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

Data Element Name: Non-aneurysmal
Collected For: CSTK-03
Definition:Patients with documentation of non-aneurysmal SAH or SAH related to head trauma any time during the hospital stay. Non-aneurysmal SAH refers to hemorrhage in the subarachnoid space that is not attributed to the ruptured of a cerebral aneurysm.
Suggested Data Collection Question:Is there documentation any time during the hospital stay that the hemorrhage was non-aneurysmal or due to head trauma?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes) There is documentation any time during the hospital stay that the hemorrhage was non-aneurysmal or due to head trauma.

N (No) There is no documentation any time during the hospital stay that the hemorrhage was non-aneurysmal or due to head trauma, OR unable to determine from the medical record documentation.
Notes for Abstraction:
  • The timeframe for documentation of this data element is any time during the hospital stay from hospital arrival to discharge.
  • Only accept terms identified in the list of inclusions. No other terminology will be accepted.
  • Terms must be documented by a physician/APN/PA only.
Suggested Data Sources:

  • Consultation notes
  • Emergency department record
  • History and physical
  • Progress notes
  • Discharge summary

Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Head trauma
  • Non-aneurysmal
  • Not aneurysmal
  • Trauma

  • Trauma other than head
  • Trauma or traumatic injuries involving body parts other than the head

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