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Appendix ETJC
Version 2013B

Appendix E - Miscellaneous Tables

Table 2.6 Qualifiers and Modifiers Table

Note: These guideleines apply only to those data elements that refer to them in their Guidelines for Abstraction Exclusion list(s)

Qualifiers Modifiers
Qualifiers are words used as adjectives to indicate some uncertainty about whether or not a condition really exists. Quantitative modifiers are adjectives that quantitatively describe a condition
The following qualifiers should be abstracted as negative findings, unless otherwise specified - Consider this list all-inclusive:
  • And/or (+/-; e.g., "ST abnormalities consistent with ischemia and/or injury"), except when comparing only inclusions (e.g., "ST segment elevation and/or STEMI")
  • Cannot exclude
  • Cannot rule out
  • Could be
  • Could have been
  • May be
  • May have
  • May have had
  • May indicate
  • Or, except when comparing only inclusions
  • Possible
  • Questionable (?)
  • Risk of
  • Rule out (r'd/o, r/o'd)
  • Suggestive of
  • Suspect
  • Suspicious
  • Vs., except when comparing only inclusions
    Example: If the in-hospital echocardiogram report documents "questionable LVSD", this should be abstracted as a negative finding.
The following quantitative modifiers should be abstracted as negative findings, unless otherwise specified - Consider this list all-inclusive:
  • Borderline
  • Insignificant
  • Scant
  • Slight
  • Sub-clinical
  • Subtle
  • Trace
  • Trivial

Table 2.7 Allowable Measure Set Combinations

PC1 HBIPS1
Newborns - 0 to <=2 days
Mother - 8 to <65 years
>= 1 year
Principal Procedure or Principal/Other Diagnosis P/O Dx Psychicatric Care Setting = "y"
AMI >= 18 years P Dx Yes for mothers age 18 or greater >= 18
HF >= 18 years P Dx Yes for mothers age 18 or greater >= 18
PN >= 18 years P Dx Yes for mothers age 18 or greater >= 18
STK >= 18 years P Dx Yes for mothers age 18 or greater >= 18
CAC1 2 to < 18 years P Dx Yes for mothers under age 18 2 to < 18
VTE-No VTE >= 18 years P/O Dx Yes for mothers age 18 or greater >= 18
VTE-ODX VTE >= 18 years O Dx Yes for mothers age 18 or greater >= 18
VTE-PDX VTE >= 18 years P Dx Yes for mothers age 18 or greater >= 18
PC1 Newborns: 0 to <=2
days Mother: 8 to <65 years
P/O Dx N/A Yes for Mothers
SCIP No age limitation P/O Px Yes >= 1
HBIPS1 >=1 year Psychiatric Care Setting = "Y" Yes for mothers N/A
ED No age limitation Lenght of Stay < 120 days Yes >= 1
IMM >= 6 Mo old Lenght of Stay < 120 days Yes for Mothers Patients age 1 year and older
SUB >= 18 years Lenght of Stay < 120 days Mothers age 18 years and older Patients age 18 years and older
TOB >= 18 years Lenght of Stay < 120 days Mothers age 18 years and older Patients age 18 years and older

Can Combine
Cannot combine2

1 These measure sets are Joint Commission Only. The measure set combinations containing these sets are only applicable for the transmission of data to The Joint Commission. The Measure Set combination for aligned measures is maintained in the NHQM Specifications Manual.
2 "Cannot Combine" is a placeholder at this time, as the populations for the HBIPS and PC measure sets can currently be combined with all other measure sets.


Related Topics

Related Topics
a. Table of Contents

Appendix ETJC
Specifications Manual for Joint Commission National Quality Measures (v2013B)
Discharges 07-01-13 (3Q13) through 12-31-13 (4Q13)