Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (when indicated in ALL patients) (NQF 0239)
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Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Measurement period"
- AND: "Procedure, Performed: Surgical Procedures requiring Venous Thromboembolism Prophylaxis" during "Measurement period"
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Denominator =
- AND: "Initial Patient Population"
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Denominator Exclusions =
-
Numerator =
- AND:
- OR:
- OR: "Medication, Administered: Chemical Venous Thromboembolism Prophylaxis"
- OR: "Device, Applied: Mechanical Venous Thromboembolism Prophylaxis"
- <= 24 hour(s) starts before start of "Procedure, Performed: Surgical Procedures requiring Venous Thromboembolism Prophylaxis"
- OR:
- OR: "Medication, Administered: Chemical Venous Thromboembolism Prophylaxis"
- OR: "Device, Applied: Mechanical Venous Thromboembolism Prophylaxis"
- < 24 hour(s) starts after end of ("Procedure, Performed: Anesthesia administration" <= 2 hour(s) starts before or during
"Procedure, Performed: Surgical Procedures requiring Venous Thromboembolism Prophylaxis")
- during "Measurement period"
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Denominator Exceptions =
- AND:
- OR:
- OR: "Medication, Allergy: Chemical Venous Thromboembolism Prophylaxis"
- OR: "Medication, Adverse Effects: Chemical Venous Thromboembolism Prophylaxis"
- OR: "Medication, Intolerance: Chemical Venous Thromboembolism Prophylaxis"
- OR: "Device, Intolerance: Mechanical Venous Thromboembolism Prophylaxis"
- OR: "Device, Adverse Event: Mechanical Venous Thromboembolism Prophylaxis"
- starts before or during "Measurement period"
- OR:
- OR: "Medication, Administered not done: Medical reason" for "Chemical Venous Thromboembolism Prophylaxis RxNorm Value Set"
- OR: "Device, Applied not done: Medical reason" for "Mechanical Venous Thromboembolism Prophylaxis SNOMED-CT Value Set"
- during "Measurement period"
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"Device, Adverse Event: Mechanical Venous Thromboembolism Prophylaxis" using "Mechanical Venous Thromboembolism Prophylaxis SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.807)"
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"Device, Applied: Mechanical Venous Thromboembolism Prophylaxis" using "Mechanical Venous Thromboembolism Prophylaxis SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.807)"
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"Device, Applied not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
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"Device, Intolerance: Mechanical Venous Thromboembolism Prophylaxis" using "Mechanical Venous Thromboembolism Prophylaxis SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.807)"
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"Medication, Administered: Chemical Venous Thromboembolism Prophylaxis" using "Chemical Venous Thromboembolism Prophylaxis RxNorm Value Set (2.16.840.1.113883.3.526.02.806)"
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"Medication, Administered 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, Adverse Effects: Chemical Venous Thromboembolism Prophylaxis" using "Chemical Venous Thromboembolism Prophylaxis RxNorm Value Set (2.16.840.1.113883.3.526.02.806)"
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"Medication, Allergy: Chemical Venous Thromboembolism Prophylaxis" using "Chemical Venous Thromboembolism Prophylaxis RxNorm Value Set (2.16.840.1.113883.3.526.02.806)"
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"Medication, Intolerance: Chemical Venous Thromboembolism Prophylaxis" using "Chemical Venous Thromboembolism Prophylaxis RxNorm Value Set (2.16.840.1.113883.3.526.02.806)"
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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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"Procedure, Performed: Anesthesia administration" using "Anesthesia administration Value Set GROUPING (2.16.840.1.113883.3.526.03.855)"
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"Procedure, Performed: Surgical Procedures requiring Venous Thromboembolism Prophylaxis" using "Surgical Procedures requiring Venous Thromboembolism Prophylaxis Value Set GROUPING (2.16.840.1.113883.3.526.03.812)"
- "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)"