Release Notes:
Data Element
Version 2018B1
| Name: | VTE Prophylaxis Date |
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| Collected For: |
STK-1 |
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| Definition: | The month, day, and year that VTE prophylaxis (mechanical and/or pharmacologic) was administered after hospital admission. |
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| Question: | What date was the VTE prophylaxis administered after hospital admission? |
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| Format: |
| Length: | 10 |
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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 (20xx)
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| Notes for Abstraction: |
- The earliest date associated with a form of prophylaxis should be entered.
Example:
If the patient was admitted on 12-08-20xx and IPCs were applied at 13:00 on 12-08-20xx and LMWH was administered at 02:00 on 12-09-20xx, record the 12-08-20xx date.
- 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 VTE Prophylaxis Date was 03- 42 -20xx. No other documentation in the medical record provides a valid date. Since the VTE Prophylaxis 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.”
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| Suggested Data Sources: |
- Graphic/flow sheets
- Medication administration record
- Nursing notes
- Physician notes
- Progress notes
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| Additional Notes: |
Note: Transmission of a case with an invalid date as described above will be rejected from the CMS Clinical Warehouse and the Joint Commission’s Data Warehouse. Use of “UTD” allows the case to be accepted into warehouses. |
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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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