Surgical patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure).

Measure specifications are in the Public Domain

LOINC(R) is a registered trademark of the Regenstrief Institute.

This material contains SNOMED Clinical Terms (R) (SNOMED CT(c)) copyright 2004-2010 International Health Terminology Standards Development Organization. All rights reserved.

None

None

None

None

A goal of prophylaxis with antibiotics is to use an agent that is safe, cost-effective, and has a spectrum of action that covers most of the probable intraoperative contaminants for the operation. First or second-generation cephalosporins satisfy these criteria for most operations, although anaerobic coverage is needed for colon surgery. Vancomycin is not recommended for routine use because of the potential for development of antibiotic resistance, but is acceptable if a patient is allergic to beta-lactams, as are fluoroquinolones and clindamycin in selected situations.

National guidelines recommend specific classes of antibiotics for surgical procedures. First or second-generation cephalosporins satisfy the criteria (safe, cost-effective, and coverage for most probable contaminants) for most operations, although anaerobic coverage is needed for colon surgery.

Higher score indicates better quality.

Bratzler DW, Houck PM, for the Surgical Infection Prevention Guidelines Writers Group. Antimicrobial prophylaxis for surgery: An advisory statement from the National Surgical Infection Prevention Project. CID. 2004:38(15 June):1706-1715.

Mangram AJ, Horan TC, Pearson ML, et al. Guidelines for prevention of surgical site infection, 1999. Infect Control Hosp Epidemiol. 1999;20:247-280.

American Society of Health-System Pharmacists. ASHP therapeutic guidelines on antimicrobial prophylaxis in surgery. Am J Health Syst Pharm. 1999;56:1839-1888.

No author listed. The Medical letter.  Antimicrobial prophylaxis for Surgery. Med Lett Drugs Ther. 2009; 82: 47-52.

Dellinger EP, Gross PA, Barrett TL, et al. Quality standard for antimicrobial prophylaxis in surgical procedures. Clin Infect Dis. 1994;18:422-427.

Gilbert DN, Moellering RC Jr., Elipoulos GM, Chamber HF, Saag MS, eds. The Sanford Guide to Antimicrobial Therapy  2009. 39st ed. Sperryville, VA: Antimicrobial Therapy, Inc; 2009.

Itani KMF, Wilson SE, Awad SS, Jensen EH, Finn TS, Abramson MA. Ertapenem versus cefotetan prophylaxis in elective colorectal surgery. N Engl J Med. 2006 Dec 21; 355 (25): 2640-2651.

Page CP, Bohnen JM, Fletcher JR, et al. Antimicrobial prophylaxis for surgical wounds. Arch Surg. 1993;128:79-88.

American College of Obstetricians and Gynecologists (ACOG) Committee on Practice Bulletins ACOG Practice Bulletin No 104 Antibiotic prophylaxis for gynecologic procedures. Obstet Gynecol May 2009; 113(5) : 1180-1189.

None

The measurement period is one calendar year but the reporting period is 3 months as a calendar quarter; Q1 = Jan – Mar, Q2 = Apr – Jun, Q3 = Jul – Sep, Q4 is Oct – Dec.

Denominator Exclusion guidance:

The exclusion for patients who are clinical trial participants is limited to patients participating in a clinical trial for the same conditions as covered by the measure. Other clinical trials are not valid reasons for exclusions.

Numerator element guidance:

Vancomycin is acceptable for CABG, other cardiac procedures, hip arthroplasty, knee arthroplasty and vascular surgery if there is an increased MRSA rate facility-wide or operation-specific. For the purpose of using vancomycin for prophylaxis, it is expected that vancomycin is given ONLY if one of the allowable conditions is TRUE.

None

All hospital discharges for selective surgery with hospital stays <= 120 days during the measurement year for patients age 18 and older at the time of hospital admission with no evidence of prior infection.
The measure is divided into 8 populations by type of surgery. Each denominator provides criteria for the types of surgery.

All selected surgical patients 18 years of age and older with no evidence of prior infection with an ICD-9-CM Hospital Measures-Principal Procedure Code of selected surgeries.
Denominator for population 1 - Coronary artery bypass graft (CABG) procedures
Denominator for population 2 - Other cardiac surgery
Denominator for population 3 - Hip arthroplasty
Denominator for population 4 - Knee arthroplasty
Denominator for population 5 - Colon surgery
Denominator for population 6 - Abdominal hysterectomy
Denominator for population 7 - Vaginal hysterectomy
Denominator for population 8 - Vascular surgery

Patients who had a Hospital Measures-Principal diagnosis suggestive of preoperative infectious diseases.
Patients enrolled in clinical trials-this exclusion is limited to patients participating in a clinical trial for the same conditions as covered by the measure.  Other clinical trials are not valid reasons for exclusion.
Patients with physician/advanced practice nurse/physician assistant (physician/APN/PA) documented infection prior to surgical procedure of interest.
Patients who expired perioperatively
Patients who were receiving antibiotics more than 24 hours prior to surgery (except colon surgery patients taking oral prophylactic antibiotics).
Patients who had other procedures requiring general or spinal anesthesia that occurred within 3 days (4 days for CABG or Other Cardiac Surgery) prior to or after the procedure of interest (during separate surgical episodes) during this hospital stay
Patients who were receiving antibiotics within 24 hours prior to arrival (except colon surgery patients taking oral prophylactic antibiotics).
Patients who did not receive any antibiotics before or during surgery, or within 24 hours after Anesthesia End Time (i.e., patient did not receive prophylactic antibiotics).
Patients who did not receive any antibiotics during this hospitalization.

Number of surgical patients who received prophylactic antibiotics recommended for their specific surgical procedure.

Not applicable

None

Not applicable.

Not applicable.

For every patient evaluated by this measure also identify payer, race, ethnicity, and sex.

      ------ Population Criteria 1 ------

• Initial Patient Population 1 =
  • AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge datetime)" during "Measurement Period"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
• Denominator 1 =
  • AND: "Initial Patient Population 1"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-CABG (ordinality: 'Hospital Measures - Principal')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" ends after start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
• Denominator Exclusions 1 =
  • AND:
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 4 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG"
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 4 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-CABG"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 4 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-CABG"
    • OR: "Medication, Active: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" <= 1440 minute(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 4 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (ordinality: 'Hospital Measures - Principal')"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 4 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-CABG (ordinality: 'Hospital Measures - Principal')"
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 4 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG"
    • OR:
      • AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
      • AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
      • AND: "Patient Characteristic Expired: Expired" <= 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
      • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Any Infection SCIP" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime, ordinality: 'Hospital Measures - Principal')"
      • AND: "Occurrence A of Diagnosis, Active: Any Infection SCIP" >= 1 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime, ordinality: 'Hospital Measures - Principal')"
• Numerator 1 =
  • AND:
    • OR:
      • AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
      • AND:
        • OR: IMMEDIATE PRIOR "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of CURRENT "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
        • OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
          • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
          • AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
        • OR:
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR:
          • AND: "Transfer From: Hospital Measures-Acute care hospital"
          • AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
          • < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
      • AND:
        • OR: IMMEDIATE PRIOR "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of CURRENT "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
        • OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
          • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
          • AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
        • OR:
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR:
          • AND: "Transfer From: Hospital Measures-Acute care hospital"
          • AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
          • < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG"
      • AND:
        • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
        • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
        • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV', reason: 'Hospital measures - Request of physician')"
      • OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular Antibiotics (route: 'Hospital measures-Route IV')"
      • <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
    • OR:
      • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV', reason: 'Hospital measures - Request of physician')"
      • OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular Antibiotics (route: 'Hospital measures-Route IV')"
      • <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
• Denominator Exceptions 1=
  • None

      ------ Population Criteria 2 ------

• Initial Patient Population 2 =
  • AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge datetime)" during "Measurement Period"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
• Denominator 2 =
  • AND: "Initial Patient Population 2"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (ordinality: 'Hospital Measures - Principal')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" ends after start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
• Denominator Exclusions 2 =
  • AND:
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 4 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 4 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery"
    • OR: "Medication, Active: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" <= 1440 minute(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 4 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (ordinality: 'Hospital Measures - Principal')"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 4 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (ordinality: 'Hospital Measures - Principal')"
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 4 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 4 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery"
    • OR:
      • AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
      • AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
      • AND: "Patient Characteristic Expired: Expired" <= 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
      • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Any Infection SCIP" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime, ordinality: 'Hospital Measures - Principal')"
      • AND: "Occurrence A of Diagnosis, Active: Any Infection SCIP" >= 1 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime, ordinality: 'Hospital Measures - Principal')"
• Numerator 2 =
  • AND:
    • OR:
      • AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
      • AND:
        • OR: IMMEDIATE PRIOR "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of CURRENT "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
        • OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
          • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
          • AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
        • OR:
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR:
          • AND: "Transfer From: Hospital Measures-Acute care hospital"
          • AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
          • < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
      • AND:
        • OR: IMMEDIATE PRIOR "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of CURRENT "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
        • OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
          • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
          • AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
        • OR:
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR:
          • AND: "Transfer From: Hospital Measures-Acute care hospital"
          • AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
          • < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery"
      • AND:
        • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
        • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
        • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV', reason: 'Hospital measures - Request of physician')"
      • OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular Antibiotics (route: 'Hospital measures-Route IV')"
      • <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
    • OR:
      • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV', reason: 'Hospital measures - Request of physician')"
      • OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular Antibiotics (route: 'Hospital measures-Route IV')"
      • <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
• Denominator Exceptions 2=
  • None

      ------ Population Criteria 3 ------

• Initial Patient Population 3 =
  • AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge datetime)" during "Measurement Period"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
• Denominator 3 =
  • AND: "Initial Patient Population 3"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (ordinality: 'Hospital Measures - Principal')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" ends after start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
• Denominator Exclusions 3 =
  • AND:
    • OR: "Medication, Active: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" <= 1440 minute(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (ordinality: 'Hospital Measures - Principal')"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (ordinality: 'Hospital Measures - Principal')"
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty"
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty"
    • OR:
      • AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
      • AND: "Patient Characteristic Expired: Expired" <= 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
      • AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
      • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Any Infection SCIP" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime, ordinality: 'Hospital Measures - Principal')"
      • AND: "Occurrence A of Diagnosis, Active: Any Infection SCIP" >= 1 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime, ordinality: 'Hospital Measures - Principal')"
• Numerator 3 =
  • AND:
    • OR:
      • AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
      • AND:
        • OR: IMMEDIATE PRIOR "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of CURRENT "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
        • OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
          • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
          • AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
        • OR:
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR:
          • AND: "Transfer From: Hospital Measures-Acute care hospital"
          • AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
          • < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
      • AND:
        • OR: IMMEDIATE PRIOR "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of CURRENT "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
        • OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
          • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
          • AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
        • OR:
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR:
          • AND: "Transfer From: Hospital Measures-Acute care hospital"
          • AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
          • < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty"
      • AND:
        • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
        • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
        • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV', reason: 'Hospital measures - Request of physician')"
      • OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular Antibiotics (route: 'Hospital measures-Route IV')"
      • <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
    • OR:
      • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV', reason: 'Hospital measures - Request of physician')"
      • OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular Antibiotics (route: 'Hospital measures-Route IV')"
      • <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
• Denominator Exceptions 3=
  • None

      ------ Population Criteria 4 ------

• Initial Patient Population 4 =
  • AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge datetime)" during "Measurement Period"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
• Denominator 4 =
  • AND: "Initial Patient Population 4"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (ordinality: 'Hospital Measures - Principal')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" ends after start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
• Denominator Exclusions 4 =
  • AND:
    • OR: "Medication, Active: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" <= 1440 minute(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (ordinality: 'Hospital Measures - Principal')"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (ordinality: 'Hospital Measures - Principal')"
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty"
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty"
    • OR:
      • AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
      • AND: "Patient Characteristic Expired: Expired" <= 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
      • AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
      • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Any Infection SCIP" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime, ordinality: 'Hospital Measures - Principal')"
      • AND: "Occurrence A of Diagnosis, Active: Any Infection SCIP" >= 1 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime, ordinality: 'Hospital Measures - Principal')"
• Numerator 4 =
  • AND:
    • OR:
      • AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
      • AND:
        • OR: IMMEDIATE PRIOR "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of CURRENT "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
        • OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
          • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
          • AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
        • OR:
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR:
          • AND: "Transfer From: Hospital Measures-Acute care hospital"
          • AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
          • < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
      • AND:
        • OR: IMMEDIATE PRIOR "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of CURRENT "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
        • OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
          • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
          • AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
        • OR:
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR:
          • AND: "Transfer From: Hospital Measures-Acute care hospital"
          • AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
          • < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty"
      • AND:
        • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
        • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
        • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV', reason: 'Hospital measures - Request of physician')"
      • OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular Antibiotics (route: 'Hospital measures-Route IV')"
      • <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
    • OR:
      • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV', reason: 'Hospital measures - Request of physician')"
      • OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular Antibiotics (route: 'Hospital measures-Route IV')"
      • <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
• Denominator Exceptions 4=
  • None

      ------ Population Criteria 5 ------

• Initial Patient Population 5 =
  • AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge datetime)" during "Measurement Period"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
• Denominator 5 =
  • AND: "Initial Patient Population 5"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (ordinality: 'Hospital Measures - Principal')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" ends after start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
• Denominator Exclusions 5 =
  • AND:
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (ordinality: 'Hospital Measures - Principal')"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (ordinality: 'Hospital Measures - Principal')"
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery"
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 3 day(s) starts after end of "Procedure, Performed: Hospital measures- Colon surgery"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery"
    • OR:
      • AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
      • AND: "Patient Characteristic Expired: Expired" <= 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • AND NOT:
        • AND: "Occurrence A of Medication, Administered: Hospital Measures-PO Colon and Hysterectomy Antibiotics-Metronidazole (route: 'Hospital measures-Route oral')" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
        • AND: "Occurrence A of Medication, Administered: Hospital measures-PO Neomycin sulfate (route: 'Hospital measures-Route oral')" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
        • during "Occurrence A of Encounter, Performed: Encounter Inpatient"
      • AND NOT:
        • AND: "Occurrence A of Medication, Administered: Hospital measures-PO Erythromycin (route: 'Hospital measures-Route oral')" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
        • AND: "Occurrence A of Medication, Administered: Hospital measures-PO Neomycin sulfate (route: 'Hospital measures-Route oral')" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
        • during "Occurrence A of Encounter, Performed: Encounter Inpatient"
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND NOT:
        • AND: "Occurrence A of Medication, Active: Hospital Measures-PO Colon and Hysterectomy Antibiotics-Metronidazole (route: 'Hospital measures-Route oral')" <= 1440 minute(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • AND: "Occurrence A of Medication, Active: Hospital measures-PO Neomycin sulfate (route: 'Hospital measures-Route oral')" <= 1440 minute(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
      • AND NOT:
        • AND: "Occurrence A of Medication, Active: Hospital measures-PO Erythromycin (route: 'Hospital measures-Route oral')" <= 1440 minute(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • AND: "Occurrence A of Medication, Active: Hospital measures-PO Neomycin sulfate (route: 'Hospital measures-Route oral')" <= 1440 minute(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
      • AND: "Medication, Active: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" <= 1440 minute(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" ends before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
      • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Any Infection SCIP" ends before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime, ordinality: 'Hospital Measures - Principal')"
      • AND: "Occurrence A of Diagnosis, Active: Any Infection SCIP" >= 1 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime, ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
      • AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during "Occurrence A of Encounter, Performed: Encounter Inpatient"
• Numerator 5 =
  • AND:
    • OR: "Medication, Administered: Hospital Measures-IV Colon-Antibiotics (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
    • OR: "Medication, Administered: Hospital Measures-IV Colon-Antibiotics (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR: "Medication, Administered: Hospital Measures-IV Ertapenem (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
    • OR: "Medication, Administered: Hospital Measures-IV Ertapenem (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • AND:
        • OR: "Medication, Administered: Hospital measures-IV arthroplasty and colon antibiotics (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
        • OR: "Medication, Administered: Hospital measures-IV arthroplasty and colon antibiotics (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
      • AND:
        • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
        • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery"
      • AND:
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
• Denominator Exceptions 5=
  • None

      ------ Population Criteria 6 ------

• Initial Patient Population 6 =
  • AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge datetime)" during "Measurement Period"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
• Denominator 6 =
  • AND: "Initial Patient Population 6"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (ordinality: 'Hospital Measures - Principal')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" ends after start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
• Denominator Exclusions 6 =
  • AND:
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy"
    • OR: "Medication, Active: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" <= 1440 minute(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy"
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (ordinality: 'Hospital Measures - Principal')"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
      • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Any Infection SCIP" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime, ordinality: 'Hospital Measures - Principal')"
      • AND: "Occurrence A of Diagnosis, Active: Any Infection SCIP" >= 1 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime, ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
      • AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
      • AND: "Patient Characteristic Expired: Expired" <= 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
• Numerator 6 =
  • AND:
    • OR: "Medication, Administered: Hospital measures-IV Hysterectomy-Antibiotics (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
    • OR: "Medication, Administered: Hospital measures-IV Hysterectomy-Antibiotics (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy"
      • AND:
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
• Denominator Exceptions 6=
  • None

      ------ Population Criteria 7 ------

• Initial Patient Population 7 =
  • AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge datetime)" during "Measurement Period"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
• Denominator 7 =
  • AND: "Initial Patient Population 7"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (ordinality: 'Hospital Measures - Principal')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" ends after start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
• Denominator Exclusions 7 =
  • AND:
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy"
    • OR: "Medication, Active: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" <= 1440 minute(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy"
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (ordinality: 'Hospital Measures - Principal')"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality)" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
      • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Any Infection SCIP" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime, ordinality: 'Hospital Measures - Principal')"
      • AND: "Occurrence A of Diagnosis, Active: Any Infection SCIP" >= 1 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime, ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
      • AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
      • AND: "Patient Characteristic Expired: Expired" <= 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
• Numerator 7 =
  • AND:
    • OR: "Medication, Administered: Hospital measures-IV Hysterectomy-Antibiotics (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
    • OR: "Medication, Administered: Hospital measures-IV Hysterectomy-Antibiotics (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy"
      • AND:
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR:
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND:
            • OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (incision datetime)"
            • OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
• Denominator Exceptions 7=
  • None

      ------ Population Criteria 8 ------

• Initial Patient Population 8 =
  • AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (discharge datetime)" during "Measurement Period"
  • AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
• Denominator 8 =
  • AND: "Initial Patient Population 8"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (ordinality: 'Hospital Measures - Principal')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" >= 1 minute(s) starts after start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
  • AND: "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" ends after start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
• Denominator Exclusions 8 =
  • AND:
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (ordinality: 'Hospital Measures - Principal')"
    • OR: "Occurrence B of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (ordinality: 'Hospital Measures - Principal')"
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery"
    • OR: "Medication, Active: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" <= 1440 minute(s) starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR: "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery"
    • OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
      • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures - Principal')" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND NOT: "Occurrence A of Diagnosis, Active: Any Infection SCIP" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime, ordinality: 'Hospital Measures - Principal')"
      • AND: "Occurrence A of Diagnosis, Active: Any Infection SCIP" >= 1 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime, ordinality: 'Hospital Measures - Principal')"
    • OR:
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
      • AND: "Occurrence A of Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications (route: 'Hospital measures-Route IV, oral or IM')" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
      • AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
      • AND: "Patient Characteristic Expired: Expired" <= 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
• Numerator 8 =
  • AND:
    • OR:
      • AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
      • AND:
        • OR: IMMEDIATE PRIOR "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of CURRENT "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
        • OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
          • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
          • AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
        • OR:
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR:
          • AND: "Transfer From: Hospital Measures-Acute care hospital"
          • AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
          • < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
      • AND:
        • OR: IMMEDIATE PRIOR "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of CURRENT "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
        • OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
          • AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
        • OR:
          • AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
          • AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
        • OR:
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
          • AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
        • OR:
          • AND: "Transfer From: Hospital Measures-Acute care hospital"
          • AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
          • < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
    • OR:
      • AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery"
      • AND:
        • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
        • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
        • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
        • OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
    • OR:
      • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV', reason: 'Hospital measures - Request of physician')"
      • OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular Antibiotics (route: 'Hospital measures-Route IV')"
      • <= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
    • OR:
      • OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV', reason: 'Hospital measures - Request of physician')"
      • OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular Antibiotics (route: 'Hospital measures-Route IV')"
      • <= 1440 minute(s) starts after end of "Occurrence A of Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia"
• Denominator Exceptions 8=
  • None

• "Device, Applied: Hospital measures-Pacemaker or implantable defibrillator device" using "Hospital measures-Pacemaker or implantable defibrillator device SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.1086)"
• "Diagnosis, Active: Any Infection SCIP" using "Any Infection SCIP Grouping Value Set (2.16.840.1.113883.3.666.5.2256)"
• "Diagnosis, Active: Hospital Measures-Infection diagnosis" using "Hospital Measures-Infection diagnosis Grouping Value Set (2.16.840.1.113883.3.666.5.695)"
• "Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" using "Hospital Measures-MRSA Colonization or Infection Grouping Value Set (2.16.840.1.113883.3.666.5.2278)"
• "Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.307)"
• "Encounter, Performed: Hospital measures-Acute care hospital encounter" using "Hospital measures-Acute care hospital encounter SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.2289)"
• "Intervention, Performed: Hospital Measures-Chronic Wound Care" using "Hospital Measures-Chronic Wound Care SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.719)"
• "Medication, Active: Hospital Measures-PO Colon and Hysterectomy Antibiotics-Metronidazole" using "Hospital Measures-PO Colon and Hysterectomy Antibiotics-Metronidazole RxNorm Value Set (2.16.840.1.113883.3.666.5.1088)"
• "Medication, Active: Hospital measures-IV, IM, PO Antimicrobial medications" using "Hospital measures-IV, IM, PO Antimicrobial medications RxNorm Value Set (2.16.840.1.113883.3.666.5.693)"
• "Medication, Active: Hospital measures-PO Erythromycin" using "Hospital measures-PO Erythromycin RxNorm Value Set (2.16.840.1.113883.3.666.5.1970)"
• "Medication, Active: Hospital measures-PO Neomycin sulfate" using "Hospital measures-PO Neomycin sulfate RxNorm Value Set (2.16.840.1.113883.3.666.5.1953)"
• "Medication, Administered: Hospital Measures-IV Aminoglycosides" using "Hospital Measures-IV Aminoglycosides RxNorm Value Set (2.16.840.1.113883.3.666.5.727)"
• "Medication, Administered: Hospital Measures-IV Aztreonam" using "Hospital Measures-IV Aztreonam RxNorm Value Set (2.16.840.1.113883.3.666.5.728)"
• "Medication, Administered: Hospital Measures-IV Cardiac or Vascular Antibiotics" using "Hospital Measures-IV Cardiac or Vascular Antibiotics RxNorm Value Set (2.16.840.1.113883.3.666.5.768)"
• "Medication, Administered: Hospital Measures-IV Clindamycin" using "Hospital Measures-IV Clindamycin RxNorm Value Set (2.16.840.1.113883.3.666.5.893)"
• "Medication, Administered: Hospital Measures-IV Colon-Antibiotics" using "Hospital Measures-IV Colon-Antibiotics RxNorm Value Set (2.16.840.1.113883.3.666.5.724)"
• "Medication, Administered: Hospital Measures-IV Ertapenem" using "Hospital Measures-IV Ertapenem RxNorm Value Set (2.16.840.1.113883.3.666.5.725)"
• "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones" using "Hospital Measures-IV Hysterectomy and Colon Quinolones RxNorm Value Set (2.16.840.1.113883.3.666.5.767)"
• "Medication, Administered: Hospital Measures-IV Metronidazole" using "Hospital Measures-IV Metronidazole RxNorm Value Set (2.16.840.1.113883.3.666.5.708)"
• "Medication, Administered: Hospital Measures-PO Colon and Hysterectomy Antibiotics-Metronidazole" using "Hospital Measures-PO Colon and Hysterectomy Antibiotics-Metronidazole RxNorm Value Set (2.16.840.1.113883.3.666.5.1088)"
• "Medication, Administered: Hospital measures-IV Hysterectomy-Antibiotics" using "Hospital measures-IV Hysterectomy-Antibiotics RxNorm Value Set (2.16.840.1.113883.3.666.5.729)"
• "Medication, Administered: Hospital measures-IV Vancomycin" using "Hospital measures-IV Vancomycin RxNorm Value Set (2.16.840.1.113883.3.666.5.766)"
• "Medication, Administered: Hospital measures-IV arthroplasty and colon antibiotics" using "Hospital measures-IV arthroplasty and colon antibiotics RxNorm Value Set (2.16.840.1.113883.3.666.5.732)"
• "Medication, Administered: Hospital measures-IV, IM, PO Antimicrobial medications" using "Hospital measures-IV, IM, PO Antimicrobial medications RxNorm Value Set (2.16.840.1.113883.3.666.5.693)"
• "Medication, Administered: Hospital measures-PO Erythromycin" using "Hospital measures-PO Erythromycin RxNorm Value Set (2.16.840.1.113883.3.666.5.1970)"
• "Medication, Administered: Hospital measures-PO Neomycin sulfate" using "Hospital measures-PO Neomycin sulfate RxNorm Value Set (2.16.840.1.113883.3.666.5.1953)"
• "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" using "Hospital Measures-Beta lactams for allergy determination RxNorm Value Set (2.16.840.1.113883.3.666.5.1058)"
• "Patient Characteristic Birthdate: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
• "Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" using "Clinical Trial Participant SNOMED-CT Value Set (2.16.840.1.113883.3.526.2.643)"
• "Patient Characteristic Expired: Expired" using "Expired Grouping Value Set (2.16.840.1.113883.3.666.5.730)"
• "Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" using "Hospital Measures-Cardiac Valve Surgery Grouping Value Set (2.16.840.1.113883.3.666.5.2275)"
• "Procedure, Performed: Hospital measures- Colon surgery" using "Hospital measures- Colon surgery Grouping Value Set (2.16.840.1.113883.3.666.5.705)"
• "Procedure, Performed: Hospital measures-Abdominal hysterectomy" using "Hospital measures-Abdominal hysterectomy Grouping Value Set (2.16.840.1.113883.3.666.5.710)"
• "Procedure, Performed: Hospital measures-CABG" using "Hospital measures-CABG Grouping Value Set (2.16.840.1.113883.3.666.5.694)"
• "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" using "Hospital measures-Hemodialysis or peritoneal dialysis Grouping Value Set (2.16.840.1.113883.3.666.5.2282)"
• "Procedure, Performed: Hospital measures-Hip arthroplasty" using "Hospital measures-Hip arthroplasty Grouping Value Set (2.16.840.1.113883.3.666.5.703)"
• "Procedure, Performed: Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia" using "Hospital measures-Joint Commission evidence of a surgical procedure requiring general or neuraxial anesthesia Grouping Value Set (2.16.840.1.113883.3.666.5.1743)"
• "Procedure, Performed: Hospital measures-Knee arthroplasty" using "Hospital measures-Knee arthroplasty Grouping Value Set (2.16.840.1.113883.3.666.5.1816)"
• "Procedure, Performed: Hospital measures-Other Cardiac Surgery" using "Hospital measures-Other Cardiac Surgery Grouping Value Set (2.16.840.1.113883.3.666.5.701)"
• "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" using "Hospital measures-Pacemaker or implantable defibrillator insertion procedure Grouping Value Set (2.16.840.1.113883.3.666.5.1741)"
• "Procedure, Performed: Hospital measures-Vaginal hysterectomy" using "Hospital measures-Vaginal hysterectomy Grouping Value Set (2.16.840.1.113883.3.666.5.712)"
• "Procedure, Performed: Hospital measures-Vascular surgery" using "Hospital measures-Vascular surgery Grouping Value Set (2.16.840.1.113883.3.666.5.713)"
• "Transfer From: Hospital Measures-Acute care hospital" using "Hospital Measures-Acute care hospital SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.684)"
• Attribute: "Ordinality: Hospital Measures - Principal" using "Hospital Measures - Principal SNOMED-CT Value Set (2.16.840.1.113883.3.526.2.8001)"
• Attribute: "Route: Hospital measures-Route IV" using "Hospital measures-Route IV SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.1108)"
• Attribute: "Reason: Hospital measures - Request of physician" using "Hospital measures - Request of physician SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.2254)"
• Attribute: "Route: Hospital measures-Route IV, oral or IM" using "Hospital measures-Route IV, oral or IM SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.1111)"
• Attribute: "Route: Hospital measures-Route oral" using "Hospital measures-Route oral SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.1072)"

• None

• "Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"
• "Patient Characteristic Payer: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.114222.4.11.3591)"
• "Patient Characteristic Race: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"
• "Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex Administrative Sex Value Set (2.16.840.1.113762.1.4.1)"