Aspirin at Arrival (NQF 0132)
-
Initial Patient Population =
- AND: "Diagnosis, Active: Hospital Measures-AMI (ordinality: 'Hospital Measures-Principal')"
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter: Hospital Measures
- Encounter Inpatient"
- AND: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (discharge datetime)" during "Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
- AND:
- OR: "Patient Characteristic: Clinical trial participant" during "Occurrence A of Encounter: Hospital Measures - Encounter
Inpatient"
- OR: "Intervention, Order: Hospital Measures-Comfort measure only intervention" <= 1 day(s) starts after start of "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient"
- OR: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (discharge datetime)" <= 24 hour(s) starts after
start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital
Measures-ED locations')"
- OR:
- AND: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (discharge datetime)" <= 24 hour(s) starts after
start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (admission datetime)"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (admission datetime)" <= 2 hour(s) starts after
start of "Occurrence A of Encounter: Hospital Measures - Encounter ED (discharge datetime)"
- OR: "Transfer To: Hospital Measures-Acute care hospital" <= 1 day(s) starts after end of "Occurrence A of Encounter: Hospital
Measures - Encounter Inpatient (discharge datetime)"
- OR: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (discharge status: 'Hospital Measures-Left against
medical advice')" <= 2 day(s) starts after start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility
location arrival datetime: 'Hospital Measures-ED locations')"
- OR:
- AND: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (discharge status: 'Hospital Measures-Left against
medical advice')" <= 2 day(s) starts after start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (admission
datetime)"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (admission datetime)" <= 2 hour(s) starts after
start of "Occurrence A of Encounter: Hospital Measures - Encounter ED (discharge datetime)"
- OR: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (discharge status: 'Hospital Measures-Expired')"
<= 2 day(s) starts after start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (admission datetime)"
- OR:
- AND: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (discharge status: 'Hospital Measures-Expired')"
<= 2 day(s) starts after start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (admission datetime)"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (admission datetime)" <= 2 hour(s) starts after
start of "Occurrence A of Encounter: Hospital Measures - Encounter ED (discharge datetime)"
- OR: "Medication, Administered not done: Medical reason" for "Hospital Measures-Aspirin RxNorm Value Set" during "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient"
- OR: "Medication, Administered not done: Patient reason" for "Hospital Measures-Aspirin RxNorm Value Set" during "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient"
- OR: "Medication, Allergy: Hospital Measures-Aspirin" starts before or during "Occurrence A of Encounter: Hospital Measures
- Encounter Inpatient"
- OR: "Medication, Intolerance: Hospital Measures-Aspirin" starts before or during "Occurrence A of Encounter: Hospital Measures
- Encounter Inpatient"
- OR: "Medication, Adverse Effects: Hospital Measures-Aspirin" starts before or during "Occurrence A of Encounter: Hospital
Measures - Encounter Inpatient"
- OR: "Medication, Active: Hospital Measures-Warfarin anticoagulants" <= 7 day(s) starts before start of "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (admission datetime)"
- OR: "Medication, Administered: Hospital Measures-Warfarin anticoagulants" <= 7 day(s) starts before start of "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient (admission datetime)"
- OR: "Medication, Active: Hospital Measures-dabigatran etexilate" <= 7 day(s) starts before start of "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (admission datetime)"
- OR: "Medication, Administered: Hospital Measures-dabigatran etexilate" <= 7 day(s) starts before start of "Occurrence A of
Encounter: Hospital Measures - Encounter Inpatient (admission datetime)"
-
Numerator =
- AND:
- OR: "Medication, Administered: Hospital Measures-Aspirin" <= 24 hour(s) starts after start of ("Occurrence A of Encounter:
Hospital Measures - Encounter ED (facility location arrival datetime: 'Hospital Measures-ED locations')" < 24 hour(s) starts
before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-ICU
locations')")
- OR: "Medication, Administered: Hospital Measures-Aspirin" <= 24 hour(s) starts after start of ("Occurrence A of Encounter:
Hospital Measures - Encounter ED (facility location arrival datetime: 'Hospital Measures-ED locations')" < 24 hour(s) starts
before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-Non-ICU
Inpatient locations')")
- OR:
- AND: "Medication, Administered: Hospital Measures-Aspirin" <= 24 hour(s) starts after start of "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-ICU locations')"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED" <= 24 hour(s) starts before start of "Occurrence A
of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-ICU locations')"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-Non-ICU
Inpatient locations')" <= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient
(facility location arrival datetime: 'Hospital Measures-ICU locations')"
- OR:
- AND: "Medication, Administered: Hospital Measures-Aspirin" <= 24 hour(s) starts after start of ("Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-Non-ICU Inpatient locations')"
<= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location:
'Hospital Measures-ICU locations')")
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED" <= 24 hour(s) starts before start of "Occurrence A
of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-Non-ICU Inpatient locations')"
- OR:
- AND: "Medication, Administered: Hospital Measures-Aspirin" <= 24 hour(s) starts after start of ("Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-ICU locations')" <= 24 hour(s)
starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-Non-ICU
Inpatient locations')")
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED" <= 24 hour(s) starts before start of "Occurrence A
of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-ICU locations')"
- OR:
- AND: "Medication, Administered: Hospital Measures-Aspirin" <= 24 hour(s) starts after start of "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-Non-ICU Inpatient locations')"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED" <= 24 hour(s) starts before start of "Occurrence A
of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-ICU locations')"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-ICU locations')"
<= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location
arrival datetime: 'Hospital Measures-Non-ICU Inpatient locations')"
- OR: "Medication, Administered: Hospital Measures-Aspirin" <= 24 hour(s) starts before start of ("Occurrence A of Encounter:
Hospital Measures - Encounter ED (facility location arrival datetime: 'Hospital Measures-ED locations')" < 24 hour(s) starts
before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-ICU
locations')")
- OR: "Medication, Administered: Hospital Measures-Aspirin" <= 24 hour(s) starts before start of ("Occurrence A of Encounter:
Hospital Measures - Encounter ED (facility location arrival datetime: 'Hospital Measures-ED locations')" < 24 hour(s) starts
before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-Non-ICU
Inpatient locations')")
- OR:
- AND: "Medication, Administered: Hospital Measures-Aspirin" <= 24 hour(s) starts before start of "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-ICU locations')"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED" <= 24 hour(s) starts before start of "Occurrence A
of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-ICU locations')"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-Non-ICU
Inpatient locations')" <= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient
(facility location arrival datetime: 'Hospital Measures-ICU locations')"
- OR:
- AND: "Medication, Administered: Hospital Measures-Aspirin" <= 24 hour(s) starts before start of ("Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-Non-ICU Inpatient locations')"
<= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location:
'Hospital Measures-ICU locations')")
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED" <= 24 hour(s) starts before start of "Occurrence A
of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-Non-ICU Inpatient locations')"
- OR:
- AND: "Medication, Administered: Hospital Measures-Aspirin" <= 24 hour(s) starts before start of ("Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-ICU locations')" <= 24 hour(s)
starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-Non-ICU
Inpatient locations')")
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED" <= 24 hour(s) starts before start of "Occurrence A
of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-ICU locations')"
- OR:
- AND: "Medication, Administered: Hospital Measures-Aspirin" <= 24 hour(s) starts before start of "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-Non-ICU Inpatient locations')"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED" <= 24 hour(s) starts before start of "Occurrence A
of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-ICU locations')"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-ICU locations')"
<= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location
arrival datetime: 'Hospital Measures-Non-ICU Inpatient locations')"
-
Denominator Exceptions =
-
"Diagnosis, Active: Hospital Measures-AMI" using "Hospital Measures-AMI Value Set GROUPING (2.16.840.1.113883.3.666.05.624)"
-
"Encounter: Hospital Measures-Encounter ED" using "Hospital Measures-Encounter ED SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.627)"
-
"Encounter: Hospital Measures-Encounter Inpatient" using "Hospital Measures-Encounter Inpatient SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.625)"
-
"Intervention, Order: Hospital Measures-Comfort measure only intervention" using "Hospital Measures-Comfort measure only intervention SNOMED-CT Value Set (1.3.6.1.4.1.33895.1.3.0.45)"
-
"Medication, Active: Hospital Measures-dabigatran etexilate" using "Hospital Measures-dabigatran etexilate RxNorm Value Set (2.16.840.1.113883.3.67.1.101.1.952)"
-
"Medication, Active: Hospital Measures-Warfarin anticoagulants" using "Hospital Measures-Warfarin anticoagulants RxNorm Value Set (2.16.840.1.113883.3.666.05.636)"
-
"Medication, Administered: Hospital Measures-Aspirin" using "Hospital Measures-Aspirin RxNorm Value Set (2.16.840.1.113883.3.666.05.626)"
-
"Medication, Administered: Hospital Measures-dabigatran etexilate" using "Hospital Measures-dabigatran etexilate RxNorm Value Set (2.16.840.1.113883.3.67.1.101.1.952)"
-
"Medication, Administered: Hospital Measures-Warfarin anticoagulants" using "Hospital Measures-Warfarin anticoagulants RxNorm Value Set (2.16.840.1.113883.3.666.05.636)"
-
"Medication, Administered not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
-
"Medication, Administered not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.311)"
-
"Medication, Adverse Effects: Hospital Measures-Aspirin" using "Hospital Measures-Aspirin RxNorm Value Set (2.16.840.1.113883.3.666.05.626)"
-
"Medication, Allergy: Hospital Measures-Aspirin" using "Hospital Measures-Aspirin RxNorm Value Set (2.16.840.1.113883.3.666.05.626)"
-
"Medication, Intolerance: Hospital Measures-Aspirin" using "Hospital Measures-Aspirin RxNorm Value Set (2.16.840.1.113883.3.666.05.626)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Patient Characteristic: Clinical trial participant" using "Clinical trial participant SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.643)"
-
"Transfer To: Hospital Measures-Acute care hospital" using "Hospital Measures-Acute care hospital SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.684)"
-
Attribute: "Discharge status: Hospital Measures-Left against medical advice" using "Hospital Measures-Left against medical advice SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.1106)"
-
Attribute: "Discharge status: Hospital Measures-Expired" using "Hospital Measures-Expired Value Set GROUPING (2.16.840.1.113883.3.666.05.1146)"
-
Attribute: "Facility location: Hospital Measures-ICU locations" using "Hospital Measures-ICU locations HL7 Value Set (2.16.840.1.113883.3.666.05.1083)"
-
Attribute: "Facility location: Hospital Measures-Non-ICU Inpatient locations" using "Hospital Measures-Non-ICU Inpatient locations HL7 Value Set (2.16.840.1.113883.3.666.05.1084)"
-
Attribute: "Facility location arrival datetime: Hospital Measures-ICU locations" using "Hospital Measures-ICU locations HL7 Value Set (2.16.840.1.113883.3.666.05.1083)"
-
Attribute: "Facility location arrival datetime: Hospital Measures-Non-ICU Inpatient locations" using "Hospital Measures-Non-ICU Inpatient locations HL7 Value Set (2.16.840.1.113883.3.666.05.1084)"
-
Attribute: "Ordinality: Hospital Measures-Principal" using "Hospital Measures-Principal SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.8001)"
-
Attribute: "Facility location arrival datetime: Hospital Measures-ED locations" using "Hospital Measures-ED locations SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.627)"
- "Patient Characteristic: Gender" using "Gender HL7 Value Set (2.16.840.1.113883.1.11.1)"
- "Patient Characteristic: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"
- "Patient Characteristic: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"
- "Patient Characteristic: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.113883.3.221.5)"