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Release Notes:
Data Element
Version 2010A1

Data Element Name: Transfusion Start Time
Collected For: BM-05,
Definition:The start time (military time) of the unit (bag) or dose of RBCs, plasma or platelets that was administered.
Suggested Data Collection Question:What was the start time of the blood unit (bag) or dose administration?
Format:
Length:5 - HH:MM (with or without colon) or UTD
Type:Time
Occurs:1 - 27
Allowable Values:

Select the Transfusion Start Time associated with the Transfusion Start Date of the unit (bag) or dose from the associated blood product event ID being abstracted.

Notes for Abstraction:
  • Time must be recorded in military time format. With the exception of Midnight and Noon.
  • If the time is in the a.m., conversion is not required.
  • If the time is in the p.m., add 12 to the clock time hour.
Examples: Midnight - 00:00 Noon - 12:00 5:31 am - 05:31 5:31 pm - 17:31 11:59 am - 11:59 11:59 pm - 23:59

  • For times that include “seconds,” remove the seconds and record the time as is.
Example: 15:00:35 would be recorded as 15:00
  • If more than one Transfusion Start Time is documented, use the earliest time documented.
  • The medical record must be abstracted as documented (taken at “face value”). When the time documented is obviously in error (not a valid format/range) and no other documentation is found that provides this information, the abstractor should select “UTD.”
  • Example: Documentation indicates the Transfusion Start Time was 3300. Since the Transfusion Start Time is outside of the range in the Allowable Values for “Hour,” it is not a valid time and the abstractor should select “UTD.”
  • Note: Transmission of a case with an invalid time as described above will be rejected from the database. Use of “UTD” for Transfusion Start Time allows the case to be accepted into the database.
Suggested Data Sources:
  • Anesthesia record
  • Emergency department record
  • Nursing notes
  • Operative notes
  • Operative report
  • Blood administration form
  • Additional Notes: Select the Transfusion Start Time associated with the Transfusion Start Date of the unit (bag) from the blood product event ID identified for abstraction.

    Time must be recorded in military time format.
    With the exception of Midnight and Noon:

    • If the time is in the a.m., conversion is not required
    • If the time is in the p.m., add 12 to the clock time hour.

    The medical record must be abstracted as documented (taken at “face value”). When the time documented is obviously in error (not a valid format/range) and no other documentation is found that provides this information, the abstractor should select “UTD.”

    Example:
    Documentation indicates the Transfusion Start Time was 3300. Since the Transfusion Start Time is outside of the range in the Allowable Values for “Hour,” it is not a valid time and the abstractor should select “UTD.”

    Guidelines for Abstraction:
    Inclusion Exclusion
    None None

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