Stroke and Stroke Rehabilitation: Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) Reports (NQF 0246)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Measurement period"
- AND:
- OR:
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report', result: 'Ischemic Stroke')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report', result: 'Transient Ischemic Attack (TIA)')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report', result: 'Non-Traumatic Intracranial Hemorrhage')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report', result: 'Diagnoses consistent with TIA, Stroke,
Intracranial Hemorrhage')"
- <= 24 hour(s) starts after start of "Encounter: Encounter Emergency Department and Critical Care (facility location arrival
datetime: 'Hospital Measures-Emergency Department and Critical Care')"
- OR:
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report', result: 'Ischemic Stroke')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report', result: 'Transient Ischemic Attack (TIA)')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report', result: 'Non-Traumatic Intracranial Hemorrhage')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report', result: 'Diagnoses consistent with TIA, Stroke,
Intracranial Hemorrhage')"
- <= 24 hour(s) starts after start of "Encounter: Encounter Initial Hospital Care (facility location arrival datetime: 'Hospital
Measures-non-ICU Inpatient locations')"
- OR:
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report', result: 'Ischemic Stroke', facility location:
'Hospital Measures-Outpatient Imaging Center')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report', result: 'Transient Ischemic Attack (TIA)', facility
location: 'Hospital Measures-Outpatient Imaging Center')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report', result: 'Non-Traumatic Intracranial Hemorrhage',
facility location: 'Hospital Measures-Outpatient Imaging Center')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report', result: 'Diagnoses consistent with TIA, Stroke,
Intracranial Hemorrhage', facility location: 'Hospital Measures-Outpatient Imaging Center')"
- during "Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
-
Numerator =
- AND:
- OR:
- AND:
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report')" <= 24 hour(s) starts after start of "Encounter:
Encounter Emergency Department and Critical Care (facility location arrival datetime: 'Hospital Measures-ED locations')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report')" <= 24 hour(s) starts after start of "Encounter:
Encounter Emergency Department and Critical Care (facility location arrival datetime: 'Hospital Measures-ICU locations')"
- AND:
- AND:
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Cranial Hemorrhage')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Cranial Hemorrhage' (qualifier: 'absent'))"
- AND:
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Mass Lesion')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Mass Lesion' (qualifier: 'absent'))"
- AND:
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Acute Infarction')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Acute Infarction' (qualifier: 'absent'))"
- OR:
- AND: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report')" <= 24 hour(s) starts after start of "Encounter:
Encounter Initial Hospital Care (facility location arrival datetime: 'Hospital Measures-ED locations')"
- AND:
- AND:
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Cranial Hemorrhage')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Cranial Hemorrhage' (qualifier: 'absent'))"
- AND:
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Mass Lesion')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Mass Lesion' (qualifier: 'absent'))"
- AND:
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Acute Infarction')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Acute Infarction' (qualifier: 'absent'))"
- OR:
- AND:
- AND:
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Cranial Hemorrhage')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Cranial Hemorrhage' (qualifier: 'absent'))"
- AND:
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Mass Lesion')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Mass Lesion' (qualifier: 'absent'))"
- AND:
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Acute Infarction')"
- OR: "Diagnostic Study, Result: CT and MRI of Brain (result: 'Acute Infarction' (qualifier: 'absent'))"
- AND: "Diagnostic Study, Result: CT and MRI of Brain (status: 'Final Report')"
- AND NOT:
- OR: "Encounter: Encounter Emergency Department and Critical Care"
- OR: "Encounter: Encounter Initial Hospital Care"
-
Denominator Exceptions =
-
"Diagnostic Study, Result: CT and MRI of Brain" using "CT and MRI of Brain Value Set GROUPING (2.16.840.1.113883.3.526.03.798)"
-
"Encounter: Encounter Emergency Department and Critical Care" using "Encounter Emergency Department and Critical Care CPT Value Set (2.16.840.1.113883.3.526.02.795)"
-
"Encounter: Encounter Initial Hospital Care" using "Encounter Initial Hospital Care CPT Value Set (2.16.840.1.113883.3.526.02.799)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
Attribute: "Result: Acute Infarction" using "Acute Infarction SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.715)"
-
Attribute: "Result: Cranial Hemorrhage" using "Cranial Hemorrhage SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.804)"
-
Attribute: "Result: Mass Lesion" using "Mass Lesion SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.711)"
-
Attribute: "Result: Ischemic Stroke" using "Ischemic Stroke Value Set GROUPING (2.16.840.1.113883.3.526.03.688)"
-
Attribute: "Result: Transient Ischemic Attack (TIA)" using "Transient Ischemic Attack (TIA) Value Set GROUPING (2.16.840.1.113883.3.526.03.691)"
-
Attribute: "Result: Non-Traumatic Intracranial Hemorrhage" using "Non-Traumatic Intracranial Hemorrhage Value Set GROUPING (2.16.840.1.113883.3.526.03.803)"
-
Attribute: "Result: Diagnoses consistent with TIA, Stroke, Intracranial Hemorrhage" using "Diagnoses consistent with TIA, Stroke, Intracranial Hemorrhage Value Set GROUPING (2.16.840.1.113883.3.526.03.769)"
-
Attribute: "Status: Final Report" using "Final Report SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.796)"
-
Attribute: "Facility location: Hospital Measures-Outpatient Imaging Center" using "Hospital Measures-Outpatient Imaging Center SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1143)"
-
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: "Facility location: Hospital Measures-Hospital" using "Hospital Measures-Hospital NEED TAXONOMY Value Set (2.16.840.1.113883.3.526.02.1141)"
-
Attribute: "Facility location arrival datetime: Hospital Measures-Emergency Department and Critical Care" using "Hospital Measures-Emergency Department and Critical Care SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.1142)"
-
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)"
-
Attribute: "Qualifier: Absent" using "Absent SNOMED-CT Value Set (2.16.840.1.113883.3.67.1.101.1.9075)"
- "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)"