Nick-Maximillien/medgate-compiler-data huggingface dataset:
Guideline text:
In cases of haemodynamic instability, emergency surgical/catheter-based repair of mechanical complications of ACS is recommended, based on Heart Team discussion.

Structured rule (JSON):
{"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "emergency surgical/catheter-based repair of mechanical complications of ACS", "trigger_assertion": "haemodynamic instability"}, "rule_type": "conditional_existence", "scope_tags": ["clinical"]}
Guideline text:
(Rev. 37, Issued:  10-17-08; Effective/Implementation Date:  10-17-08)

[The governing body must:]

## §482.12(a)(5) Ensure that the medical staff is accountable to the governing body for the quality of care provided to patients;

## Interpretive Guidelines  §482.12(a)(5)

The governing body must ensure that the medical staff as a group is accountable to the governing body for the quality of care provided to patients.  The governing body is responsible for the conduct of the hospital and this conduct includes the quality of care provided to patients.

All hospital patients must be under the care of a practitioner who meets the criteria of 42 CFR 482.12(c)(1)and who has been granted medical staff privileges, or under the care of a practitioner who is directly under the supervision of a member of the medical staff.  All patient care is provided by or in accordance with the orders of a practitioner who has been granted privileges in accordance with the criteria established by the governing body, and who is working within the scope of those granted privileges.

## Survey Procedures §482.12(a)(5)

- Verify that the governing body is periodically apprised of the medical staff evaluation of patient care services provided hospital wide, at every patient care location of the hospital.
- Verify that any individual providing patient care services is a member of the medical staff or is accountable to a member of the medical staff qualified to evaluate the quality of services provided, and in turn, is responsible to the governing body for the quality of services provided.

Structured rule (JSON):
{"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "all patient care provided by or supervised by privileged medical staff, with accountability for quality of care to the governing body"}, "rule_type": "existence", "scope_tags": ["clinical", "facility", "legal"]}
Guideline text:
An immediate invasive strategy is recommended in patients with a working diagnosis of NSTE-ACS and with at least one of the following very high-risk criteria: • Haemodynamic instability or cardiogenic shock • Recurrent or refractory chest pain despite medical treatment • In-hospital life-threatening arrhythmias • Mechanical complications of MI • Acute heart failure presumed secondary to ongoing myocardial ischaemia

Structured rule (JSON):
{"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "immediate invasive strategy", "trigger_assertion": {"criteria_match_type": "at least one", "diagnosis": "NSTE-ACS", "high_risk_criteria": ["Haemodynamic instability or cardiogenic shock", "Recurrent or refractory chest pain despite medical treatment", "In-hospital life-threatening arrhythmias", "Mechanical complications of MI", "Acute heart failure presumed secondary to ongoing myocardial ischaemia"]}}, "rule_type": "conditional_existence", "scope_tags": ["clinical"]}
Guideline text:
## (Rev. 200, Issued: 02-21-20; Effective: 02-21-20, Implementation: 02-21-20)

§482.42(d) Standard:  Unified and integrated infection prevention and control and antibiotic stewardship programs for multi-hospital systems.

If a hospital is part of a hospital system consisting of multiple separately certified hospitals using a system governing body that is legally responsible for the conduct of two or more hospitals, the system governing body can elect to have unified and integrated infection prevention and control and antibiotic stewardship programs for all of its member hospitals after determining that such a decision is in accordance with all applicable State and local laws.  The system governing body is responsible and accountable for ensuring that each of its separately certified hospitals meets all of the requirements of this section.  Each separately certified hospital subject to the system governing body must demonstrate that:

## Interpretive Guidelines §482.42(d)

Guidance is pending and will be updated in future release.

Structured rule (JSON):
{"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "System governing body accountability for member hospitals' compliance with infection prevention and antibiotic stewardship requirements", "trigger_assertion": "Hospital is a member of a multi-hospital system that has elected unified infection prevention and antibiotic stewardship programs"}, "rule_type": "conditional_existence", "scope_tags": ["clinical", "facility", "legal"]}
Guideline text:
Clinicians should use their best judgment when applying these rules. [Ref: 823]

Structured rule (JSON):
{"intent_tags": [], "logic_config": {}, "rule_type": "unsupported", "scope_tags": [], "summary": "Non-executable narrative text"}
Guideline text:
Clinicians should use their best judgment when applying these rules. [Ref: 861]

Structured rule (JSON):
{"intent_tags": [], "logic_config": {}, "rule_type": "unsupported", "scope_tags": [], "summary": "Non-executable narrative text"}
Guideline text:
Implantable cardioverter defibrillator use is recommended to reduce sudden cardiac death in patients with symptomatic HF (NYHA Class II–III) and LVEF ≤35% despite optimal medical therapy for >3 months and at least 6 weeks after MI who are expected to survive for at least 1 year with good

Structured rule (JSON):
{"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "Implantable cardioverter defibrillator (ICD) use", "trigger_assertion": "patient has symptomatic HF (NYHA Class II\u2013III) AND LVEF \u226435% AND received optimal medical therapy for >3 months AND is at least 6 weeks post-MI AND is expected to survive for at least 1 year"}, "rule_type": "conditional_existence", "scope_tags": ["clinical"]}
Guideline text:
Heart Rate must be above 105.

Structured rule (JSON):
{"intent_tags": ["safety"], "logic_config": {"min_value": 105, "target_vital": "Heart Rate"}, "rule_type": "threshold", "scope_tags": ["clinical"]}
Guideline text:
Assessment of mental well-being using a validated tool and onward psychological referral when appropriate should be considered.

Structured rule (JSON):
{"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "mental well-being assessment using a validated tool and psychological referral", "trigger_assertion": "clinical indication for mental well-being assessment and psychological referral"}, "rule_type": "conditional_existence", "scope_tags": ["clinical"]}
Guideline text:
(Rev. 37, Issued:  10-17-08; Effective/Implementation Date:  10-17-08)

## §482.57 Condition of Participation:  Respiratory Services

The hospital must meet the needs of the patients in accordance with acceptable standards of practice.  The following requirements apply if the hospital provides respiratory care services.

## Interpretive Guidelines §482.57

If a hospital provides care to patients who require respiratory care services, the hospital must meet the needs of those patients, in accordance with acceptable standards of practice.  This is an optional hospital service.  However, if a hospital provides any degree of respiratory care to its patients, the hospital must comply with the requirements of this Condition of Participation.

Acceptable standards of practice include compliance with applicable standards that are set forth in Federal or State laws, regulations or guidelines, as well as standards and recommendations promoted by nationally recognized professional organizations (e.g., American Medical Association, American Association for Respiratory Care, American Thoracic Association, etc.).

The hospital's respiratory services must be integrated into its hospital-wide QAPI program.

## Survey Procedures §482.57

- Determine if the hospital provides any degree of respiratory care services.
- Determine that the type and amount of respiratory care provided meets the needs of the patients and is delivered in accordance with acceptable standards of practice.
- Determine if the hospital's respiratory services are integrated into its hospitalwide QAPI program.

Structured rule (JSON):
{"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "integration of respiratory services into hospital-wide QAPI program"}, "rule_type": "existence", "scope_tags": ["clinical", "facility", "legal"]}
Guideline text:
Intravenous beta-blocker and/or amiodarone treatment is recommended for patients with polymorphic VT and/or VF unless contraindicated. 611 – 614

Structured rule (JSON):
{"intent_tags": ["safety", "quality"], "logic_config": {"forbidden_treatment": "Intravenous beta-blocker and/or amiodarone", "trigger_condition": "presence of contraindications"}, "rule_type": "contra", "scope_tags": ["clinical"]}
Guideline text:
In patients with spontaneous coronary artery dissection, PCI is recommended only for patients with symptoms and signs of ongoing myocardial ischaemia, a large area of myocardium in jeopardy, and reduced antegrade flow.

Structured rule (JSON):
{"intent_tags": ["safety", "quality"], "logic_config": {"required_artifact": "PCI", "trigger_assertion": "patient with spontaneous coronary artery dissection AND symptoms and signs of ongoing myocardial ischaemia AND a large area of myocardium in jeopardy AND reduced antegrade flow"}, "rule_type": "conditional_existence", "scope_tags": ["clinical"]}
Guideline text:
(Rev. 37, Issued:  10-17-08; Effective/Implementation Date:  10-17-08)

§482.27(a)(3) - The laboratory must make provision for proper receipt and reporting of tissue specimens.

## Interpretive Guidelines §482.27(a)(3)

The laboratory must have written instructions for the collection, preservation, transportation, receipt, and reporting of tissue specimen results.

## Survey Procedures §482.27(a)(3)

Review tissue records (accession records, worksheets, and test reports) to determine whether the laboratory follows the written protocol.

Structured rule (JSON):
{"intent_tags": ["safety", "quality", "compliance", "integrity"], "logic_config": {"required_artifact": "laboratory protocols and documentation for tissue specimen handling"}, "rule_type": "existence", "scope_tags": ["facility", "legal"]}
Guideline text:
(Rev. 37, Issued:  10-17-08; Effective/Implementation Date:  10-17-08)

[The governing body must:]

§482.12(a)(6) Ensure the criteria for selection are individual character, competence, training, experience, and judgment; and

## Interpretive Guidelines §482.12(a)(6)

The governing body must assure that the medical staff bylaws describe the privileging process to be used by the hospital.  The process articulated in the medical staff bylaws, rules, or regulations must include criteria for determining the privileges that may be granted to individual practitioners and a procedure for applying the criteria to individual practitioners that considers:

- Individual character;
- Individual competence;
- Individual training;
- Individual experience; and
- Individual judgment.

The governing body must ensure that the hospital's bylaws governing medical staff membership or the granting of privileges apply equally to all practitioners in each professional category of practitioners.

## Survey Procedures §482.12(a)(6)

- Verify that there are written criteria for appointments to the medical staff and granting of medical staff privileges.
- Verify that granting of medical staff membership or privileges, both new and renewal, is based upon an individual practitioner's meeting the medical staff's membership/privileging criteria.
- Verify that, at a minimum, criteria for appointment to the medical staff/granting of medical staff privileges are individual character, competence, training, experience, and judgment.

Structured rule (JSON):
{"intent_tags": ["safety", "quality", "compliance"], "logic_config": {"required_artifact": "written criteria and a privileging process for medical staff appointments and privileges, incorporating individual character, competence, training, experience, and judgment"}, "rule_type": "existence", "scope_tags": ["facility", "legal"]}