United States Health Information Knowledgebase

 

HITSP TN906 HITSP Quality Measures Technical Note ED, VTE, and Stroke Examples for Implementation of the HITSP Quality Interoperability Specification 25 January, 2010 V1.0


Type:Data Agreement
Start Date:2010-01-25
Scope:This document provides several examples of quality measures specified based on information available within electronic data sources as specified using the HITSP IS06 Quality Interoperability Specification. The examples include measures in the Stroke, Venous Thromboembolism and Emergency Department sets of quality measures provided to HITSP by CMS. These examples includes a description of the measures, the sets of data elements needed to address each measure (including any derived data elements), the associated value sets, the eMeasure representation, and the QRDA representation required to report performance based on these measures. Note that QRDA is the HL7 Quality Reporting Document Architecture that enables providers to use the same data constructs developed for information exchange to report on quality measures directly out of the EHR. This document also provides an example of the XML emeasure populated with sample data from the examples. This document is intended to exemplify the use of the HITSP specifications in specifying and reporting on a quality measure. This document is also intended to serve as guidance for the implementation of the example measures using the HITSP standards.
Downloads
PDF
Download as a PDF file.
[Download PDF Reader Exit Disclaimer]
Download as an MS Excel™ spreadsheet.
[Download Excel Reader Exit Disclaimer]
Relationship Organization Item
is utilized by HITSP HITSP IS06 Quality Interoperability Specification January 25, 2010 Compare these items   
Relationship Organization Item
is the parent view of HITSP Admit Decision Time to ED Departure Time   
is the parent view of HITSP Admitted for Elective Carotid Intervention   
is the parent view of HITSP Age < 18   
is the parent view of HITSP Anticoagulation Therapy Prescribed at Discharge   
is the parent view of HITSP Antithrombolytic Therapy Administered by End of Hospital Day 2   
is the parent view of HITSP Antithrombolytic Therapy Prescribed at Discharge   
is the parent view of HITSP Any Diagnosis of VTE Confirmed   
is the parent view of HITSP Assessed for Rehabilitation Services   
is the parent view of HITSP Atrial Fibrillation/Flutter   
is the parent view of HITSP Clinical Trial   
is the parent view of HITSP Comfort Measures Only documented on day of or day after hospital arrival   
is the parent view of HITSP Completed Inpatient encounter   
is the parent view of HITSP Date/time Last Known Well   
is the parent view of HITSP Discharge Instructions Address Compliance Issues   
is the parent view of HITSP Discharge Instructions Address Dietary Advice   
is the parent view of HITSP Discharge Instructions Address Follow-up Monitoring   
is the parent view of HITSP Discharge Instructions Address Potential for Adverse Drug Reactions and Interactions   
is the parent view of HITSP Discharge to Home or Homecare   
is the parent view of HITSP Discharge to Home or Homehealth or hospice   
is the parent view of HITSP Discharged on Overlap Therapy   
is the parent view of HITSP DischargeTransfers   
is the parent view of HITSP Discontinue Order Date/Time   
is the parent view of HITSP ED Arrival to ED Departure   
is the parent view of HITSP ED Departure Date/Time   
is the parent view of HITSP ED Patient   
is the parent view of HITSP Education Addresses Activation of Emergency Medical System   
is the parent view of HITSP Education Addresses Follow-up After Discharge   
is the parent view of HITSP Education Addresses Medications Prescribed at Discharge   
is the parent view of HITSP Education Addresses Risk Factors For Stroke   
is the parent view of HITSP Education Addresses Warning Signs and Symptoms of Stroke   
is the parent view of HITSP Hispanic Ethnicity   
is the parent view of HITSP ICU Direct Admit/Transfer   
is the parent view of HITSP ICU LOS < one day   
is the parent view of HITSP Inpatient Discharges   
is the parent view of HITSP INR Value<2 prior to discontinuation Anticoagulant Therapy   
is the parent view of HITSP INR Value>=2 prior to discontinuation Anticoagulant Therapy   
is the parent view of HITSP IV OR IA Thrombolytic (t-PA) Therapy Administered at This Hospital or Within 24 Hours Prior to Arrival   
is the parent view of HITSP IV Thrombolytic (t-PA) Therapy Date/Time   
is the parent view of HITSP IV Thrombolytic Initiation   
is the parent view of HITSP IV thrombolytic therapy was initiated at this hospital within 3 hours (<=180 minutes) of time last known well   
is the parent view of HITSP LDL-c Greater Than or Equal to 100 mg/dL   
is the parent view of HITSP LDL-c NOT Measured Within the First 48 Hours or 30 Days Prior to Hospital Arrival   
is the parent view of HITSP Length of Stay < 2 Days   
is the parent view of HITSP Length of Stay >120 Days   
is the parent view of HITSP Monitoring Documentation   
is the parent view of HITSP Non-Observation/Mental Disorder Patients   
is the parent view of HITSP Observation Services   
is the parent view of HITSP Overlap Therapy Start Date   
is the parent view of HITSP Parenteral Anticoagulant Administration   
is the parent view of HITSP Parenteral Anticoagulant End Date/Time   
is the parent view of HITSP Parenteral Anticoagulant Prescribed at Discharge   
is the parent view of HITSP Patient condition deceased   
is the parent view of HITSP Patient Expired   
is the parent view of HITSP Patient with No Evidence of Atherosclerosis   
is the parent view of HITSP Patients Discharged by End of Hospital Day 2   
is the parent view of HITSP Patients who received warfarin and parenteral anticoagulation <5 days   
is the parent view of HITSP Patients who received warfarin and parenteral anticoagulation >= 5 days   
is the parent view of HITSP Pre-Arrival Lipid-Lowering Agent   
is the parent view of HITSP Principal Diagnosis of Ischemic or Hemorrhagic Stroke   
is the parent view of HITSP Principal Diagnosis of Ischemic stroke   
is the parent view of HITSP Principal Diagnosis of Psychiatric/Mental Health Patients   
is the parent view of HITSP Principal Diagnosis of VTE   
is the parent view of HITSP Reason for No VTE Prophylaxis - Hospital Admission   
is the parent view of HITSP Reason for No VTE Prophylaxis - Hospital Admission Surgery   
is the parent view of HITSP Reason for No VTE Prophylaxis - ICU Admission   
is the parent view of HITSP Reason for No VTE Prophylaxis - ICU Surgery   
is the parent view of HITSP Reason for Not Administering Antithrombolytic Therapy by End of Hospital Day 2   
is the parent view of HITSP Reason For Not Initiating IV Thrombolytic   
is the parent view of HITSP Reason For Not Prescribing Anticoagulation Therapy at Discharge   
is the parent view of HITSP Reason For Not Prescribing Antithrombolytic Therapy at Discharge   
is the parent view of HITSP Reason For Not Prescribing Statin Medication At Discharge   
is the parent view of HITSP Reasons for not administering mechanical and pharmacologic prophylaxis   
is the parent view of HITSP Service Delivery Behavioral Health   
is the parent view of HITSP Service Delivery Emergency Department   
is the parent view of HITSP Service Delivery Obstetrics   
is the parent view of HITSP Statin Medication Prescribed at Discharge   
is the parent view of HITSP Surgical Procedure   
is the parent view of HITSP Time last known well to arrival in the emergency department greater than (>) 2 hours   
is the parent view of HITSP UFH Therapy Administration   
is the parent view of HITSP VTE Diagnostic Test   
is the parent view of HITSP VTE Diagnostic Test Order Date   
is the parent view of HITSP VTE Present on Arrival   
is the parent view of HITSP VTE Prophylaxis (Derived Data Element)   
is the parent view of HITSP VTE Prophylaxis - ICU Admission   
is the parent view of HITSP VTE Prophylaxis - Mechanical Intervention Procedure Declined   
is the parent view of HITSP VTE Prophylaxis Date/Time   
is the parent view of HITSP VTE Prophylaxis Hospital Admission   
is the parent view of HITSP VTE Prophylaxis Hospital Admission Surgery   
is the parent view of HITSP VTE Prophylaxis ICU Surgery   
is the parent view of HITSP VTE Prophylaxis Medication Declined   
is the parent view of HITSP VTE Prophylaxis Status   
is the parent view of HITSP Warfarin Administration   
is the parent view of HITSP Warfarin Administration Date/Time   
is the parent view of HITSP Warfarin Prescribed at Discharge   
Relationship Organization Item
is the parent view of HITSP Emergency Department (ED)   
is the parent view of HITSP Stroke (STK)   
is the parent view of HITSP Venous Thromboembolism (VTE)   
Relationship Organization Item
is composed of HITSP 2.0 HOW TO USE HITSP/IS06, HITSP/CAPABILITIES 129 AND 130 FOR IMPLEMENTING MEASURES: ED, STROKE, VTE   
Relationship Organization Item
references HITSP Admission Source Value Set   
references HITSP Discharge Disposition Value Set   
references HITSP Ethnicity Value Set   
references HITSP Health Insurance Type Value Set   
references HITSP Hispanic Ethnicity Value Set   
references HITSP Joint Commission Admission Type - Elective Value Set   
references HITSP Joint Commission Admission Type - Emergency Value Set   
references HITSP Joint Commission Anticoagulant Medications - Stroke Value Set   
references HITSP Joint Commission Anticoagulant Medications - VTE Value Set   
references HITSP Joint Commission Assessed for Rehabilitation Services - Documentation of Findings Value Set   
references HITSP Joint Commission Assessed for Rehabilitation Services - Documentation of Procedures Value Set   
references HITSP Joint Commission Atrial Fibrillation/Flutter History and Finding Value Set   
references HITSP Joint Commission Atrial Fibrillation/Flutter Procedure Value Set   
references HITSP Joint Commission Behavioral Health Inpatient Treatment Locations   
references HITSP Joint Commission Caregiver Value Set   
references HITSP Joint Commission Carotid Intervention - Elective Hospital Admission Value Set   
references HITSP Joint Commission Carotid Intervention Procedure Value Set   
references HITSP Joint Commission Clinical Trial Value Set   
references HITSP Joint Commission Discharge Disposition - Death Value Set   
references HITSP Joint Commission Discharge Disposition - discharge to home care or self care Value Set   
references HITSP Joint Commission Discharge Disposition - Discharge Transfers Value Set   
references HITSP Joint Commission Discharge Disposition - discharged to home, home health or home hospice Value Set   
references HITSP Joint Commission Discharge Instructions Address Compliance Issues   
references HITSP Joint Commission Discharge Instructions Address Dietary Advice Value Set   
references HITSP Joint Commission Discharge Instructions Address Follow-up Monitoring Value Set   
references HITSP Joint Commission Discharge Instructions Address Potential for Adverse Drug Reactions and Interactions Value Set   
references HITSP Joint Commission Document Risk for VTE Value Set   
references HITSP Joint Commission Education Addresses Emergency Treatment Value Set   
references HITSP Joint Commission Education Addresses Follow-up After Discharge Value Set   
references HITSP Joint Commission Education Addresses Medications Prescribed At Discharge Value Set   
references HITSP Joint Commission Education Addresses Risk Factors Value Set   
references HITSP Joint Commission Education Addresses Warning Signs and Symptoms Value Set   
references HITSP Joint Commission Emergency Department Admission Source Value Set   
references HITSP Joint Commission Emergency Department Patient Class Value Set HL7 V2.5   
references HITSP Joint Commission Emergency Department Patient Class Value Set HL7 V3.0   
references HITSP Joint Commission Emergency Department Treatment Locations Value Set   
references HITSP Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia Value Set   
references HITSP Joint Commission Evidence of Atherosclerosis Value Set   
references HITSP Joint Commission Following Clinical Pathway Protocol Value Set   
references HITSP Joint Commission Hemorrhagic Stroke Value Set   
references HITSP Joint Commission IA Administration Route Value Set   
references HITSP Joint Commission In Facility Location - ICU Value Set   
references HITSP Joint Commission In Facility Location - Observation Services Value Set   
references HITSP Joint Commission Inpatient Encounter Value Set   
references HITSP Joint Commission INR Laboratory Test Result Value Set   
references HITSP Joint Commission Ischemic Stroke Value Set   
references HITSP Joint Commission IV Administration Route Value Set   
references HITSP Joint Commission Last Known Well Value Set   
references HITSP Joint Commission LDL-c Laboratory Test Result Value Set   
references HITSP Joint Commission Medical History Unknown Value Set   
references HITSP Joint Commission Medical Reason Value Set   
references HITSP Joint Commission Mental Disorders Value Set   
references HITSP Joint Commission Obstetric Inpatient Treatment Locations   
references HITSP Joint Commission Palliative Care Measures Only - Findings Value Set   
references HITSP Joint Commission Palliative Care Measures Only - Procedure Value Set   
references HITSP Joint Commission Patient Reason Value Set   
references HITSP Joint Commission Physician, APN, PA, Authorization Roles Value Set   
references HITSP Joint Commission Physician, APN, PA, Pharmacist Authorization Roles Value Set   
references HITSP Joint Commission Platelet Count Laboratory Test Result Value Set   
references HITSP Joint Commission Problem Status Active Value Set   
references HITSP Joint Commission Providing Material Value Set   
references HITSP Joint Commission Reason for no VTE Prophylaxis - Mechanical   
references HITSP Joint Commission Reason for no VTE Prophylaxis - Pharmacologic   
references HITSP Joint Commission Reason for Not Administering Antithrombolytic Therapy - Finding   
references HITSP Joint Commission Reason for Not Administering Antithrombolytic Therapy - Procedure   
references HITSP Joint Commission Reason for Not Initiating IV Thrombolytic - Finding/Situation Value Set   
references HITSP Joint Commission Reason for Not Initiating IV Thrombolytic - Procedure Value Set   
references HITSP Joint Commission Reason for Not Prescribing Anticoagulation Therapy at Discharge - Procedure   
references HITSP Joint Commission Reason for Not Prescribing Antithrombolytic Therapy - Procedure   
references HITSP Joint Commission Reason for Not Prescribing Antithrombolytic Therapy at Discharge - Finding/Situation   
references HITSP Joint Commission Reason for Not Prescribing Statin Medication at Discharge Value Set   
references HITSP Joint Commission Stroke Antithrombolytic Medications Value Set   
references HITSP Joint Commission Stroke Lipid Lowering Agent Value Set   
references HITSP Joint Commission Stroke Statin Medications Value Set   
references HITSP Joint Commission Stroke Thrombolytic (t-PA) Medication Value Set   
references HITSP Joint Commission Subcutaneous Route of Administration Value Set   
references HITSP Joint Commission Tense ActMood Intent Value Set   
references HITSP Joint Commission Treatment Adjusted by Protocol Value Set   
references HITSP Joint Commission Unfractionated Heparin Medication Value Set   
references HITSP Joint Commission VTE Confirmed Value Set   
references HITSP Joint Commission VTE Diagnostic Test Value Set   
references HITSP Joint Commission VTE measure - DVT lower extremity or venous location Value Set   
references HITSP Joint Commission VTE Prophylaxis - Application of Mechanical Device Value Set   
references HITSP Joint Commission VTE Prophylaxis Medications Value Set   
references HITSP Joint Commission VTE Suspected Value Set Value Set   
references HITSP Joint Commission Warfarin Medication Value Set   
references HITSP Patient Class Value Set   
references HITSP Postal Code Value Set   
references HITSP Race Value Set   
references HITSP V3 Administrative Gender Value Set   
C105 Patient Level Quality Data Document Using HL7 Quality Reporting Document Architecture (QRDA) Component
C106 Measurement Criteria Document
C154 HITSP Data Dictionary
C34 HITSP Patient Level Quality Data Message Component
Clinical Document and Message Terminology C80
HITSP CDA and CCD Content Module Component (C83)
HITSP Data Architecture Technical Note TN903
IS106 HITSP Quality Interoperability Specification
Scroll To Top