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Release Notes:
Data Element
Version 2010A1

Data Element Name: Reason for No LDL-Cholesterol Testing
Collected For: AMI-T1a, , (CMS Optional Test Measure)
Definition:Documentation of a reason for not doing LDL-cholesterol (LDL-c) testing.
Suggested Data Collection Question:Is there a reason documented by a physician/advanced practice nurse/physician assistant (physician/APN/PA) for not doing LDL-cholesterol (LDL-c) testing?

Allowable Values:

Y    (Yes)   Reason documented by a physician/APN/PA for not doing LDL-c testing.

N   (No)   No reason documented by a physician/APN/PA for not doing LDL-c testing, or unable to determine from medical record documentation.

Notes for Abstraction:
  • In determining whether there is a reason documented by physician/APN/PA for not doing LDL-c testing:
    • Reasons must be explicitly documented (e.g., “ESRD, life expectancy < 1 month - Will not do LDL: HDL”) or clearly implied (e.g., “Patient refusing labs,” “Limited life expectancy, will not do any further evaluation,” “Lipid testing not indicated”). If reasons are not mentioned in the context of LDL-c testing, do not make inferences (e.g., do not assume that the physician/APN/PA is not doing LDL-c testing because the patient is of advanced age). If the physician/APN/PA documents that he is deferring the LDL-c testing to another physician/APN/PA, this should NOT count as a reason for not doing LDL-c testing unless the reason/problem underlying the deferral is also noted (e.g., Select "No" if “Consulting cardiologist to evaluate pt. for cholesterol testing” or "Pt. to follow up with physician/APN/PA re measuring lipids as outpatient").
    • When a physician/APN/PA documents a reason for not doing lipid testing (e.g., “On Lipitor, Chol. testing not needed at this time”), this should be construed as a reason for not doing LDL-c testing
Suggested Data Sources:


  • Consultation notes
  • Discharge summary
  • Emergency department record
  • History and physical
  • Progress 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)

Additional Notes:
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

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

Reason for No LDL-Cholesterol Testing
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)