Hello JIRA,

At our health system, we transfer patients to a hospital that can preform the PCI procedure. If the patient received the fibrinolytic at the sending facility – It is not being captured at the receiving facility because there are only RXNORMs in the value set. This means the data element is captured when it is “administered”.  We would not give fibrolytic’s again at the receiving facility, Nor rush them to PCI procedure.

Can you please consider using ICD10 codes to help capture this workflow?

ICD10   Z92.82 Status post administration of TPA in a different facility within the last 24 hours prior to admission to current facility.

This should be added to the value set to help reflect care given to patients and improve outcomes on this measure.