Stroke and Stroke Rehabilitation: Anticoagulant Therapy Prescribed for Atrial Fibrillation at Discharge (NQF 0241)
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Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Measurement period"
- AND:
- OR: "Diagnosis, Active: Ischemic Stroke"
- OR: "Diagnosis, Active: Transient Ischemic Attack (TIA)"
- during
- OR: "Encounter: Encounter Inpatient Discharge"
- OR: "Encounter: Encounter Inpatient Consultation"
- during "Measurement period"
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Denominator =
- AND: "Initial Patient Population"
- AND:
- OR: "Diagnosis, Active: Atrial fibrillation - Permanent"
- OR: "Diagnosis, Active: Atrial fibrillation - Persistent"
- OR: "Diagnosis, Active: Atrial fibrillation - Paroxysmal"
- during "Measurement period"
-
Denominator Exclusions =
-
Numerator =
- AND:
- AND: "Medication, Active: Oral anti-coagulant (Health Record: 'Discharge Medications')"
- AND: "Medication, Order: Oral anti-coagulant (Health Record: 'Discharge Medications')"
- during
- OR: "Encounter: Encounter Inpatient Discharge"
- OR: "Encounter: Encounter Inpatient Consultation"
- during "Measurement period"
-
Denominator Exceptions =
- AND:
- OR:
- OR: "Medication, Intolerance: Oral anti-coagulant"
- OR: "Medication, Allergy: Oral anti-coagulant"
- OR: "Medication, Adverse Effects: Oral anti-coagulant"
- starts before or during "Measurement period"
- OR:
- OR: "Medication, Active not done: Medical reason" for "Oral anti-coagulant RxNorm Value Set"
- OR: "Medication, Active not done: Patient reason" for "Oral anti-coagulant RxNorm Value Set"
- OR: "Medication, Order not done: Medical reason" for "Oral anti-coagulant RxNorm Value Set"
- OR: "Medication, Order not done: Patient reason" for "Oral anti-coagulant RxNorm Value Set"
- during "Measurement period"
-
"Diagnosis, Active: Atrial fibrillation - Paroxysmal" using "Atrial fibrillation - Paroxysmal SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.732)"
-
"Diagnosis, Active: Atrial fibrillation - Permanent" using "Atrial fibrillation - Permanent SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.729)"
-
"Diagnosis, Active: Atrial fibrillation - Persistent" using "Atrial fibrillation - Persistent SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.731)"
-
"Diagnosis, Active: Ischemic Stroke" using "Ischemic Stroke Value Set GROUPING (2.16.840.1.113883.3.526.03.688)"
-
"Diagnosis, Active: Transient Ischemic Attack (TIA)" using "Transient Ischemic Attack (TIA) Value Set GROUPING (2.16.840.1.113883.3.526.03.691)"
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"Encounter: Encounter Inpatient Consultation" using "Encounter Inpatient Consultation CPT Value Set (2.16.840.1.113883.3.526.02.726)"
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"Encounter: Encounter Inpatient Discharge" using "Encounter Inpatient Discharge CPT Value Set (2.16.840.1.113883.3.526.02.27)"
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"Medication, Active: Oral anti-coagulant" using "Oral anti-coagulant RxNorm Value Set (2.16.840.1.113883.3.526.02.733)"
-
"Medication, Active not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
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"Medication, Active not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.311)"
-
"Medication, Adverse Effects: Oral anti-coagulant" using "Oral anti-coagulant RxNorm Value Set (2.16.840.1.113883.3.526.02.733)"
-
"Medication, Allergy: Oral anti-coagulant" using "Oral anti-coagulant RxNorm Value Set (2.16.840.1.113883.3.526.02.733)"
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"Medication, Intolerance: Oral anti-coagulant" using "Oral anti-coagulant RxNorm Value Set (2.16.840.1.113883.3.526.02.733)"
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"Medication, Order: Oral anti-coagulant" using "Oral anti-coagulant RxNorm Value Set (2.16.840.1.113883.3.526.02.733)"
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"Medication, Order not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
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"Medication, Order not done: Patient reason" using "Patient reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.311)"
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"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
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Attribute: "Health Record: Discharge Medications" using "Discharge Medications LOINC Value Set (2.16.840.1.113883.3.526.02.1075)"
- "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)"