Appendix H

Miscellaneous Tables

Table of Contents

Appendix H
Miscellaneous Tables
- - Table 2.6 Qualifiers and Modifiers Table
  - Related Topics

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

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

Appendix H

Miscellaneous Tables

Table 2.6 Qualifiers and Modifiers Table

Related Topics