- Initial Population =
- AND: Age >= 18 year(s) at: Occurrence A of $EncounterInpatient
- AND: Union of:
- "Diagnosis, Active: Acute Myocardial Infarction (AMI) (ordinality: Principal)" starts during Occurrence A of $EncounterInpatient
- "Diagnosis, Active: Acute Myocardial Infarction (AMI) (ordinality: Principal)" starts during ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- Denominator =
- Denominator Exclusions =
- OR: Intersection of:
- Occurrence A of $EncounterInpatient
- "Encounter, Performed: Encounter Inpatient" satisfies any
- (discharge status: Discharge To Acute Care Facility)
- (discharge status: Left Against Medical Advice)
- (discharge status: Patient Expired)
- (discharge status: Discharged to Home for Hospice Care)
- (discharge status: Discharged to Health Care Facility for Hospice Care)
- OR: $InterventionComfortMeasures starts during ("Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient )
- OR: $InterventionComfortMeasures starts during Occurrence A of $EncounterInpatient
- Numerator =
- AND: "Medication, Discharge: Aspirin" starts during Occurrence A of $EncounterInpatient
- Numerator Exclusions =
- Denominator Exceptions =
- OR:
- AND: "Medication, Administered not done: Medication Hold" for "Aspirin" starts during Occurrence A of $EncounterInpatient
- AND NOT: "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
- OR: "Encounter, Performed: Emergency Department Visit" satisfies all
- <= 1 hour(s) ends before start of Occurrence A of $EncounterInpatient
- starts before start of ("Medication, Administered not done: Medication Hold" for "Aspirin" starts before end of Occurrence A of $EncounterInpatient )
- OR: Union of:
- "Medication, Order not done: Medical Reason" for "Aspirin ingredient specific"
- "Medication, Order not done: Patient Refusal" for "Aspirin ingredient specific"
- "Medication, Discharge not done: Medical Reason" for "Aspirin ingredient specific"
- "Medication, Discharge not done: Patient Refusal" for "Aspirin ingredient specific"
- "Medication, Discharge: Warfarin"
- "Medication, Discharge: Other Anticoagulants for Acute Myocardial Infarction (AMI)"
- starts during Occurrence A of $EncounterInpatient
- OR: "Medication, Allergy: Aspirin Allergen" starts before end of Occurrence A of $EncounterInpatient
- Stratification =
- $EncounterInpatient =
- "Encounter, Performed: Encounter Inpatient" satisfies all
- (length of stay <= 120 day(s))
- ends during "Measurement Period"
- $InterventionComfortMeasures =
- Union of:
- "Intervention, Order: Comfort Measures"
- "Intervention, Performed: Comfort Measures"
- "Diagnosis, Active: Acute Myocardial Infarction (AMI)" using "Acute Myocardial Infarction (AMI) Grouping Value Set (2.16.840.1.113883.3.666.5.3011)"
- "Encounter, Performed: Emergency Department Visit" using "Emergency Department Visit SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.292)"
- "Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.307)"
- "Intervention, Order: Comfort Measures " using "Comfort Measures SNOMEDCT Value Set (1.3.6.1.4.1.33895.1.3.0.45)"
- "Intervention, Performed: Comfort Measures " using "Comfort Measures SNOMEDCT Value Set (1.3.6.1.4.1.33895.1.3.0.45)"
- "Medication, Administered: Aspirin" using "Aspirin RXNORM Value Set (2.16.840.1.113883.3.666.5.626)"
- "Medication, Administered not done: Medication Hold" using "Medication Hold SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.1145)"
- "Medication, Allergy: Aspirin Allergen" using "Aspirin Allergen RXNORM Value Set (2.16.840.1.113883.3.117.1.7.1.139)"
- "Medication, Discharge: Aspirin" using "Aspirin RXNORM Value Set (2.16.840.1.113883.3.666.5.626)"
- "Medication, Discharge: Aspirin ingredient specific" using "Aspirin ingredient specific RXNORM Value Set (2.16.840.1.113762.1.4.1021.3)"
- "Medication, Discharge: Other Anticoagulants for Acute Myocardial Infarction (AMI)" using "Other Anticoagulants for Acute Myocardial Infarction (AMI) RXNORM Value Set (2.16.840.1.113762.1.4.1045.31)"
- "Medication, Discharge: Warfarin" using "Warfarin RXNORM Value Set (2.16.840.1.113883.3.117.1.7.1.232)"
- "Medication, Discharge not done: Medical Reason" using "Medical Reason SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.473)"
- "Medication, Discharge not done: Patient Refusal" using "Patient Refusal SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.93)"
- "Medication, Order: Aspirin ingredient specific" using "Aspirin ingredient specific RXNORM Value Set (2.16.840.1.113762.1.4.1021.3)"
- "Medication, Order not done: Medical Reason" using "Medical Reason SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.473)"
- "Medication, Order not done: Patient Refusal" using "Patient Refusal SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.93)"
- Attribute: "Discharge status: Left Against Medical Advice" using "Left Against Medical Advice SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.308)"
- Attribute: "Discharge status: Patient Expired" using "Patient Expired SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.309)"
- Attribute: "Discharge status: Discharge To Acute Care Facility" using "Discharge To Acute Care Facility SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.87)"
- Attribute: "Discharge status: Discharged to Home for Hospice Care" using "Discharged to Home for Hospice Care SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.209)"
- Attribute: "Discharge status: Discharged to Health Care Facility for Hospice Care" using "Discharged to Health Care Facility for Hospice Care SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.207)"
- Attribute: "Ordinality: Principal" using "Principal SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.14)"
- "Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDCREC Value Set (2.16.840.1.114222.4.11.837)"
- "Patient Characteristic Payer: Payer" using "Payer SOP Value Set (2.16.840.1.114222.4.11.3591)"
- "Patient Characteristic Race: Race" using "Race CDCREC Value Set (2.16.840.1.114222.4.11.836)"
- "Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex AdministrativeGender Value Set (2.16.840.1.113762.1.4.1)"