Our current mapping is capturing all STEMI dx in the value set even if it is a 'working' dx or suspected upon arrival to the ED. There are many cases the STEMI dx is ruled out, therefore, the interventions in the numerator are not clinically appropriate, yet the case still ends up in the denominator. How are others working around this issue? Where is the mapping pulling from specifically (ie problem list or final dx) vs capturing any mention of STEMI.