Specifications Manual for Joint Commission National Quality Measures (v2018A)
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Release Notes:
Data Element
Version 2018A

Data Element Name: First Pass Date
Collected For: CSTK-07
Definition:The date associated with the time of the first pass (i.e., mechanical deployment) of a clot retrieval device at this hospital.
Suggested Data Collection Question:What is the date associated with the time of the first pass of a clot retrieval device at this hospital?
Format:
Length:10-MM-DD-YYYY (includes dashes) or UTD
Type:Date
Occurs:1
Allowable Values:


MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (2012-Current Year)
UTD = Unable to Determine

Notes for Abstraction:
  • If the date of the first pass is unable to be determined from medical record documentation, select “UTD”.
  • The medical record must be abstracted as documented (taken at “face value”). When the date documented is obviously in error (not a valid date/format) and no other documentation is found that provides this information, the abstractor should select UTD
    Examples:
    • Documentation indicates the first pass date was 03-42-20xx. No other documentation in the medical record provides a valid date. Since the first pass date is outside of the range listed in the Allowable Values for “Day,” it is not a valid date and the abstractor should select “UTD”.
      • Patient expires on 02-12-20xx and documentation indicates the First Pass Date was 03-12-20xx. Other documentation in the medical record supports the date of death as being accurate. Since the First Pass Date is after the Discharge Date (death), it is outside of the parameters of care and the abstractor should select “UTD.”

Note: Transmission of a case with an invalid date as described above will be rejected from the Joint Commission's Data Warehouse. Use of “UTD” for First Pass Date allows the case to be accepted into the warehouse.
Suggested Data Sources:

  • Consultation notes
  • Diagnostic test reports
  • Operative notes
  • Procedure reports
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

First Pass Date
Specifications Manual for Joint Commission National Quality Measures (v2018A)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
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