Hello JIRA,

Patients who are on anticoagulants at home are not being captured due to the value set containing all RXNORM codes.  This means the anticoagulated has to be “administered” in the ED hospital encounter –

The spec’s read:

At the start of ED encounter:

• Bleeding or bleeding diathesis (excluding menses)
• Known malignant intracranial neoplasm (primary or metastatic)
• Known structural cerebral vascular lesion (e.g., AVM)
• Advanced dementia
• Pregnancy
• Active oral anticoagulant therapy

That does not happen in the ED. There are ICD 10 codes that reflect Long term use of anticoagulants that are not in the value set.

For example:     ICD10  Z79.01 Long term (current) use of anticoagulants

Please address this in future releases.

Thanks,

Kim