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Release Notes:
Data Element
Version 2010A1

Data Element Name: Emergency Order Date
Collected For:
Definition:The first date that red blood cells (RBCs) were ordered emergently.
Suggested Data Collection Question:What is the first date that RBCs were ordered emergently?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

MM = Month (01-12)

DD = Day (01-31)

YYYY = Year (2001-Current)

UTD = Unable to Determine

Notes for Abstraction:
  • Select the first Emergency Order Date associated with the first Emergency Transfusion and Emergency Order Time if the patient had more than one transfusion administered emergently after hospital arrival.
  • [CMS/TJC ALIGNED MEASURE NOTES] 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 Emergency Transfusion Date was 03-42-2008. No other documentation in the medical record provides a valid date. Since the Emergency Transfusion 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 Emergency Transfusion Date allows the case to be accepted into the warehouse.

Suggested Data Sources:
  • Anesthesia record
  • Emergency department record
  • Nursing notes
  • Progress notes
  • Physician orders
  • Operative report
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Acceptable “emergently” terms:
  • Acute bleeding
  • Massive bleeding
  • Acute hemoptysis
  • Acute GI bleed
  • Critical
  • STAT blood transfusion
  • Exsanguination
  • Actively bleeding
  • Hemorrhage
  • Life-saving
List is not all inclusive

  • Routine
  • Urgent

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