Criteria List for C1 Record Sample

CMS72v7 Antithrombotic Therapy By End of Hospital Day 2

Data Criteria Value Set(s) Required Attributes Attribute Details/Value Set
Encounter, Performed
  • Non-Elective Inpatient Encounter: 2.16.840.1.113883.3.117.1.7.1.424
 principalDiagnosis principalDiagnosis: 2.16.840.1.113883.3.117.1.7.1.247
Medication, Ordered
  • Antithrombotic Therapy: 2.16.840.1.113883.3.117.1.7.1.201
 negationRationale negationRationale: 2.16.840.1.113883.3.117.1.7.1.473
Intervention, Performed
  • Comfort Measures: 1.3.6.1.4.1.33895.1.3.0.45
 authorDatetime authorDatetime
Procedure, Performed
  • Intravenous or Intra-arterial Thrombolytic (t-PA) Therapy: 2.16.840.1.113762.1.4.1045.21
 relevantPeriod relevantPeriod
Patient Characteristic Ethnicity
  • Ethnicity: 2.16.840.1.114222.4.11.837

CMS104v7 Discharged on Antithrombotic Therapy

Data Criteria Value Set(s) Required Attributes Attribute Details/Value Set
Encounter, Performed
  • Non-Elective Inpatient Encounter: 2.16.840.1.113883.3.117.1.7.1.424
 principalDiagnosis principalDiagnosis: 2.16.840.1.113883.3.117.1.7.1.247
Medication, Discharge
  • Antithrombotic Therapy: 2.16.840.1.113883.3.117.1.7.1.201
 negationRationale negationRationale: 2.16.840.1.113883.3.117.1.7.1.473
Patient Characteristic Ethnicity
  • Ethnicity: 2.16.840.1.114222.4.11.837
Intervention, Performed
  • Comfort Measures: 1.3.6.1.4.1.33895.1.3.0.45
 relevantPeriod relevantPeriod

CMS190v7 Intensive Care Unit Venous Thromboembolism Prophylaxis

Data Criteria Value Set(s) Required Attributes Attribute Details/Value Set
Procedure, Performed
  • General Surgery: 2.16.840.1.113883.3.117.1.7.1.255
  • Gynecological Surgery: 2.16.840.1.113883.3.117.1.7.1.257
  • Hip Replacement Surgery: 2.16.840.1.113883.3.117.1.7.1.259
  • Urological Surgery: 2.16.840.1.113883.3.117.1.7.1.272
  • Intracranial Neurosurgery: 2.16.840.1.113883.3.117.1.7.1.260
  • Knee Replacement Surgery: 2.16.840.1.113883.3.117.1.7.1.261
  • Hip Fracture Surgery: 2.16.840.1.113883.3.117.1.7.1.258
 ordinality ordinality: 2.16.840.1.113883.3.117.1.7.1.14
Medication, Administered
  • Unfractionated Heparin: 2.16.840.1.113883.3.117.1.7.1.218
 route route: 2.16.840.1.113883.3.117.1.7.1.222
Device, Applied
  • 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
  • Intermittent pneumatic compression devices (IPC): 2.16.840.1.113883.3.117.1.7.1.214
 negationRationale negationRationale: 2.16.840.1.113883.3.117.1.7.1.93
Laboratory Test, Performed
  • INR: 2.16.840.1.113883.3.117.1.7.1.213
 authorDatetime authorDatetime
Diagnosis
  • Venous Thromboembolism: 2.16.840.1.113883.3.117.1.7.1.279
  • Atrial Fibrillation/Flutter: 2.16.840.1.113883.3.117.1.7.1.202
 prevalencePeriod prevalencePeriod
Assessment, Performed: Assessment, Performed
  • Risk for venous thromboembolism: drc-522a38859e8337cb6214742610b449c149172dccc97f176b0b580b4d3f975004

CMS107v7 Stroke Education

Data Criteria Value Set(s) Required Attributes Attribute Details/Value Set
Encounter, Performed
  • Non-Elective Inpatient Encounter: 2.16.840.1.113883.3.117.1.7.1.424
 dischargeDisposition dischargeDisposition: 2.16.840.1.113883.3.117.1.7.1.87
Communication: From Provider To Patient
  • Written Information Given: 2.16.840.1.113883.3.117.1.7.1.415
 negationRationale negationRationale: 2.16.840.1.113883.3.117.1.7.1.93
Patient Characteristic Ethnicity
  • Ethnicity: 2.16.840.1.114222.4.11.837
Intervention, Performed
  • Comfort Measures: 1.3.6.1.4.1.33895.1.3.0.45
 relevantPeriod relevantPeriod