Patient Condition/Event Flags

On the Insights dashboard of each HARP module, where available, Patient Condition/Event filtering identifies patients with a relevant diagnosis in their medical history to allow for enhanced population-level filtering. These flags are identified in several ways.

The following Patient Condition/Event flags are identified within HealthInfoNet's Predictive Risk Modeling for patients who have a diagnosis of the condition/event (i.e. with a risk class of “Present” and a risk score of 100):

Alzheimer’s Disease
Cardiac Dysrhythmias
Chronic Kidney Disease
Chronic Obstructive Pulmonary Disease
Congestive Heart Failure
End-Stage Renal Disease
Hypertension
Lung Cancer
Type 2 Diabetes

Additionally, the following Patient Condition/Event flags were developed in partnership with Maine CDC. Specifications for these can be found below.

Coronary Artery Disease (CAD) Condition Prevalence Flag

Definition: A positive flag identifies a patient who has had a relevant diagnosis code at any time in the last 3 years.

Inclusion: Inpatient, Emergency Department, or Outpatient encounters with a relevant ICD-10 diagnosis code anywhere in the record and an admission or encounter date within the last 3 years.

Exclusions:

Patients who are deceased on or before the run date.
I25.110 Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.111 …… with documented spasm
I25.112 Atherosclerotic heart disease of native coronary artery with refractory angina pectoris

History of COVID-19 Related Hospitalization Prevalence Flag

Definition: A positive flag identifies a patient who has had a relevant diagnosis code at any time since March 1, 2020.

Inclusion: Inpatient encounters with a relevant the primary or secondary ICD-10 diagnosis code.

Exclusions:

Patients who are deceased on or before the run date.

Myocardial Infarction (MI) Condition Prevalence Flag

Definition: A positive flag identifies a patient who has had a relevant diagnosis code at any time in the last 3 years. This flag includes both Acute Myocardial Infarction and Older/Health Myocardial Infarction.

Inclusion: Inpatient, Emergency Department, or Outpatient encounters with a relevant ICD-10 diagnosis code anywhere in the record and an admission or encounter date within the last 3 years.

Exclusions:

Patients who are deceased on or before the run date.

Peripheral Artery Disease (PAD) Condition Prevalence Flag

Definition: A positive flag identifies a patient who has had a relevant diagnosis code at any time in the last 3 years.

Inclusion: Inpatient, Emergency Department, or Outpatient encounters with a relevant ICD-10 diagnosis code anywhere in the record and an admission or encounter date within the last 3 years.

Exclusions:

Patients who are deceased on or before the run date.

Transient Ischemic Attack (TIA) Condition Prevalence Flag

Definition: A positive flag identifies a patient who has had a relevant diagnosis code at any time in the last 3 years.

Inclusion: Inpatient, Emergency Department, or Outpatient encounters with a relevant ICD-10 diagnosis code anywhere in the record and an admission or encounter date within the last 3 years.

Exclusions:

Patients who are deceased on or before the run date.

Lastly, a Patient Condition/Event Flag of “No Chronic Condition” indicates patients who do not meet the criteria for any of the above.