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Age is 18 or older:
Age is greater than or equal to 18 years.
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Length of stay <= 120 days:
Duration of encounter (encounter end time - encounter start time) is lesss than or equal to 120 days.
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Anticoagulation therapy prescribed:
A request for administration of a substance, where substance code <= "Joint Commission Anticoagulant Medications Stroke Value Set".
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Anticoagulation therapy prescribed at discharge:
A component of the patient discharge is that anticoagulation therapy is prescribed.
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Inpatient encounter:
An encounter, where encounter type <= "Joint Commission Inpatient Encounter Value Set".
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Completed inpatient encounter:
An inpatient encounter that has ended (i.e. that has a non-null encounter end time).
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Completed inpatient encounter with principal discharge diagnosis of stroke:
A completed inpatient encounter, where principal diagnosis <= "Joint Commission Stroke Value Set".
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Completed inpatient encounter with principal discharge diagnosis of ischemic stroke:
A completed inpatient encounter, where principal diagnosis <= "Joint Commission Ischemic Stroke Value Set".
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Inpatient encounter with reason for admission is elective carotid intervention:
An elective inpatient encounter, where reason for admission <= "Joint Commission Carotid Intervention Procedure Value Set".
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Patient condition deceased:
Patient is dead.
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Patient is comfort care only status:
Patient has a resuscitation status of <= "Joint Commission Comfort Measures Only Value Set".
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Patient is in a clinical trial:
Patient has signed a consent to participate in a stroke-related clinical trial.
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Problem list entry of atrial fibrillation / atrial flutter:
Patient's problem list includes an entry <= "Joint Commission Atrial Fibrillation / Flutter History and Finding Value Set".
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There is a reason for anticoagulation therapy not prescribed at discharge:
A component of the patient discharge does not include anticoagulation therapy prescribed, and a reason is provided. (This can be any reason, so long as a reason is provided).
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Patient discharge disposition is to another hospital, federal health care facility, or hospice; expired; or left against medical advice:
Patient's discharge disposition is <= "Joint Commission Discharge Disposition Stroke-3 Exclusion Value Set".
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Initial Patient Population =
AND: Inpatient encounter where
- AND: Completed inpatient encounter with principal discharge diagnosis of stroke;
- AND: Age is 18 or older at admission;
- AND: Length of Stay <= 120 days.
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Denominator =
AND: Inpatient encounter where
- AND: Meets Initial Patient Population criteria;
- AND: Completed inpatient encounter with principal discharge diagnosis of ischemic stroke;
- AND NOT: Patient is comfort care only status;
- AND NOT: Patient is in a clinical trial;
- AND NOT: Inpatient encounter with reason for admission is elective carotid intervention;
- AND NOT: There is a reason for anticoagulation therapy not prescribed at discharge;
- AND NOT: Patient discharge disposition is to another hospital, federal health care facility, or hospice; expired; or left against medical advice;
- AND NOT: Patient condition deceased;
AND: Problem list entry of atrial fibrillation / atrial flutter.
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Numerator =
AND: Inpatient encounter where
- AND: Meets Denominator encounter criteria;
- AND: Anticoagulation therapy prescribed at discharge;
AND: Problem list entry of atrial fibrillation / atrial flutter.