Criteria List for C1 Manual Entry Test

CMS188v5 Initial Antibiotic Selection for Community-Acquired Pneumonia (CAP) in Immunocompetent Patients

Data Criteria Value Set(s) Required Attributes Attribute Details/Value Set
Diagnosis, Active
  • Pneumonia: 2.16.840.1.113883.3.666.5.752
  • Respiratory failure acute or chronic: 2.16.840.1.113883.3.666.5.2319
  • Septicemia: 2.16.840.1.113883.3.666.5.672
 Ordinality Principal: 2.16.840.1.113883.3.117.1.7.1.14
Encounter, Performed
  • Encounter Inpatient: 2.16.840.1.113883.3.666.5.307
 Length of stay stay ≤ 1 d
Transfer from Ambulatory surgical center: 2.16.840.1.113883.3.666.5.687
Medication, Administered
  • IV Antipseudomonal quinolones: 2.16.840.1.113883.3.666.5.896
  • IV Macrolides ICU: 2.16.840.1.113883.3.666.5.758
  • IV Beta lactams: 2.16.840.1.113883.3.666.5.770
  • IV Antipneumococcal/antipseudomonal beta lactams: 2.16.840.1.113883.3.666.5.759
  • IV Aminoglycosides: 2.16.840.1.113883.3.666.5.727
  • IV Doxycycline: 2.16.840.1.113883.3.666.5.2204
  • IV Quinolones Antipneumococcal: 2.16.840.1.113883.3.666.5.465
  • IV Tigecycline: 2.16.840.1.113883.3.666.5.2203
 Route Substance or Medication Administration Route IV: 2.16.840.1.113883.3.666.5.1108
Laboratory Test, Performed
  • Neutrophil count: 2.16.840.1.113883.3.666.5.1035
  • Bacterial culture: 2.16.840.1.113762.1.4.1111.22
  • Urine antigen test for Legionella pneumophila or Streptococcus pneumoniae: 2.16.840.1.113762.1.4.1111.20
  • PCR Test for Legionella pneumophila: 2.16.840.1.113762.1.4.1111.23
 Result Positive Finding: 2.16.840.1.113883.3.464.1003.195.11.1008
Encounter, Performed
  • Encounter Inpatient: 2.16.840.1.113883.3.666.5.307
  • Emergency Department Visit: 2.16.840.1.113883.3.117.1.7.1.292
  • ICU Admission or Transfer: 2.16.840.1.113883.3.117.1.7.1.305
  • Nursing Home or Extended Care Facility: 2.16.840.1.113883.3.666.5.2202
  • Acute care hospital Inpatient Encounter: 2.16.840.1.113883.3.666.5.2289
Intervention, Performed
  • Comfort Measures: 1.3.6.1.4.1.33895.1.3.0.45