Release Notes:
Data Element
Version 2018B1
| Name: | Initial Hunt and Hess Scale Date |
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| Collected For: |
CSTK-03 |
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| Definition: | The month, date, and year that the Hunt and Hess scale was first performed at this hospital. The Hunt and Hess scale is a grading system used to classify the severity of a subarachnoid hemorrhage based on the patient's clinical condition. It is used as a predictor of prognosis/outcome with a higher grade correlating to a lower survival rate. |
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| Question: | What is the date that the Hunt and Hess scale was first performed at this hospital?
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| Format: |
| Length: | 10-MM-DD-YYYY (includes dashes) or UTD |
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| Type: | Date |
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| Occurs: | 1 |
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| Allowable Values: |
MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (2012-Current Year)
UTD = Unable to Determine
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| Notes for Abstraction: |
- Use the date that the Hunt and Hess scale was first performed. If a discrepancy exists in date documentation from different sources, choose the earliest date. If there are two or more initial Hunt and Hess scale dates (either different Hunt and Hess assessments or corresponding with the same assessment), enter the earliest date.
- If the initial Hunt and Hess scale date 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 initial Hunt and Hess scale date was 03-42-20xx. No other documentation in the medical record provides a valid date. Since the initial Hunt and Hess scale 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 Initial Hunt and Hess Scale Date allows the case to be accepted into the warehouse.
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| Suggested Data Sources: |
- Consultation notes
- Emergency department record
- History and physical
- Progress notes
- Admitting note
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion |
Exclusion |
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None
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None |
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