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Release Notes:
Data Element
Version 2010A1

Data Element Name: First In-Hospital LDL-Cholesterol Qualitative Description
Collected For: AMI-T2, , (CMS Optional Test Measure)
Definition:Qualitative description of the results from first LDL-cholesterol (LDL-c) test performed after hospital arrival.
Suggested Data Collection Question:How did the physician/advanced practice nurse/physician assistant (physician/APN/PA) qualitatively describe the results of the first LDL-cholesterol (LDL-c) test performed after hospital arrival?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

1     Elevated LDL-c: Physician/APN/PA qualitatively described the results of the first LDL-c test performed after hospital arrival in terms consistent with elevated LDL-c.

2     No Elevated LDL-c: Physician/APN/PA qualitatively described the results of the first LDL-c test performed after hospital arrival in terms, which are NOT consistent with elevated LDL-c.

3     Not Documented: Physician/APN/PA did not qualitatively describe the results of the first LDL-c test performed after hospital arrival in any manner, or unable to determine from medical record documentation.

Notes for Abstraction:
  • If unable to determine which LDL-c test was performed first, select “Elevated LDL-c” if any of the descriptions are consistent with elevated LDL-c.
  • If there are discrepant qualitative descriptions documented for the same specimen (e.g., one description consistent with elevated LDL-c and one not consistent with elevated LDL-c), select “Elevated LDL-c.”
Suggested Data Sources:
  • Consultation notes
  • Emergency department record
  • History and physical
  • Progress notes
  • Discharge summary
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
LDL-cholesterol (LDL-c)
  • Low den lipoprotein
  • Low density lipoprotein (LDL)

Elevated LDL-c

  • Cholesterol described as elevated, high, or ↑
  • Dyslipidemia
  • Dyslipoproteinemia
  • Hyperbetalipoproteinemia
  • Hypercholesterolemia
  • Hyperlipemia
  • Hyperlipidemia
  • Hyperlipoproteinemia
  • LDL above goal or target
  • LDL described as elevated, high, or ↑
  • LDL-cholesterol (LDL-c) described as elevated, high, or ↑
  • Lipids described as elevated, high, or ↑

LDL-cholesterol (LDL-c)
VLDL (very low density lipoprotein)

Elevated LDL-c

  • Alpha lipoproteinemia
  • Elevated LDL-c, or any of the other elevated LDL-c inclusion terms, described using one of the negative modifiers or qualifiers listed in Appendix H, Table 2.6, Qualifiers and Modifiers Table

First In-Hospital LDL-Cholesterol Qualitative Description
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)