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Release Notes:
Data Element
Version 2010A1

Data Element Name: Fibrinolytic Administration Date
Collected For: AMI-7, AMI-7a,
Definition:The month, day, and year primary fibrinolytic therapy was administered at this facility. Fibrinolytic therapy is the administration of a pharmacological agent intended to cause lysis of a thrombus (destruction or dissolution of a blood clot).
Suggested Data Collection Question:What was the date primary fibrinolytic therapy was initiated during this hospital stay?
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 (2000-9999)
UTD = Unable to Determine

Notes for Abstraction:
  • If the date primary fibrinolytic therapy was initiated is unable to be determined from medical record documentation, enter 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 Fibrinolytic Administration Date was 03- 42 -2008. No other documentation in the medical record provides a valid date. Since the Fibrinolytic Administration 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 QIO Clinical Warehouse and the Joint Commission’s Data Warehouse. Use of “UTD” for Fibrinolytic Administration Date allows the case to be accepted into the warehouse.”
  • If there are two or more different fibrinolytic administration dates (either different fibrinolytic episodes or corresponding with the same episode), enter the earliest date.
  • In the event the patient was brought to the hospital via ambulance and fibrinolytic therapy was infusing at the time of hospital arrival, enter the date the patient arrived at this hospital.
Suggested Data Sources:
  • Emergency department record
  • Nursing notes
  • Discharge summary
  • Medication administration record (MAR)
  • Transfer sheet
  • Ambulance record
  • ICU/nursing flow sheets
  • IV flow sheets
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • None
  • Fibrinolytics given during or after a PCI

Fibrinolytic Administration Date
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)