Release Notes:
Data Element
Version 2010B
| Data Element Name: | First In-Hospital LDL-Cholesterol Qualitative Description |
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| Collected For: | AMI-T2, , (CMS Optional Test Measure) |
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| Definition: | Qualitative description of the results from first LDL-cholesterol (LDL-c) test performed after hospital arrival. |
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| Suggested Data Collection Question: | How did the physician/advanced practice nurse/physician assistant (physician/APN/PA) qualitatively describe the results of the first LDL-cholesterol (LDL-c) test performed after hospital arrival? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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| Allowable Values: |
1 Elevated LDL-c: Physician/APN/PA qualitatively described the results of the first LDL-c test performed after hospital arrival in terms consistent with elevated LDL-c.
2 No Elevated LDL-c: Physician/APN/PA qualitatively described the results of the first LDL-c test performed after hospital arrival in terms, which are NOT consistent with elevated LDL-c.
3 Not Documented: Physician/APN/PA did not qualitatively describe the results of the first LDL-c test performed after hospital arrival in any manner, or unable to determine from medical record documentation.
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| Notes for Abstraction: |
- If unable to determine which LDL-c test was performed first, select “Elevated LDL-c” if any of the descriptions are consistent with elevated LDL-c.
- If there are discrepant qualitative descriptions documented for the same specimen (e.g., one description consistent with elevated LDL-c and one not consistent with elevated LDL-c), select “Elevated LDL-c.”
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| Suggested Data Sources: |
- Consultation notes
- Emergency department record
- History and physical
- Progress notes
- Discharge summary
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
LDL-cholesterol (LDL-c)
- Low den lipoprotein
- Low density lipoprotein (LDL)
Elevated LDL-c
- Cholesterol described as elevated, high, or ↑
- Dyslipidemia
- Dyslipoproteinemia
- Hyperbetalipoproteinemia
- Hypercholesterolemia
- Hyperlipemia
- Hyperlipidemia
- Hyperlipoproteinemia
- LDL above goal or target
- LDL described as elevated, high, or ↑
- LDL-cholesterol (LDL-c) described as elevated, high, or ↑
- Lipids described as elevated, high, or ↑
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LDL-cholesterol (LDL-c)
VLDL (very low density lipoprotein)
Elevated LDL-c
- Alpha lipoproteinemia
- Elevated LDL-c, or any of the other elevated LDL-c inclusion terms, described using one of the negative modifiers or qualifiers listed in Appendix H, Table 2.6, Qualifiers and Modifiers Table
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First In-Hospital LDL-Cholesterol Qualitative Description
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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