Release Notes:
Data Element
Version 2010B
| Data Element Name: | Pre-Arrival LDL-Cholesterol Qualitative Description |
|---|
| Collected For: | AMI-T1a, AMI-T2, , (CMS Optional Test Measures) |
|---|
| Definition: | Qualitative description of the results from the patient’s LDL-cholesterol (LDL-c) test done in the past year.
|
|---|
| Suggested Data Collection Question: | How did the physician/advanced practice nurse/physician assistant (physician/APN/PA) qualitatively describe the patient’s LDL-cholesterol ( LDL-c) from the test performed within one year prior to arrival?
|
|---|
| Format: | | Length: | 1 |
|---|
| Type: | Alphanumeric |
|---|
| Occurs: | 1 |
|---|
|
|---|
| Allowable Values: |
1 Elevated LDL-c: Physician/APN/PA qualitatively described the patient’s LDL-c from the test performed within one year prior to arrival in terms consistent with elevated LDL-c (e.g., “Labs done last month showed elevated lipids”).
2 No Elevated LDL-c: Physician/APN/PA qualitatively described the patient’s LDL-c from the test performed within one year prior to arrival in terms, which are NOT consistent with elevated LDL-c (e.g., “Lipid levels normal in April”).
3 Not Documented: Physician/APN/PA did not qualitatively describe the patient’s LDL-c from the test performed within one year prior to arrival in any manner, or unable to determine from medical record documentation.
|
|---|
| Notes for Abstraction: |
- When more than one qualitative description of the patient’s LDL-c from the past year is documented, use the description of the LDL-c from the test performed closest to the time of hospital arrival. If unable to determine which qualitative description refers to the LDL-c closest to the time of hospital arrival, 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 pre-arrival specimen (e.g., one description consistent with elevated LDL-c and one not consistent with elevated LDL-c), select “Elevated LDL-c.”
|
|---|
| Suggested Data Sources: |
PHYSICIAN/APN/PA DOCUMENTATION ONLY
- Consultation notes
- Discharge summary
- Emergency department record
- History and physical
- Progress notes
|
|---|
| Additional Notes: |
|
|---|
| Guidelines for Abstraction: |
|---|
| Inclusion | Exclusion |
LDL-cholesterol (LDL-c)
- Low den lipoprotein
- Low density lipoprotein (LDL)
- Value described as “bad cholesterol”
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 ↑
|
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
|
|
Pre-Arrival LDL-Cholesterol Qualitative Description
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
|