-Ambulatory surgical center SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.687)"
-
"Transfer From: Hospital Measures-ED Locations" using "Hospital Measures-ED Locations SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.3006)"
-
"Transfer From: Hospital Measures-Hospital outpatient department" using "Hospital Measures-Hospital outpatient department SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.950)"
-
Attribute: "Ordinality: Hospital Measures - Principal" using "Hospital Measures - Principal SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.3010)"
-
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: "Result: Hospital Measures-LBBB" using "Hospital Measures-LBBB Grouping Value Set (2.16.840.1.113883.3.666.5.3021)"
-
"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)"