Release Notes:
Data Element
Version 2010B
| Data Element Name: | Atrial Fibrillation |
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| Collected For: | , |
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| 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
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| Suggested Data Collection Question: | Does documentation in the medical record indicate that atrial fibrillation or a history of atrial fibrillation was present? |
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| Format: | | Length: | |
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| Type: | Alphanumeric |
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| Occurs: | |
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| 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)
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| 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.
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| Suggested Data Sources: |
- History and physical
- Progress notes
- EKG report
- Holter monitor report
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| 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
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- 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
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Atrial Fibrillation
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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