Fibrinolytic Therapy Received Within 30 Minutes of Hospital Arrival (NQF 0164)
-
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"
- AND:
- OR: "Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-ST-segment elevation', source: 'Hospital
Measures-Physician')" during "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient"
- OR:
- AND: "Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-LBBB')" starts after start of "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient"
- AND NOT: "Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-LBBB')" <= 1 hour(s) starts before
start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient"
- OR: "Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-Acute or evolving MI')" during "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient"
- AND:
- OR: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 6 hour(s) starts after start of ("Occurrence A
of Encounter: Hospital Measures - Encounter ED (facility location departure datetime)" starts before start of "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-ICU locations')")
- OR: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 6 hour(s) starts after start of ("Occurrence A
of Encounter: Hospital Measures - Encounter ED (facility location departure datetime)" starts before start of "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-non-ICU locations')")
- OR:
- AND: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 6 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" 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
locations')" 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-Fibrinolytic Therapy" <= 6 hour(s) starts after start of ("Occurrence A
of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-non-ICU locations')"
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" starts before start of "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-non-ICU locations')"
- OR:
- AND: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 6 hour(s) starts after start of ("Occurrence A
of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-ICU locations')"
starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-non-ICU
locations')")
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED" starts before start of "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-ICU locations')"
- OR:
- AND: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 6 hour(s) starts after start of "Occurrence A
of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-non-ICU locations')"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED" 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')"
starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime:
'Hospital Measures-non-ICU locations')"
- AND NOT: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" during ("Procedure, Performed: Hospital Measures-PCI"
during "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient")
- AND NOT: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" starts after start of ("Procedure, Performed:
Hospital Measures-PCI" during "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient")
-
Denominator Exclusions =
- AND:
- OR: "Patient Characteristic: Clinical trial participant" during "Occurrence A of Encounter: Hospital Measures - Encounter
Inpatient"
- OR: "Transfer From: Hospital Measures-Acute care hospital" < 1 day(s) starts before start of "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient"
- OR: "Transfer From: Hospital Measures-Ambulatory surgical center" < 1 day(s) starts before start of "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient"
- OR: "Transfer From: Hospital Measures-ED locations" < 1 day(s) starts before start of "Occurrence A of Encounter: Hospital
Measures - Encounter Inpatient"
- OR: "Transfer From: Hospital Measures-Hospital outpatient department" < 1 day(s) starts before start of "Occurrence A of
Encounter: Hospital Measures - Encounter Inpatient"
- OR:
- OR: "Medication, Administered not done: Medical reason" for "Hospital Measures-Fibrinolytic Therapy RxNorm Value Set" <=
30 minute(s) starts after start of ("Occurrence A of Encounter: Hospital Measures - Encounter ED (facility location departure
datetime)" starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location:
'Hospital Measures-ICU locations')")
- OR: "Medication, Administered not done: Medical reason" for "Hospital Measures-Fibrinolytic Therapy RxNorm Value Set" <=
30 minute(s) starts after start of ("Occurrence A of Encounter: Hospital Measures - Encounter ED (facility location departure
datetime)" starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location:
'Hospital Measures-non-ICU locations')")
- OR:
- AND: "Medication, Administered not done: Medical reason" for "Hospital Measures-Fibrinolytic Therapy RxNorm Value Set" <=
30 minute(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" 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
locations')" starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location
arrival datetime: 'Hospital Measures-ICU locations')"
- OR:
- AND: "Medication, Administered not done: Medical reason" for "Hospital Measures-Fibrinolytic Therapy RxNorm Value Set" <=
30 minute(s) starts after start of ("Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location
arrival datetime: 'Hospital Measures-non-ICU locations')" 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" starts before start of "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-non-ICU locations')"
- OR:
- AND: "Medication, Administered not done: Medical reason" for "Hospital Measures-Fibrinolytic Therapy RxNorm Value Set" <=
30 minute(s) starts after start of ("Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location
arrival datetime: 'Hospital Measures-ICU locations')" starts before start of "Occurrence A of Encounter: Hospital Measures
- Encounter Inpatient (facility location: 'Hospital Measures-non-ICU locations')")
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED (facility location departure datetime)" starts before
start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-ICU locations')"
- OR:
- AND: "Medication, Administered not done: Medical reason" for "Hospital Measures-Fibrinolytic Therapy RxNorm Value Set" <=
30 minute(s) starts after start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location
arrival datetime: 'Hospital Measures-non-ICU locations')"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED" 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')"
starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime:
'Hospital Measures-non-ICU locations')"
- OR:
- OR: "Procedure, Performed: Hospital Measures-Aortic balloon pump insertion" starts before start of ("Medication, Administered:
Hospital Measures-Fibrinolytic Therapy" <= 30 minute(s) starts after start of "Occurrence A of Encounter: Hospital Measures
- Encounter ED")
- OR: "Procedure, Performed: Hospital Measures-Endotrachael intubation" starts before start of ("Medication, Administered: Hospital
Measures-Fibrinolytic Therapy" <= 30 minute(s) starts after start of "Occurrence A of Encounter: Hospital Measures - Encounter
ED")
- OR: "Diagnosis, Active: Hospital Measures-Cardiopulmonary arrest" starts before start of ("Medication, Administered: Hospital
Measures-Fibrinolytic Therapy" <= 30 minute(s) starts after start of "Occurrence A of Encounter: Hospital Measures - Encounter
ED")
- OR: "Medication, Administered not done: Patient reason" for "Hospital Measures-Fibrinolytic Therapy RxNorm Value Set"
- OR: "Medication, Administered not done: Medical reason" for "Hospital Measures-Fibrinolytic Therapy RxNorm Value Set"
-
Numerator =
- AND:
- OR: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 30 minute(s) starts after start of ("Occurrence
A of Encounter: Hospital Measures - Encounter ED (facility location departure datetime)" starts before start of "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-ICU locations')")
- OR: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 30 minute(s) starts after start of ("Occurrence
A of Encounter: Hospital Measures - Encounter ED (facility location departure datetime)" starts before start of "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-non-ICU locations')")
- OR:
- AND: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 30 minute(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" 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
locations')" 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-Fibrinolytic Therapy" <= 30 minute(s) starts after start of ("Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-non-ICU locations')"
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" starts before start of "Occurrence A of Encounter:
Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-non-ICU locations')"
- OR:
- AND: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 30 minute(s) starts after start of ("Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-ICU locations')"
starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-non-ICU
locations')")
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED (facility location departure datetime)" starts before
start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location: 'Hospital Measures-ICU locations')"
- OR:
- AND: "Medication, Administered: Hospital Measures-Fibrinolytic Therapy" <= 30 minute(s) starts after start of "Occurrence
A of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime: 'Hospital Measures-non-ICU locations')"
- AND NOT: "Occurrence A of Encounter: Hospital Measures - Encounter ED" 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')"
starts before start of "Occurrence A of Encounter: Hospital Measures - Encounter Inpatient (facility location arrival datetime:
'Hospital Measures-non-ICU locations')"
-
Denominator Exceptions =
-
"Diagnosis, Active: Hospital Measures-AMI" using "Hospital Measures-AMI Value Set GROUPING (2.16.840.1.113883.3.666.05.624)"
-
"Diagnosis, Active: Hospital Measures-Cardiopulmonary arrest" using "Hospital Measures-Cardiopulmonary arrest Value Set GROUPING (2.16.840.1.113883.3.666.05.748)"
-
"Diagnostic Study, Result: Hospital Measures-ECG" using "Hospital Measures-ECG Value Set GROUPING (2.16.840.1.113883.3.666.05.735)"
-
"Encounter: Hospital Measures-Encounter ED" using "Hospital Measures-Encounter ED SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.900)"
-
"Encounter: Hospital Measures-Encounter Inpatient" using "Hospital Measures-Encounter Inpatient SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.625)"
-
"Medication, Administered: Hospital Measures-Fibrinolytic Therapy" using "Hospital Measures-Fibrinolytic Therapy RxNorm Value Set (2.16.840.1.113883.3.666.05.736)"
-
"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)"
-
"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)"
-
"Procedure, Performed: Hospital Measures-Aortic balloon pump insertion" using "Hospital Measures-Aortic balloon pump insertion SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.1151)"
-
"Procedure, Performed: Hospital Measures-Endotrachael intubation" using "Hospital Measures-Endotrachael intubation SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.747)"
-
"Procedure, Performed: Hospital Measures-PCI" using "Hospital Measures-PCI SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.737)"
-
"Transfer From: Hospital Measures-Acute care hospital" using "Hospital Measures-Acute care hospital SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.684)"
-
"Transfer From: Hospital Measures-Ambulatory surgical center" using "Hospital Measures-Ambulatory surgical center SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.687)"
-
"Transfer From: Hospital Measures-ED locations" using "Hospital Measures-ED locations SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.627)"
-
"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: "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 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: Hospital Measures-non-ICU locations" using "Hospital Measures-non-ICU locations HL7 Value Set (2.16.840.1.113883.3.666.05.1084)"
-
Attribute: "Facility location arrival datetime: Hospital Measures-non-ICU locations" using "Hospital Measures-non-ICU locations HL7 Value Set (2.16.840.1.113883.3.666.05.1084)"
-
Attribute: "Ordinality: Hospital Measures-Principal" using "Hospital Measures-Principal 2.16.840.1.113883.3.666.05.1068 Value Set (2.16.840.1.113883.3.526.02.8001)"
-
Attribute: "Result: Hospital Measures-ST-segment elevation" using "Hospital Measures-ST-segment elevation ICD-10-CM Value Set (2.16.840.1.113883.3.666.05.1096)"
-
Attribute: "Result: Hospital Measures-LBBB" using "Hospital Measures-LBBB Value Set GROUPING (1.3.6.1.4.1.33895.1.3.0.8505)"
-
Attribute: "Result: Hospital Measures-Acute or evolving MI" using "Hospital Measures-Acute or evolving MI SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.1098)"
-
Attribute: "Source: Hospital Measures-Physician" using "Hospital Measures-Physician SNOMED-CT Value Set (2.16.840.1.113883.3.666.05.1099)"
- "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)"