Specifications Manual for Joint Commission National Quality Measures (v2018A)
Home » Positive Brain Image Date

Release Notes:
Data Element
Version 2018A

Data Element Name: Positive Brain Image Date
Collected For: CSTK-05
Definition:The month, date, and year for which a positive finding on brain imaging of parenchymal hematoma, subarachnoid hemorrhage, and/or intraventricular hemorrhage was documented. Early hemorrhagic transformation occurs in about one in ten patients with acute ischemic stroke, but only parenchymal hematoma predicts poor outcomes, according to the research.
Suggested Data Collection Question:What was the date of the positive brain image finding?

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 (2001-Current Year)
UTD = Unable to Determine
Notes for Abstraction:
  • Use the date when a positive finding on brain imaging of parenchymal hematoma, subarachnoid hemorrhage, and/or intraventricular hemorrhage was first documented following IV or IA thrombolytic (t-PA) therapy, or mechanical endovascular reperfusion therapy initiation. If a discrepancy exists in date documentation from different sources, choose the earliest date. If there are two or more different positive brain image dates (either different brain images or corresponding with the same brain image), enter the earliest date.
  • If the date of positive brain image 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”.
    Example:
    Documentation indicates the positive brain image date was 03-42-20xx. No other documentation in the medical record provides a valid date. Since the positive brain image 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”.
    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 Positive Brain Image Date allows the case to be accepted into the warehouse.
Suggested Data Sources:

  • Diagnostic test reports
  • Brain imaging reports
  • Radiology reports
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

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