Release Notes:
Data Element
Version 2010A1
Data Element Name: | Plan for LDL-Cholesterol Test |
Collected For: | AMI-T1a, , (CMS Optional Test Measure) |
Definition: | Documentation of a plan to do LDL-cholesterol (LDL-c) testing after discharge. |
Suggested Data Collection Question: | Is there a plan to do LDL-cholesterol (LDL-c) testing after discharge? |
Format: | Length: | 1 | Type: | Alphanumeric | Occurs: | 1 |
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Allowable Values: |
Y (Yes) Documentation of a plan to do LDL-c testing after discharge
N (No) No documentation of a plan to do LDL-c testing after discharge or unable to determine from medical record documentation
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Notes for Abstraction: |
- There must be documentation of a definitive plan to do LDL-c testing after discharge (e.g., “Will do cholesterol testing after discharge”). Documentation, which indicates only that LDL-c testing after discharge will be considered (e.g., “May do cholesterol testing at next office visit”), is not sufficient.
- In the absence of explicit documentation of a plan to do LDL-c testing after discharge, it should be inferred that LDL-c testing is planned if there is documentation of a plan to do lipid testing after discharge.
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Suggested Data Sources: |
- Consultation notes
- Progress notes
- Physician orders
- Discharge summary
- Discharge instruction sheet
- Discharge planning notes
Excluded Data Sources:
Any documentation dated/timed after discharge, except discharge summary and operative/procedure/diagnostic test reports (from procedure done during hospital stay)
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Additional Notes: |
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Guidelines for Abstraction: |
Inclusion | Exclusion |
LDL-cholesterol (LDL-c)
- Low den lipoprotein
- Low density lipoprotein (LDL)
Lipid testing
- Cholesterol analysis
- Cholesterol check ( √ )
- Cholesterol panel
- Cholesterol profile
- Cholesterol testing
- Fasting lipids
- LDL: HDL
- LDL: HDL ratio
- Lipid analysis
- Lipid check ( √ )
- Lipid panel
- Lipid profile
- Lipids
- Lipoprotein analysis
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LDL-cholesterol (LDL-c)
VLDL (very low density lipoprotein)
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Plan for LDL-Cholesterol Test
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)
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