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Release Notes:
Data Element
Version 2010A1

Data Element Name: Atrial Fibrillation
Collected For: ,
Definition:The patient has a history of any atrial fibrillation (i.e., remote, persistent, or paroxysmal), or atrial flutter in the past or currently as documented in the medical record,
OR
atrial fibrillation/flutter or paroxysmal atrial fibrillation (PAF) is present during this admission as evidenced by EKG
OR
by “Other” ICD-9-CM code of 427.31 or 427.32
Suggested Data Collection Question:Does documentation in the medical record indicate that atrial fibrillation or a history of atrial fibrillation was present?
Format:
Length:
Type:Alphanumeric
Occurs:
Allowable Values:

Y     (Yes) Atrial fibrillation or history of atrial fibrillation was present

N    (No) No, atrial fibrillation or history of atrial fibrillation was not present, or unable to determine from medical record documentation)

Notes for Abstraction:Any one of the conditions described in the Definition statement can be present for the patient to meet this data element.

Patients who have a history of self-limited episode of documented atrial fibrillation or flutter that terminated within 8 weeks following CABG would not meet this data element.

Patients who have a transient and entirely reversible episode of atrial fibrillation or flutter due to thyrotoxicosis would not meet this data element.

Suggested Data Sources:
  • History and physical
  • Progress notes
  • EKG report
  • Holter monitor report
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Persistent atrial fibrillation
  • Paroxysmal atrial fibrillation
  • PAF
  • History of any episode of documented atrial fibrillation or flutter lasting greater than 30 seconds except w/in 8 wks following CABG
  • History of self-limited episode of documented atrial fibrillation or flutter that terminated within 8 weeks following CABG
  • History of transient and reversible episode of documented atrial fibrillation or flutter due to thyrotoxicosis
  • Atrial fibrillation described as remote or self-limited

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