Criteria List for C1 Manual Entry Test

CMS114v4 Incidence of Potentially-Preventable Venous Thromboembolism

Data Criteria Value Set(s) Required Attributes Attribute Details/Value Set
Diagnosis, Active
  • Venous Thromboembolism: 2.16.840.1.113883.3.117.1.7.1.279
  • Obstetrics VTE: 2.16.840.1.113883.3.117.1.7.1.264
 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 ≤ 120 d
Device, Order
  • Intermittent pneumatic compression devices (IPC): 2.16.840.1.113883.3.117.1.7.1.214
  • Venous foot pumps (VFP): 2.16.840.1.113883.3.117.1.7.1.230
  • Graduated compression stockings (GCS): 2.16.840.1.113883.3.117.1.7.1.256
 Negation Code Patient Refusal: 2.16.840.1.113883.3.117.1.7.1.93
Medication, Order
  • Unfractionated Heparin for VTE prophylaxis ingredient specific: 2.16.840.1.113762.1.4.1021.13
  • Low Molecular Weight Heparin for VTE prophylaxis ingredient specific: 2.16.840.1.113762.1.4.1021.12
  • Injectable factor Xa inhibitor for VTE prophylaxis ingredient specific: 2.16.840.1.113762.1.4.1021.11
  • Warfarin-only ingredient specific: 2.16.840.1.113762.1.4.1021.10
 Negation Code Patient Refusal: 2.16.840.1.113883.3.117.1.7.1.93
Diagnostic Study, Ordered
  • VTE Diagnostic Test: 2.16.840.1.113883.3.117.1.7.1.276
Patient Characteristic Ethnicity
  • Ethnicity: 2.16.840.1.114222.4.11.837
Intervention, Order
  • Comfort Measures: 1.3.6.1.4.1.33895.1.3.0.45