MOTOPOBJdirecth acs_trc clntrial noami1 MATRTAMJBOPOTOMMOTOPOBJsetdun cathpdc clntrial dc1day mMATSdocs_acsTAMJBOPOTOMMOTOPOBJpspaceetrial clntrial dc1day nMATPNEWOBJdocs_acses} set4ys\vh#}lMATTNEWOBJMATPNEWOBJMATSacsTAMJBONEWOBJMATPNEWOBJacs_01_acsx\3 ܜ iMATSM1stpidstpidstudy patient id{es}{break}{space 1}{txt}{sf}{ul off}study patient id{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 15:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1}-{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 15:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 2dociddociddocumentation idq{space 1}{txt}{sf}{ul off}documentation id{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 15:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1}-{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 15:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 3rseqrseqrecord seq# within docid{space 1}{txt}{sf}{ul off}record seq# within docid{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 23:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1}-{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 23:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 4matchtype of match to PTF data{space 1}{txt}{sf}{ul off}type of match to PTF data{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 24:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1}-{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 24:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 5 ad_ptf_datematched PTF admission date2{space 1}{txt}{sf}{ul off}matched PTF admission date{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 25:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1}-{space 1}{txt:{c |}}{space 1}{res}83,040{space 1} {space 1} 100.0{space 1} {space 1}100.0{space 1} {break}{space 1}{txt} .{space 1}{space 1}.{space 1}{txt:{c |}}{space 1}{res} 19{space 1} {space 1} 0.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 25:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 6 dc_ptf_datematched PTF discharge date2{space 1}{txt}{sf}{ul off}matched PTF discharge date{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 25:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1}-{space 1}{txt:{c |}}{space 1}{res}83,040{space 1} {space 1} 100.0{space 1} {space 1}100.0{space 1} {break}{space 1}{txt} .{space 1}{space 1}.{space 1}{txt:{c |}}{space 1}{res} 19{space 1} {space 1} 0.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 25:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 7acs_arracs_arrACS at arrival at VA{space 1}{txt}{sf}{ul off}ACS at arrival at VA{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 19:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1}0{space 1}{txt:{c |}}{space 1}{res}27,424{space 1} {space 1} 33.0{space 1} {space 1} 33.0{space 1} {break}{space 1}{txt} yes{space 1}{space 1}1{space 1}{txt:{c |}}{space 1}{res}55,635{space 1} {space 1} 67.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 19:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 8acs_inptacs_inptACS as an inpatient{space 1}{txt}{sf}{ul off}ACS as an inpatient{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 18:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1}0{space 1}{txt:{c |}}{space 1}{res}68,274{space 1} {space 1} 82.2{space 1} {space 1} 82.2{space 1} {break}{space 1}{txt} yes{space 1}{space 1}1{space 1}{txt:{c |}}{space 1}{res}14,785{space 1} {space 1} 17.8{space 1} {space 1}100.0{space 1} {break}{txt:{dup 18:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 9acs_trcacs_trctransfer in from com hosp.{space 1}{txt}{sf}{ul off}transfer in from com hosp{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 24:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1}0{space 1}{txt:{c |}}{space 1}{res}70,213{space 1} {space 1} 84.5{space 1} {space 1} 84.5{space 1} {break}{space 1}{txt} yes{space 1}{space 1}1{space 1}{txt:{c |}}{space 1}{res}12,846{space 1} {space 1} 15.5{space 1} {space 1}100.0{space 1} {break}{txt:{dup 24:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 10acs_bothacs_both transfer from com w/existing ACS{space 1}{txt}{sf}{ul off}transfer from com w/existing ACS{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}13,634{space 1} {space 1} 16.4{space 1} {space 1} 16.4{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 19.5{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}66,857{space 1} {space 1} 80.5{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 11acsxacs_arr acs_inpt acs_trccombination of acs_ vars{space 1}{txt}{sf}{ul off} combination of acs_ vars{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 34:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} ACS at presentation to VA{space 1}{space 1}1{space 1}{txt:{c |}}{space 1}{res}55,635{space 1} {space 1} 67.0{space 1} {space 1} 67.0{space 1} {break}{space 1}{txt} ACS as an inpatient{space 1}{space 1}2{space 1}{txt:{c |}}{space 1}{res}14,578{space 1} {space 1} 17.6{space 1} {space 1} 84.5{space 1} {break}{space 1}{txt} transfer in from com hosp{space 1}{space 1}3{space 1}{txt:{c |}}{space 1}{res}12,639{space 1} {space 1} 15.2{space 1} {space 1} 99.8{space 1} {break}{space 1}{txt}transfer from com w/existing ACS{space 1}{space 1}4{space 1}{txt:{c |}}{space 1}{res} 207{space 1} {space 1} 0.2{space 1} {space 1}100.0{space 1} {break}{txt:{dup 34:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 12dc1daydc1daydischarged w/in 24hrs{space 1}{txt}{sf}{ul off} discharged w/in 24hrs{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} not dc w/in 24{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}34,954{space 1} {space 1} 42.1{space 1} {space 1} 42.1{space 1} {break}{space 1}{txt} dc in 24h{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 534{space 1} {space 1} 0.6{space 1} {space 1} 42.7{space 1} {break}{space 1}{txt} trans in 24h{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 525{space 1} {space 1} 0.6{space 1} {space 1} 43.4{space 1} {break}{space 1}{txt} left ama in 24h{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 50{space 1} {space 1} 0.1{space 1} {space 1} 43.4{space 1} {break}{space 1}{txt} died in 24h{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 151{space 1} {space 1} 0.2{space 1} {space 1} 43.6{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}46,845{space 1} {space 1} 56.4{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 13nodcnodc no discharge{space 1}{txt}{sf}{ul off}no discharge{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 11:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1}0{space 1}{txt:{c |}}{space 1}{res}59,047{space 1} {space 1} 71.1{space 1} {space 1} 71.1{space 1} {break}{space 1}{txt} yes{space 1}{space 1}1{space 1}{txt:{c |}}{space 1}{res}24,012{space 1} {space 1} 28.9{space 1} {space 1}100.0{space 1} {break}{txt:{dup 11:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} |{stata docs @eprp (*) nodc, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) nodc, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:nodcbb 101 QUESTION}{p_end}{p2col:}Does the record document any of the following reasons for not prescribing a beta-blocker at discharge?{p_end}{p2col:}1. Beta-blocker allergy{p_end}{p2col:}3. Second or third-degree heart block on ECG on arrival or during hospitalization and does not have a pacemaker{p_end}{p2col:}9. Post-heart transplant patient{p_end}{p2col:}10. Severely decompensated heart failure documented by physician/APN/PA {p_end}{p2col:}95. Not applicable{p_end}{p2col:}97. Other reasons documented by a physician/APN/PA or pharmacist for not prescribing a beta-blocker at discharge{p_end}{p2col:}98. Patient refusal of beta-blockers documented by physician/APN/PA or pharmacist{p_end}{p2col:}99.No documented reason{p_end}{p2col:}{res:nodcbb 101 DEFINITION}{p_end}{p2col:}Beta-blocker allergy = Where there is documentation of a beta- blocker "allergy" or "sensitivity", regard this as documentation of a beta blocker allergy regardless of what type of reaction might be noted. Documentation of an allergy/sensitivity to one particular beta-blocker is acceptable to take as an allergy to the entire class of beta-blockers (e.g., "allergic to metoprolol"). {p_end}{p2col:}Second or third-degree heart block = when determining whether there is second or third-degree heart block on ECG on arrival or during the hospital stay and does not have a pacemaker:{p_end}{p2col:}o- Consider this true if there are findings of second or third degree heart block on the ECG and this same ECG does not show pacemaker findings OR documentation of a finding of second or third-degree heart block without mention of pacemaker findings (e.g., "second-degree heart block" per ED report).{p_end}{p2col:}o- Disregard pacemaker findings if documentation suggests the patient had a non-functioning pacemaker.{p_end}{p2col:}o- Heart block or pacemaker findings do not have to be taken from ECG interpretations. Any notation of second or third-degree heart block or pacemaker findings on an ECG report or other source is acceptable with or without physician/APN/PA signature.{p_end}{p2col:}97. Other reason(s) documented by a physician/APN/ PA or pharmacist = Must explicitly link the noted reason with non-prescription of a beta-blocker. Documentation of a reason anytime during the hospital stay is acceptable. {p_end}{p2col:}Physician/APN/PA or pharmacist documentation of a hold/discontinuation of a beta-blocker during the hospital stay or of a plan to initiate/restart a beta-blocker and notation of the reason/problem underlying the delay in starting/restarting the beta-blocker constitutes a "clearly implied" reason for not prescribing a beta-blocker at discharge (e.g., "BP still low. May start metoprolol as outpatient."). {p_end}{p2col:}EXCEPTION: Documentation of a conditional hold/discontinuation of a beta-blocker does not count as a reason for not prescribing a beta-blocker at discharge UNLESS (1) it exists as a physician/APN/PA or pharmacist order to hold/discontinue the beta-blocker if the blood pressure (BP) or heart rate (HR) falls outside certain parameters, AND (2) the beta-blocker was held due to a BP/HR outside the parameters. Nursing documentation is acceptable. E.g., Physician order noted, "Hold atenolol for SBP < 100" and the nurse documents that the atenolol was held for a BP of 90/50 - select "97."{p_end}{p2col:}Physician/APN/PA or pharmacist documentation of a pre-arrival hold/ discontinuation of a beta-blocker or pre-arrival "other reason" for not prescribing a beta-blocker counts as a reason for not prescribing a beta-blocker at discharge ONLY if the underlying reason is noted. {p_end}{p2col:}98. Documentation by a physician/APN/PA or pharmacist that the patient refused beta-blocker medications or refused all medications is acceptable. Documentation that the patient refused BP medications is NOT acceptable.{p_end}{p2col:}Reasons for Not Prescribing Beta-Blocker cont'd{p_end}{p2col:}Unacceptable Reasons: {p_end}{p2col:}Documentation of a conditional hold/discontinuation of a beta-blocker (e.g., "Stop metoprolol if SBP < 100.") without documentation the beta-blocker was held due to the specified parameter (e.g. SBP < 100). . {p_end}{p2col:}Documentation of a hold which refers to a more general medication class (e.g. "Hold all BP meds"). {p_end}{p2col:}Deferral of a beta-blocker from one prescriber to another does NOT count as a reason for not prescribing a beta-blocker at discharge unless the problem underlying the deferral is noted. For example, "cardiology to evaluate patient for beta-blocker" - is NOT acceptable.{p_end}{p2col:}Inclusion:{p_end}{p2col:}2nd/3rd degree heart blocks (HB){p_end}{p2col:}Note: the following inclusive terms may stand alone or be modified by "variable" or intermittent".{p_end}{p2col:}o- Atrioventricular (AV) block described as 2:1, 3:1, second-degree, or third-degree{p_end}{p2col:}o- Atrioventricular dissociation{p_end}{p2col:}o- Heart block (HB) described as 2:1, 3:1, complete (CHB), high degree, high grade, second-degree, or third-degree {p_end}{p2col:}o- Heart block, type/degree not specified{p_end}{p2col:}o- Mobitz Type 1 or 2{p_end}{p2col:}o- Wenckebach{p_end}{p2col:}Pacemaker Findings:{p_end}{p2col:}Atrial pacing{p_end}{p2col:}AV pacing{p_end}{p2col:}Dual chamber pacing{p_end}{p2col:}Paced rhythm{p_end}{p2col:}Paced spikes{p_end}{p2col:}Ventricular pacing{p_end}{p2col:}Exclusion:{p_end}{p2col:}Beta blocker allergy:{p_end}{p2col:}Beta blocker allergy described using one of the following qualifiers: cannot exclude, cannot rule out, may have, may have had, may indicate, possible, suggestive of, suspect, or suspicious{p_end}{p2col:}2nd/3rd degree heart blocks (HB) {p_end}{p2col:}o- 2nd/3rd degree heart blocks (HB), or any of the other 2nd/3rd degree heart block inclusion terms described using one of the following qualifiers: cannot exclude, cannot rule out, may have, may have had, may indicate, possible, suggestive of, suspect, or suspicious{p_end}{p2col:}o- Atrial flutter{p_end}{p2col:}o- Atrioventricular (AV) block{p_end}{p2col:}o- Atrioventricular (AV) conduction block{p_end}{p2col:}o- First-degree atrioventricular (AV) block{p_end}{p2col:}o- First-degree heart block (HB){p_end}{p2col:}o- Intraventricular conduction delay (IVCD)14noami1noami1not ami/not treated{space 1}{txt}{sf}{ul off} not ami/not treated{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}29,955{space 1} {space 1} 36.1{space 1} {space 1} 36.1{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 1,358{space 1} {space 1} 1.6{space 1} {space 1} 37.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}51,746{space 1} {space 1} 62.3{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 15noami2noami2not ami/not treated{space 1}{txt}{sf}{ul off} not ami/not treated{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}35,658{space 1} {space 1} 42.9{space 1} {space 1} 42.9{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 556{space 1} {space 1} 0.7{space 1} {space 1} 43.6{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}46,845{space 1} {space 1} 56.4{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 16excludedclntrial palcareexcluded from data collection{space 1}{txt}{sf}{ul off} excluded from data collection{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 31:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} not excluded{space 1}{space 1}0{space 1}{txt:{c |}}{space 1}{res}81,740{space 1} {space 1} 98.4{space 1} {space 1} 98.4{space 1} {break}{space 1}{txt}on palliative care (see date){space 1}{space 1}1{space 1}{txt:{c |}}{space 1}{res} 1,141{space 1} {space 1} 1.4{space 1} {space 1} 99.8{space 1} {break}{space 1}{txt} in clinical trial{space 1}{space 1}2{space 1}{txt:{c |}}{space 1}{res} 178{space 1} {space 1} 0.2{space 1} {space 1}100.0{space 1} {break}{txt:{dup 31:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) clntrial palcare, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) clntrial palcare, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:clntrial 101 QUESTION}{p_end}{p2col:}During this hospital stay, was the patient enrolled in a clinical trial in which patients with acute myocardial infarction (AMI) were being studied?{p_end}{p2col:}(Includes AMI, STEMI, NSTEMI, or heart attack){p_end}{p2col:}{res:clntrial 101 DEFINITION}{p_end}{p2col:}In order to answer "Yes", BOTH of the following must be documented:{p_end}{p2col:}1. There must be a signed consent form for the clinical trial. For the purposes of abstraction, a clinical trial is defined as an experimental study in which research subjects are recruited and assigned a treatment/intervention and their outcomes are measured based on the intervention received; AND {p_end}{p2col:}2. There must be documentation on the signed consent form that during this hospital stay the patient was enrolled in a clinical trial in which patients with AMI were being studied (e.g., enrollment of the patient with AMI in a clinical trial studying stents). Patients may be newly enrolled in a clinical trial during the hospital stay or enrolled in a clinical trial prior to arrival and continued active participation in that clinical trial during this hospital stay.{p_end}{p2col:}In the following situations, select "No":{p_end}{p2col:}1. There is a signed patient consent form for an observational study only. Observational studies are non-experimental and involve no intervention (e.g., registries). {p_end}{p2col:}2. It is not clear whether the study described in the signed patient consent form is experimental or observational.{p_end}{p2col:}3. It is not clear which study population the clinical trial is enrolling. Assumptions should not be made if it is not specified.{p_end}{p2col:}ONLY ACCEPTABLE SOURCE: Signed consent form for clinical trial{p_end}{p2col:}Exclusion Statement: Enrollment of the patient in a clinical trial during this hospital stay relevant to AMI excludes the case from the JCAHO AMI Hospital Quality Measures.17paldatecomfort palcare plcaredtdoc date of pall care0{space 1}{txt}{sf}{ul off} doc date of pall care{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res} 2,340{space 1} {space 1} 2.8{space 1} {space 1} 2.8{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 3{space 1} {space 1} 0.0{space 1} {space 1} 2.8{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}19,724{space 1} {space 1} 23.7{space 1} {space 1} 26.6{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}36,214{space 1} {space 1} 43.6{space 1} {space 1} 70.2{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res}24,778{space 1} {space 1} 29.8{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) plcaredt, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) plcaredt, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:plcaredt 101 QUESTION}{p_end}{p2col:}Enter the date of documentation of comfort measures only.{p_end}{p2col:}{res:plcaredt 101 DEFINITION}{p_end}{p2col:}Sources: Admitting physician orders, Consultation notes, ED record, H&P, Physician admitting note, Physician orders, Progress notes. {p_end}{p2col:}Enter the exact date. The use of 01 to indicate missing day or month is not acceptable.18vid facility id'c{space 1}{txt}{sf}{ul off} facility id{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 5:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} ME/Augusta/1{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 174{space 1} {space 1} 0.2{space 1} {space 1} 0.2{space 1} {break}{space 1}{txt}VT/White River Junction/1{space 1}{space 1} 5{space 1}{txt:{c |}}{space 1}{res} 449{space 1} {space 1} 0.5{space 1} {space 1} 0.8{space 1} {break}{space 1}{txt} MA/Boston/6-1{space 1}{space 1} 11{space 1}{txt:{c |}}{space 1}{res} 1{space 1} {space 1} 0.0{space 1} {space 1} 0.8{space 1} {break}{space 1}{txt} MA/Brockton/1{space 1}{space 1} 14{space 1}{txt:{c |}}{space 1}{res} 6{space 1} {space 1} 0.0{space 1} {space 1} 0.8{space 1} {break}{space 1}{txt} MA/West Roxbury/1{space 1}{space 1} 15{space 1}{txt:{c |}}{space 1}{res} 875{space 1} {space 1} 1.1{space 1} {space 1} 1.8{space 1} {break}{space 1}{txt} MA/Leeds/1{space 1}{space 1} 20{space 1}{txt:{c |}}{space 1}{res} 2{space 1} {space 1} 0.0{space 1} {space 1} 1.8{space 1} {break}{space 1}{txt} RI/Providence/1{space 1}{space 1} 24{space 1}{txt:{c |}}{space 1}{res} 550{space 1} {space 1} 0.7{space 1} {space 1} 2.5{space 1} {break}{space 1}{txt} CT/West Haven/1{space 1}{space 1} 26{space 1}{txt:{c |}}{space 1}{res} 649{space 1} {space 1} 0.8{space 1} {space 1} 3.3{space 1} {break}{space 1}{txt} NY/Albany/1{space 1}{space 1} 41{space 1}{txt:{c |}}{space 1}{res} 529{space 1} {space 1} 0.6{space 1} {space 1} 3.9{space 1} {break}{space 1}{txt} NY/Bath/1{space 1}{space 1} 46{space 1}{txt:{c |}}{space 1}{res} 98{space 1} {space 1} 0.1{space 1} {space 1} 4.0{space 1} {break}{space 1}{txt} NY/Buffalo/1{space 1}{space 1} 47{space 1}{txt:{c |}}{space 1}{res} 1,136{space 1} {space 1} 1.4{space 1} {space 1} 5.4{space 1} {break}{space 1}{txt} NY/Syracuse/1{space 1}{space 1} 59{space 1}{txt:{c |}}{space 1}{res} 533{space 1} {space 1} 0.6{space 1} {space 1} 6.0{space 1} {break}{space 1}{txt} NY/Bronx/1{space 1}{space 1} 69{space 1}{txt:{c |}}{space 1}{res} 231{space 1} {space 1} 0.3{space 1} {space 1} 6.3{space 1} {break}{space 1}{txt} NY/Brooklyn/1{space 1}{space 1} 70{space 1}{txt:{c |}}{space 1}{res} 420{space 1} {space 1} 0.5{space 1} {space 1} 6.8{space 1} {break}{space 1}{txt} NJ/East Orange/1{space 1}{space 1} 74{space 1}{txt:{c |}}{space 1}{res} 205{space 1} {space 1} 0.2{space 1} {space 1} 7.1{space 1} {break}{space 1}{txt} NY/Castle Point/1{space 1}{space 1} 81{space 1}{txt:{c |}}{space 1}{res} 53{space 1} {space 1} 0.1{space 1} {space 1} 7.1{space 1} {break}{space 1}{txt} NY/New York/1{space 1}{space 1} 82{space 1}{txt:{c |}}{space 1}{res} 976{space 1} {space 1} 1.2{space 1} {space 1} 8.3{space 1} {break}{space 1}{txt} NY/Northport/1{space 1}{space 1} 85{space 1}{txt:{c |}}{space 1}{res} 554{space 1} {space 1} 0.7{space 1} {space 1} 9.0{space 1} {break}{space 1}{txt} DE/Wilmington/1{space 1}{space 1} 97{space 1}{txt:{c |}}{space 1}{res} 209{space 1} {space 1} 0.3{space 1} {space 1} 9.2{space 1} {break}{space 1}{txt} PA/Altoona/1{space 1}{space 1}102{space 1}{txt:{c |}}{space 1}{res} 301{space 1} {space 1} 0.4{space 1} {space 1} 9.6{space 1} {break}{space 1}{txt} PA/Butler/5{space 1}{space 1}105{space 1}{txt:{c |}}{space 1}{res} 8{space 1} {space 1} 0.0{space 1} {space 1} 9.6{space 1} {break}{space 1}{txt} WV/Clarksburg/1{space 1}{space 1}108{space 1}{txt:{c |}}{space 1}{res} 631{space 1} {space 1} 0.8{space 1} {space 1} 10.3{space 1} {break}{space 1}{txt} PA/Coatesville/1{space 1}{space 1}111{space 1}{txt:{c |}}{space 1}{res} 2{space 1} {space 1} 0.0{space 1} {space 1} 10.3{space 1} {break}{space 1}{txt} PA/Erie/1{space 1}{space 1}114{space 1}{txt:{c |}}{space 1}{res} 208{space 1} {space 1} 0.3{space 1} {space 1} 10.6{space 1} {break}{space 1}{txt} PA/Lebanon/1{space 1}{space 1}118{space 1}{txt:{c |}}{space 1}{res} 174{space 1} {space 1} 0.2{space 1} {space 1} 10.8{space 1} {break}{space 1}{txt} PA/Philadelphia/1{space 1}{space 1}122{space 1}{txt:{c |}}{space 1}{res} 361{space 1} {space 1} 0.4{space 1} {space 1} 11.2{space 1} {break}{space 1}{txt} PA/Pittsburgh/1-1{space 1}{space 1}125{space 1}{txt:{c |}}{space 1}{res} 652{space 1} {space 1} 0.8{space 1} {space 1} 12.0{space 1} {break}{space 1}{txt} PA/Pittsburgh/1-2{space 1}{space 1}127{space 1}{txt:{c |}}{space 1}{res} 1{space 1} {space 1} 0.0{space 1} {space 1} 12.0{space 1} {break}{space 1}{txt} PA/Wilkes-Barre/1{space 1}{space 1}131{space 1}{txt:{c |}}{space 1}{res} 445{space 1} {space 1} 0.5{space 1} {space 1} 12.6{space 1} {break}{space 1}{txt} MD/Baltimore/1{space 1}{space 1}147{space 1}{txt:{c |}}{space 1}{res} 747{space 1} {space 1} 0.9{space 1} {space 1} 13.5{space 1} {break}{space 1}{txt} MD/Perry Point/1{space 1}{space 1}149{space 1}{txt:{c |}}{space 1}{res} 27{space 1} {space 1} 0.0{space 1} {space 1} 13.5{space 1} {break}{space 1}{txt} WV/Martinsburg/1{space 1}{space 1}152{space 1}{txt:{c |}}{space 1}{res} 467{space 1} {space 1} 0.6{space 1} {space 1} 14.1{space 1} {break}{space 1}{txt} DC/Washington/1{space 1}{space 1}155{space 1}{txt:{c |}}{space 1}{res} 752{space 1} {space 1} 0.9{space 1} {space 1} 15.0{space 1} {break}{space 1}{txt} WV/Beckley/1{space 1}{space 1}159{space 1}{txt:{c |}}{space 1}{res} 272{space 1} {space 1} 0.3{space 1} {space 1} 15.3{space 1} {break}{space 1}{txt} NC/Durham/1{space 1}{space 1}160{space 1}{txt:{c |}}{space 1}{res} 1,089{space 1} {space 1} 1.3{space 1} {space 1} 16.6{space 1} {break}{space 1}{txt} NC/Fayetteville/1{space 1}{space 1}161{space 1}{txt:{c |}}{space 1}{res} 138{space 1} {space 1} 0.2{space 1} {space 1} 16.8{space 1} {break}{space 1}{txt} VA/Hampton/1{space 1}{space 1}162{space 1}{txt:{c |}}{space 1}{res} 173{space 1} {space 1} 0.2{space 1} {space 1} 17.0{space 1} {break}{space 1}{txt} NC/Asheville/1{space 1}{space 1}163{space 1}{txt:{c |}}{space 1}{res} 630{space 1} {space 1} 0.8{space 1} {space 1} 17.7{space 1} {break}{space 1}{txt} VA/Richmond/1{space 1}{space 1}164{space 1}{txt:{c |}}{space 1}{res} 1,111{space 1} {space 1} 1.3{space 1} {space 1} 19.1{space 1} {break}{space 1}{txt} VA/Salem/1{space 1}{space 1}165{space 1}{txt:{c |}}{space 1}{res} 581{space 1} {space 1} 0.7{space 1} {space 1} 19.8{space 1} {break}{space 1}{txt} NC/Salisbury/1{space 1}{space 1}175{space 1}{txt:{c |}}{space 1}{res} 223{space 1} {space 1} 0.3{space 1} {space 1} 20.0{space 1} {break}{space 1}{txt} GA/Decatur/1{space 1}{space 1}180{space 1}{txt:{c |}}{space 1}{res} 866{space 1} {space 1} 1.0{space 1} {space 1} 21.1{space 1} {break}{space 1}{txt} GA/Augusta/1-1{space 1}{space 1}182{space 1}{txt:{c |}}{space 1}{res} 571{space 1} {space 1} 0.7{space 1} {space 1} 21.8{space 1} {break}{space 1}{txt} GA/Augusta/1-2{space 1}{space 1}183{space 1}{txt:{c |}}{space 1}{res} 3{space 1} {space 1} 0.0{space 1} {space 1} 21.8{space 1} {break}{space 1}{txt} AL/Birmingham/1{space 1}{space 1}184{space 1}{txt:{c |}}{space 1}{res} 825{space 1} {space 1} 1.0{space 1} {space 1} 22.8{space 1} {break}{space 1}{txt} SC/Charleston/1{space 1}{space 1}186{space 1}{txt:{c |}}{space 1}{res} 597{space 1} {space 1} 0.7{space 1} {space 1} 23.5{space 1} {break}{space 1}{txt} SC/Columbia/1{space 1}{space 1}188{space 1}{txt:{c |}}{space 1}{res} 459{space 1} {space 1} 0.6{space 1} {space 1} 24.0{space 1} {break}{space 1}{txt} GA/Dublin/1{space 1}{space 1}190{space 1}{txt:{c |}}{space 1}{res} 179{space 1} {space 1} 0.2{space 1} {space 1} 24.3{space 1} {break}{space 1}{txt} AL/Montgomery/1{space 1}{space 1}191{space 1}{txt:{c |}}{space 1}{res} 151{space 1} {space 1} 0.2{space 1} {space 1} 24.4{space 1} {break}{space 1}{txt} AL/Tuscaloosa/1{space 1}{space 1}195{space 1}{txt:{c |}}{space 1}{res} 1{space 1} {space 1} 0.0{space 1} {space 1} 24.4{space 1} {break}{space 1}{txt} FL/Bay Pines/1{space 1}{space 1}208{space 1}{txt:{c |}}{space 1}{res} 1,445{space 1} {space 1} 1.7{space 1} {space 1} 26.2{space 1} {break}{space 1}{txt} FL/Miami/1{space 1}{space 1}211{space 1}{txt:{c |}}{space 1}{res} 671{space 1} {space 1} 0.8{space 1} {space 1} 27.0{space 1} {break}{space 1}{txt} FL/West Palm Beach/1{space 1}{space 1}216{space 1}{txt:{c |}}{space 1}{res} 539{space 1} {space 1} 0.6{space 1} {space 1} 27.6{space 1} {break}{space 1}{txt} FL/Gainesville/1{space 1}{space 1}217{space 1}{txt:{c |}}{space 1}{res} 1,892{space 1} {space 1} 2.3{space 1} {space 1} 29.9{space 1} {break}{space 1}{txt} FL/Lake City/1{space 1}{space 1}218{space 1}{txt:{c |}}{space 1}{res} 308{space 1} {space 1} 0.4{space 1} {space 1} 30.3{space 1} {break}{space 1}{txt} PR/San Juan/1{space 1}{space 1}223{space 1}{txt:{c |}}{space 1}{res} 3,359{space 1} {space 1} 4.0{space 1} {space 1} 34.3{space 1} {break}{space 1}{txt} FL/Tampa/1{space 1}{space 1}228{space 1}{txt:{c |}}{space 1}{res} 2,178{space 1} {space 1} 2.6{space 1} {space 1} 36.9{space 1} {break}{space 1}{txt} WV/Huntington/1{space 1}{space 1}243{space 1}{txt:{c |}}{space 1}{res} 606{space 1} {space 1} 0.7{space 1} {space 1} 37.7{space 1} {break}{space 1}{txt} KY/Lexington/3{space 1}{space 1}245{space 1}{txt:{c |}}{space 1}{res} 1{space 1} {space 1} 0.0{space 1} {space 1} 37.7{space 1} {break}{space 1}{txt} KY/Lexington/1{space 1}{space 1}246{space 1}{txt:{c |}}{space 1}{res} 1,028{space 1} {space 1} 1.2{space 1} {space 1} 38.9{space 1} {break}{space 1}{txt} KY/Louisville/1{space 1}{space 1}247{space 1}{txt:{c |}}{space 1}{res} 1,077{space 1} {space 1} 1.3{space 1} {space 1} 40.2{space 1} {break}{space 1}{txt} TN/Memphis/1{space 1}{space 1}249{space 1}{txt:{c |}}{space 1}{res} 816{space 1} {space 1} 1.0{space 1} {space 1} 41.2{space 1} {break}{space 1}{txt} TN/Mountain Home/1{space 1}{space 1}250{space 1}{txt:{c |}}{space 1}{res} 1,074{space 1} {space 1} 1.3{space 1} {space 1} 42.5{space 1} {break}{space 1}{txt} TN/Murfreesboro/1{space 1}{space 1}251{space 1}{txt:{c |}}{space 1}{res} 503{space 1} {space 1} 0.6{space 1} {space 1} 43.1{space 1} {break}{space 1}{txt} TN/Nashville/1{space 1}{space 1}255{space 1}{txt:{c |}}{space 1}{res} 1,150{space 1} {space 1} 1.4{space 1} {space 1} 44.5{space 1} {break}{space 1}{txt} OH/Chillicothe/1{space 1}{space 1}265{space 1}{txt:{c |}}{space 1}{res} 232{space 1} {space 1} 0.3{space 1} {space 1} 44.8{space 1} {break}{space 1}{txt} OH/Cincinnati/1{space 1}{space 1}268{space 1}{txt:{c |}}{space 1}{res} 1,028{space 1} {space 1} 1.2{space 1} {space 1} 46.0{space 1} {break}{space 1}{txt} OH/Cleveland/1-1{space 1}{space 1}269{space 1}{txt:{c |}}{space 1}{res} 1,001{space 1} {space 1} 1.2{space 1} {space 1} 47.2{space 1} {break}{space 1}{txt} OH/Cleveland/1-2{space 1}{space 1}270{space 1}{txt:{c |}}{space 1}{res} 1{space 1} {space 1} 0.0{space 1} {space 1} 47.2{space 1} {break}{space 1}{txt} OH/Dayton/1{space 1}{space 1}276{space 1}{txt:{c |}}{space 1}{res} 535{space 1} {space 1} 0.6{space 1} {space 1} 47.8{space 1} {break}{space 1}{txt} MI/Ann Arbor/1{space 1}{space 1}282{space 1}{txt:{c |}}{space 1}{res} 768{space 1} {space 1} 0.9{space 1} {space 1} 48.8{space 1} {break}{space 1}{txt} MI/Battle Creek/1{space 1}{space 1}284{space 1}{txt:{c |}}{space 1}{res} 36{space 1} {space 1} 0.0{space 1} {space 1} 48.8{space 1} {break}{space 1}{txt} IL/Danville/1{space 1}{space 1}286{space 1}{txt:{c |}}{space 1}{res} 319{space 1} {space 1} 0.4{space 1} {space 1} 49.2{space 1} {break}{space 1}{txt} MI/Detroit/1{space 1}{space 1}289{space 1}{txt:{c |}}{space 1}{res} 435{space 1} {space 1} 0.5{space 1} {space 1} 49.7{space 1} {break}{space 1}{txt} IN/Indianapolis/1{space 1}{space 1}291{space 1}{txt:{c |}}{space 1}{res} 1,579{space 1} {space 1} 1.9{space 1} {space 1} 51.6{space 1} {break}{space 1}{txt} IN/Marion/1{space 1}{space 1}292{space 1}{txt:{c |}}{space 1}{res} 15{space 1} {space 1} 0.0{space 1} {space 1} 51.6{space 1} {break}{space 1}{txt} IN/Fort Wayne/1{space 1}{space 1}293{space 1}{txt:{c |}}{space 1}{res} 215{space 1} {space 1} 0.3{space 1} {space 1} 51.9{space 1} {break}{space 1}{txt} MI/Saginaw/1{space 1}{space 1}295{space 1}{txt:{c |}}{space 1}{res} 138{space 1} {space 1} 0.2{space 1} {space 1} 52.1{space 1} {break}{space 1}{txt} IL/Chicago/1{space 1}{space 1}298{space 1}{txt:{c |}}{space 1}{res} 476{space 1} {space 1} 0.6{space 1} {space 1} 52.6{space 1} {break}{space 1}{txt} IL/North Chicago/1{space 1}{space 1}303{space 1}{txt:{c |}}{space 1}{res} 402{space 1} {space 1} 0.5{space 1} {space 1} 53.1{space 1} {break}{space 1}{txt} IL/Hines/1{space 1}{space 1}306{space 1}{txt:{c |}}{space 1}{res} 750{space 1} {space 1} 0.9{space 1} {space 1} 54.0{space 1} {break}{space 1}{txt} MI/Iron Mountain/1{space 1}{space 1}310{space 1}{txt:{c |}}{space 1}{res} 165{space 1} {space 1} 0.2{space 1} {space 1} 54.2{space 1} {break}{space 1}{txt} WI/Madison/1{space 1}{space 1}315{space 1}{txt:{c |}}{space 1}{res} 783{space 1} {space 1} 0.9{space 1} {space 1} 55.2{space 1} {break}{space 1}{txt} WI/Tomah/1{space 1}{space 1}317{space 1}{txt:{c |}}{space 1}{res} 28{space 1} {space 1} 0.0{space 1} {space 1} 55.2{space 1} {break}{space 1}{txt} WI/Milwaukee/1{space 1}{space 1}319{space 1}{txt:{c |}}{space 1}{res} 652{space 1} {space 1} 0.8{space 1} {space 1} 56.0{space 1} {break}{space 1}{txt} ND/Fargo/1{space 1}{space 1}328{space 1}{txt:{c |}}{space 1}{res} 278{space 1} {space 1} 0.3{space 1} {space 1} 56.3{space 1} {break}{space 1}{txt} SD/Sioux Falls/1{space 1}{space 1}331{space 1}{txt:{c |}}{space 1}{res} 393{space 1} {space 1} 0.5{space 1} {space 1} 56.8{space 1} {break}{space 1}{txt} SD/Fort Meade/1{space 1}{space 1}332{space 1}{txt:{c |}}{space 1}{res} 139{space 1} {space 1} 0.2{space 1} {space 1} 57.0{space 1} {break}{space 1}{txt} SD/Hot Springs/1{space 1}{space 1}333{space 1}{txt:{c |}}{space 1}{res} 79{space 1} {space 1} 0.1{space 1} {space 1} 57.1{space 1} {break}{space 1}{txt} MN/Minneapolis/1{space 1}{space 1}346{space 1}{txt:{c |}}{space 1}{res} 1,641{space 1} {space 1} 2.0{space 1} {space 1} 59.0{space 1} {break}{space 1}{txt} IA/Des Moines/1{space 1}{space 1}354{space 1}{txt:{c |}}{space 1}{res} 343{space 1} {space 1} 0.4{space 1} {space 1} 59.4{space 1} {break}{space 1}{txt} IA/Knoxville/1{space 1}{space 1}355{space 1}{txt:{c |}}{space 1}{res} 1{space 1} {space 1} 0.0{space 1} {space 1} 59.4{space 1} {break}{space 1}{txt} IA/Iowa City/1{space 1}{space 1}358{space 1}{txt:{c |}}{space 1}{res} 709{space 1} {space 1} 0.9{space 1} {space 1} 60.3{space 1} {break}{space 1}{txt} NE/Omaha/1{space 1}{space 1}365{space 1}{txt:{c |}}{space 1}{res} 541{space 1} {space 1} 0.7{space 1} {space 1} 60.9{space 1} {break}{space 1}{txt} KS/Wichita/1{space 1}{space 1}367{space 1}{txt:{c |}}{space 1}{res} 640{space 1} {space 1} 0.8{space 1} {space 1} 61.7{space 1} {break}{space 1}{txt} MO/Columbia/1{space 1}{space 1}368{space 1}{txt:{c |}}{space 1}{res} 735{space 1} {space 1} 0.9{space 1} {space 1} 62.6{space 1} {break}{space 1}{txt} MO/Kansas City/1{space 1}{space 1}369{space 1}{txt:{c |}}{space 1}{res} 977{space 1} {space 1} 1.2{space 1} {space 1} 63.8{space 1} {break}{space 1}{txt} IL/Marion/1{space 1}{space 1}370{space 1}{txt:{c |}}{space 1}{res} 441{space 1} {space 1} 0.5{space 1} {space 1} 64.3{space 1} {break}{space 1}{txt} MO/Poplar Bluff/1{space 1}{space 1}373{space 1}{txt:{c |}}{space 1}{res} 320{space 1} {space 1} 0.4{space 1} {space 1} 64.7{space 1} {break}{space 1}{txt} MO/St. Louis/1-1{space 1}{space 1}374{space 1}{txt:{c |}}{space 1}{res} 1,301{space 1} {space 1} 1.6{space 1} {space 1} 66.3{space 1} {break}{space 1}{txt} MO/St. Louis/1-2{space 1}{space 1}375{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 66.3{space 1} {break}{space 1}{txt} KS/Topeka/1{space 1}{space 1}376{space 1}{txt:{c |}}{space 1}{res} 312{space 1} {space 1} 0.4{space 1} {space 1} 66.7{space 1} {break}{space 1}{txt} KS/Leavenworth/1{space 1}{space 1}377{space 1}{txt:{c |}}{space 1}{res} 391{space 1} {space 1} 0.5{space 1} {space 1} 67.1{space 1} {break}{space 1}{txt} LA/Pineville/1{space 1}{space 1}400{space 1}{txt:{c |}}{space 1}{res} 287{space 1} {space 1} 0.3{space 1} {space 1} 67.5{space 1} {break}{space 1}{txt} MS/Biloxi/1{space 1}{space 1}402{space 1}{txt:{c |}}{space 1}{res} 181{space 1} {space 1} 0.2{space 1} {space 1} 67.7{space 1} {break}{space 1}{txt} AR/Fayetteville/1{space 1}{space 1}407{space 1}{txt:{c |}}{space 1}{res} 484{space 1} {space 1} 0.6{space 1} {space 1} 68.3{space 1} {break}{space 1}{txt} TX/Houston/1{space 1}{space 1}409{space 1}{txt:{c |}}{space 1}{res} 1,233{space 1} {space 1} 1.5{space 1} {space 1} 69.8{space 1} {break}{space 1}{txt} MS/Jackson/1{space 1}{space 1}412{space 1}{txt:{c |}}{space 1}{res} 817{space 1} {space 1} 1.0{space 1} {space 1} 70.7{space 1} {break}{space 1}{txt} AR/Little Rock/1{space 1}{space 1}414{space 1}{txt:{c |}}{space 1}{res} 1,496{space 1} {space 1} 1.8{space 1} {space 1} 72.5{space 1} {break}{space 1}{txt} AR/North Little Rock/1{space 1}{space 1}415{space 1}{txt:{c |}}{space 1}{res} 7{space 1} {space 1} 0.0{space 1} {space 1} 72.5{space 1} {break}{space 1}{txt} OK/Muskogee/1{space 1}{space 1}416{space 1}{txt:{c |}}{space 1}{res} 454{space 1} {space 1} 0.5{space 1} {space 1} 73.1{space 1} {break}{space 1}{txt} LA/New Orleans/1{space 1}{space 1}418{space 1}{txt:{c |}}{space 1}{res} 271{space 1} {space 1} 0.3{space 1} {space 1} 73.4{space 1} {break}{space 1}{txt} OK/Oklahoma City/1{space 1}{space 1}420{space 1}{txt:{c |}}{space 1}{res} 1,362{space 1} {space 1} 1.6{space 1} {space 1} 75.1{space 1} {break}{space 1}{txt} LA/Shreveport/1{space 1}{space 1}425{space 1}{txt:{c |}}{space 1}{res} 823{space 1} {space 1} 1.0{space 1} {space 1} 76.0{space 1} {break}{space 1}{txt} TX/Dallas/1{space 1}{space 1}443{space 1}{txt:{c |}}{space 1}{res} 1,693{space 1} {space 1} 2.0{space 1} {space 1} 78.1{space 1} {break}{space 1}{txt} TX/San Antonio/1{space 1}{space 1}454{space 1}{txt:{c |}}{space 1}{res} 1,062{space 1} {space 1} 1.3{space 1} {space 1} 79.4{space 1} {break}{space 1}{txt} TX/Kerrville/1{space 1}{space 1}455{space 1}{txt:{c |}}{space 1}{res} 88{space 1} {space 1} 0.1{space 1} {space 1} 79.5{space 1} {break}{space 1}{txt} TX/Temple/1{space 1}{space 1}469{space 1}{txt:{c |}}{space 1}{res} 605{space 1} {space 1} 0.7{space 1} {space 1} 80.2{space 1} {break}{space 1}{txt} TX/Waco/1{space 1}{space 1}470{space 1}{txt:{c |}}{space 1}{res} 3{space 1} {space 1} 0.0{space 1} {space 1} 80.2{space 1} {break}{space 1}{txt} NM/Albuquerque/1{space 1}{space 1}476{space 1}{txt:{c |}}{space 1}{res} 1,209{space 1} {space 1} 1.5{space 1} {space 1} 81.7{space 1} {break}{space 1}{txt} TX/Amarillo/1{space 1}{space 1}485{space 1}{txt:{c |}}{space 1}{res} 405{space 1} {space 1} 0.5{space 1} {space 1} 82.1{space 1} {break}{space 1}{txt} TX/Big Spring/1{space 1}{space 1}492{space 1}{txt:{c |}}{space 1}{res} 137{space 1} {space 1} 0.2{space 1} {space 1} 82.3{space 1} {break}{space 1}{txt} AZ/Phoenix/1{space 1}{space 1}499{space 1}{txt:{c |}}{space 1}{res} 1,231{space 1} {space 1} 1.5{space 1} {space 1} 83.8{space 1} {break}{space 1}{txt} AZ/Prescott/1{space 1}{space 1}502{space 1}{txt:{c |}}{space 1}{res} 364{space 1} {space 1} 0.4{space 1} {space 1} 84.2{space 1} {break}{space 1}{txt} AZ/Tucson/1{space 1}{space 1}503{space 1}{txt:{c |}}{space 1}{res} 1,329{space 1} {space 1} 1.6{space 1} {space 1} 85.8{space 1} {break}{space 1}{txt} MT/Fort Harrison/1{space 1}{space 1}513{space 1}{txt:{c |}}{space 1}{res} 200{space 1} {space 1} 0.2{space 1} {space 1} 86.1{space 1} {break}{space 1}{txt} WY/Cheyenne/1{space 1}{space 1}521{space 1}{txt:{c |}}{space 1}{res} 73{space 1} {space 1} 0.1{space 1} {space 1} 86.2{space 1} {break}{space 1}{txt} CO/Denver/1{space 1}{space 1}524{space 1}{txt:{c |}}{space 1}{res} 649{space 1} {space 1} 0.8{space 1} {space 1} 86.9{space 1} {break}{space 1}{txt} CO/Grand Junction/1{space 1}{space 1}529{space 1}{txt:{c |}}{space 1}{res} 108{space 1} {space 1} 0.1{space 1} {space 1} 87.1{space 1} {break}{space 1}{txt} UT/Salt Lake City/1{space 1}{space 1}531{space 1}{txt:{c |}}{space 1}{res} 700{space 1} {space 1} 0.8{space 1} {space 1} 87.9{space 1} {break}{space 1}{txt} WY/Sheridan/1{space 1}{space 1}533{space 1}{txt:{c |}}{space 1}{res} 50{space 1} {space 1} 0.1{space 1} {space 1} 88.0{space 1} {break}{space 1}{txt} ID/Boise/1{space 1}{space 1}537{space 1}{txt:{c |}}{space 1}{res} 610{space 1} {space 1} 0.7{space 1} {space 1} 88.7{space 1} {break}{space 1}{txt} OR/Portland/1{space 1}{space 1}538{space 1}{txt:{c |}}{space 1}{res} 1,298{space 1} {space 1} 1.6{space 1} {space 1} 90.3{space 1} {break}{space 1}{txt} OR/Roseburg/1{space 1}{space 1}541{space 1}{txt:{c |}}{space 1}{res} 227{space 1} {space 1} 0.3{space 1} {space 1} 90.5{space 1} {break}{space 1}{txt} WA/Seattle/1{space 1}{space 1}544{space 1}{txt:{c |}}{space 1}{res} 1,015{space 1} {space 1} 1.2{space 1} {space 1} 91.8{space 1} {break}{space 1}{txt} WA/Spokane/1{space 1}{space 1}546{space 1}{txt:{c |}}{space 1}{res} 212{space 1} {space 1} 0.3{space 1} {space 1} 92.0{space 1} {break}{space 1}{txt} WA/Walla Walla/1{space 1}{space 1}547{space 1}{txt:{c |}}{space 1}{res} 20{space 1} {space 1} 0.0{space 1} {space 1} 92.0{space 1} {break}{space 1}{txt} CA/Fresno/1{space 1}{space 1}566{space 1}{txt:{c |}}{space 1}{res} 364{space 1} {space 1} 0.4{space 1} {space 1} 92.5{space 1} {break}{space 1}{txt} CA/Martinez/3{space 1}{space 1}568{space 1}{txt:{c |}}{space 1}{res} 4{space 1} {space 1} 0.0{space 1} {space 1} 92.5{space 1} {break}{space 1}{txt} CA/Mather/1{space 1}{space 1}569{space 1}{txt:{c |}}{space 1}{res} 465{space 1} {space 1} 0.6{space 1} {space 1} 93.0{space 1} {break}{space 1}{txt} CA/Palo Alto/1{space 1}{space 1}577{space 1}{txt:{c |}}{space 1}{res} 685{space 1} {space 1} 0.8{space 1} {space 1} 93.9{space 1} {break}{space 1}{txt} NV/Reno/1{space 1}{space 1}585{space 1}{txt:{c |}}{space 1}{res} 635{space 1} {space 1} 0.8{space 1} {space 1} 94.6{space 1} {break}{space 1}{txt} CA/San Francisco/1{space 1}{space 1}587{space 1}{txt:{c |}}{space 1}{res} 802{space 1} {space 1} 1.0{space 1} {space 1} 95.6{space 1} {break}{space 1}{txt} NV/Las Vegas/1{space 1}{space 1}591{space 1}{txt:{c |}}{space 1}{res} 154{space 1} {space 1} 0.2{space 1} {space 1} 95.8{space 1} {break}{space 1}{txt} CA/Long Beach/1{space 1}{space 1}592{space 1}{txt:{c |}}{space 1}{res} 828{space 1} {space 1} 1.0{space 1} {space 1} 96.8{space 1} {break}{space 1}{txt} CA/Loma Linda/1{space 1}{space 1}593{space 1}{txt:{c |}}{space 1}{res} 955{space 1} {space 1} 1.1{space 1} {space 1} 97.9{space 1} {break}{space 1}{txt} CA/San Diego/1{space 1}{space 1}595{space 1}{txt:{c |}}{space 1}{res} 747{space 1} {space 1} 0.9{space 1} {space 1} 98.8{space 1} {break}{space 1}{txt} CA/West Los Angeles/1{space 1}{space 1}601{space 1}{txt:{c |}}{space 1}{res} 948{space 1} {space 1} 1.1{space 1} {space 1}100.0{space 1} {break}{space 1}{txt} .l{space 1}{space 1} .l{space 1}{txt:{c |}}{space 1}{res} 19{space 1} {space 1} 0.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 5:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} :VAST unique ID; can be used to retrieve other station info19visnvets integrated service networkf{space 1}{txt}{sf}{ul off}vets integrated service network{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 29:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} 1{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 2,706{space 1} {space 1} 3.3{space 1} {space 1} 3.3{space 1} {break}{space 1}{txt} 2{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 2,296{space 1} {space 1} 2.8{space 1} {space 1} 6.0{space 1} {break}{space 1}{txt} 3{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 2,439{space 1} {space 1} 2.9{space 1} {space 1} 9.0{space 1} {break}{space 1}{txt} 4{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 2,992{space 1} {space 1} 3.6{space 1} {space 1} 12.6{space 1} {break}{space 1}{txt} 5{space 1}{space 1} 5{space 1}{txt:{c |}}{space 1}{res} 1,993{space 1} {space 1} 2.4{space 1} {space 1} 15.0{space 1} {break}{space 1}{txt} 6{space 1}{space 1} 6{space 1}{txt:{c |}}{space 1}{res} 4,217{space 1} {space 1} 5.1{space 1} {space 1} 20.0{space 1} {break}{space 1}{txt} 7{space 1}{space 1} 7{space 1}{txt:{c |}}{space 1}{res} 3,652{space 1} {space 1} 4.4{space 1} {space 1} 24.4{space 1} {break}{space 1}{txt} 8{space 1}{space 1} 8{space 1}{txt:{c |}}{space 1}{res}10,392{space 1} {space 1} 12.5{space 1} {space 1} 36.9{space 1} {break}{space 1}{txt} 9{space 1}{space 1} 9{space 1}{txt:{c |}}{space 1}{res} 6,255{space 1} {space 1} 7.5{space 1} {space 1} 44.5{space 1} {break}{space 1}{txt} 10{space 1}{space 1}10{space 1}{txt:{c |}}{space 1}{res} 2,797{space 1} {space 1} 3.4{space 1} {space 1} 47.8{space 1} {break}{space 1}{txt} 11{space 1}{space 1}11{space 1}{txt:{c |}}{space 1}{res} 3,505{space 1} {space 1} 4.2{space 1} {space 1} 52.1{space 1} {break}{space 1}{txt} 12{space 1}{space 1}12{space 1}{txt:{c |}}{space 1}{res} 3,256{space 1} {space 1} 3.9{space 1} {space 1} 56.0{space 1} {break}{space 1}{txt} 15{space 1}{space 1}15{space 1}{txt:{c |}}{space 1}{res} 5,126{space 1} {space 1} 6.2{space 1} {space 1} 62.2{space 1} {break}{space 1}{txt} 16{space 1}{space 1}16{space 1}{txt:{c |}}{space 1}{res} 7,415{space 1} {space 1} 8.9{space 1} {space 1} 71.1{space 1} {break}{space 1}{txt} 17{space 1}{space 1}17{space 1}{txt:{c |}}{space 1}{res} 3,451{space 1} {space 1} 4.2{space 1} {space 1} 75.2{space 1} {break}{space 1}{txt} 18{space 1}{space 1}18{space 1}{txt:{c |}}{space 1}{res} 4,675{space 1} {space 1} 5.6{space 1} {space 1} 80.9{space 1} {break}{space 1}{txt} 19{space 1}{space 1}19{space 1}{txt:{c |}}{space 1}{res} 1,780{space 1} {space 1} 2.1{space 1} {space 1} 83.0{space 1} {break}{space 1}{txt} 20{space 1}{space 1}20{space 1}{txt:{c |}}{space 1}{res} 3,382{space 1} {space 1} 4.1{space 1} {space 1} 87.1{space 1} {break}{space 1}{txt} 21{space 1}{space 1}21{space 1}{txt:{c |}}{space 1}{res} 2,955{space 1} {space 1} 3.6{space 1} {space 1} 90.6{space 1} {break}{space 1}{txt} 22{space 1}{space 1}22{space 1}{txt:{c |}}{space 1}{res} 3,632{space 1} {space 1} 4.4{space 1} {space 1} 95.0{space 1} {break}{space 1}{txt} 23{space 1}{space 1}23{space 1}{txt:{c |}}{space 1}{res} 4,124{space 1} {space 1} 5.0{space 1} {space 1}100.0{space 1} {break}{space 1}{txt} miss/link to external data{space 1}{space 1}.l{space 1}{txt:{c |}}{space 1}{res} 19{space 1} {space 1} 0.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 29:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 20faczip facility zipB{space 1}{txt}{sf}{ul off} facility zip{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 28:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}83,040{space 1} {space 1} 100.0{space 1} {space 1}100.0{space 1} {break}{space 1}{txt}miss/link to external data{space 1}{space 1}.l{space 1}{txt:{c |}}{space 1}{res} 19{space 1} {space 1} 0.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 28:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} from vid/VAST21ami_uatruamiACS is AMI or UA{space 1}{txt}{sf}{ul off} ACS is AMI or UA{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 17:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} AMI{space 1}{space 1}1{space 1}{txt:{c |}}{space 1}{res}73,880{space 1} {space 1} 88.9{space 1} {space 1} 88.9{space 1} {break}{space 1}{txt}unstable angina{space 1}{space 1}2{space 1}{txt:{c |}}{space 1}{res} 9,179{space 1} {space 1} 11.1{space 1} {space 1}100.0{space 1} {break}{txt:{dup 17:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) truami, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) truami, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:truami 101 QUESTION}{p_end}{p2col:}Is there evidence in the medical record that the patient had an acute myocardial infarction?{p_end}{p2col:}{res:truami 101 DEFINITION}{p_end}{p2col:}Evidence in the medical record the patient had an AMI:{p_end}{p2col:}1) Review the discharge summary first to determine if there was a diagnosis of AMI (may also be called Non-STEMI, NSTEMI, STEMI, or Acute Coronary Syndrome.) {p_end}{p2col:}2) If the discharge summary is NOT present, other physician documentation must record a diagnosis of myocardial infarction (or Non-STEMI, NSTEMI, STEMI, or ACS.) {p_end}{p2col:}EXCEPTION: {p_end}{p2col:}3) In cases of conflicting documentation when the discharge summary documents AMI as a final diagnosis and the record is coded as an AMI, but a cardiologist documented that an AMI did not occur, accept the discharge summary diagnosis as valid and enter "1." Most likely to occur if the diagnosis is NSTEMI.{p_end}{p2col:}Any order in which AMI is noted in the listing of discharge diagnoses is acceptable. {p_end}{p2col:}If the AMI diagnosis documented at the time of discharge is qualified as "probable," "suspected," "likely," "questionable," "possible," "still to be ruled out," or other similar terms indicating uncertainty, coding conventions dictate that this terminology be coded as an AMI and is an acceptable diagnosis of AMI (code the AMI as if it existed or was established). {p_end}{p2col:}Note: if the AMI code is 410.x2, answer "2." Cases coded with a fifth digit of 2 are not to be reviewed.22 ami_class Infarct classZ{space 1}{txt}{sf}{ul off} Infarct class{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} unknown{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res} 4,113{space 1} {space 1} 5.0{space 1} {space 1} 5.0{space 1} {break}{space 1}{txt} NSTEMI{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}59,295{space 1} {space 1} 71.4{space 1} {space 1} 76.3{space 1} {break}{space 1}{txt} STEMI{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res}10,472{space 1} {space 1} 12.6{space 1} {space 1} 88.9{space 1} {break}{space 1}{txt}miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 9,179{space 1} {space 1} 11.1{space 1} {space 1}100.0{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} from ami_ua & ekg23 arrive_dtUacs_arr acs_both acutedt acutetm anyvamc arrvdoc arrvtime cond eddate edtime hms m mi date/time of arrival at hospital{space 1}{txt}{sf}{ul off}date/time of arrival at hospital{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}78,807{space 1} {space 1} 94.9{space 1} {space 1} 94.9{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 3,650{space 1} {space 1} 4.4{space 1} {space 1} 99.3{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 547{space 1} {space 1} 0.7{space 1} {space 1} 99.9{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 55{space 1} {space 1} 0.1{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} w{stata docs @eprp (*) acutedt acutetm cond eddate edtime hms mi, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acutedt acutetm cond eddate edtime hms mi, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:acutetm 101 QUESTION}{p_end}{p2col:}Enter the earliest documented time the patient arrived at this or another VAMC.{p_end}{p2col:}{res:acutetm 101 DEFINITION}{p_end}{p2col:}Do not use ambulance records to determine arrival time. The earliest possible time the patient arrived at the hospital may differ from the formal admission time.{p_end}{p2col:}The following rules apply:{p_end}{p2col:}1. If the patient presented to the acute care hospital (for example to the ED, an observation bed, or any inpatient bed section), the earliest time that indicated the patient was in the facility is the arrival time. This may be the time vital signs were recorded or an ECG done if this action preceded the paperwork, i.e., the time the patient's arrival was logged in by a clerical person. {p_end}{p2col:}2. If the patient was seen by an immediate response chest pain team, assembled by the hospital to provide acute chest pain triage, rapid intervention, and quick disposition of suspected ACS pts, the time when the team first saw the patient is the arrival time.{p_end}{p2col:}3. For patients presenting to a scheduled clinic visit, who are subsequently sent to the acute care setting for treatment of ACS, the arrival time is the time when the patient arrived at the acute care setting.{p_end}{p2col:}4. For patients with unscheduled presentation (walk-ins to urgent care, etc. where care could be provided) the arrival time is the time of the unscheduled walk-in presentation.{p_end}{p2col:}5. If the patient first presented to a VAMC other than the facility under review, use the date and time of arrival at the first VAMC.{p_end}{p2col:}6. For patients in observation status and subsequently admitted to hospital: {p_end}{p2col:}o If the patient was admitted to observation from the ED of the hospital, use the time the patient presented to ED. {p_end}{p2col:}o If the patient was admitted to observation from an outpatient setting of the hospital, use the time the patient presented to ED or arrived on the floor for observation care. {p_end}{p2col:}o If the patient was a direct admit to observation, use the earliest time the patient arrived at the hospital. {p_end}{p2col:}7. If the patient is in an outpatient setting of the hospital (e.g., undergoing dialysis, chemotherapy, cardiac cath) and is subsequently admitted to the hospital, use the time the patient presents to the ED or arrives on the floor for inpatient care as arrival time. If the time the patient arrived on the floor is not documented by the nurse, enter the admission time recorded in EADT. {p_end}{p2col:}Direct Admit cont'd next page{p_end}{p2col:}Acute Care Arrival Time cont'd{p_end}{p2col:}8. If the patient is a "Direct Admit" to the cath lab, as a transfer from another ED or acute care hospital, use the time the patient presents to the cath lab as the arrival time.{p_end}{p2col:}9. For "Direct Admits" to the hospital, use the earliest time the patient arrives at the hospital.{p_end}{p2col:}ONLY ACCEPTABLE SOURCES: Any ED documentation(includes ED vital sign record, ED Outpatient Registration form, triage record, ECG, lab or x-ray reports, etc., if these services were rendered while the patient was an ED patient), nursing admission assessment/admitting note, observation record, procedure notes (e.g., cardiac cath, endoscopy), vital signs graphic record{p_end}{p2col:}Only enter 99:99 if the arrival time is unable to be determined from the medical record documentation or if the arrival time documented in the record is obviously in error (e.g. 33:00) and no other documentation is found that provides this information.24 adquarter admdt hospdtfiscal quarter of admission{space 1}{txt}{sf}{ul off}fiscal quarter of admission{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 26:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1}-{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 26:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) admdt, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) admdt, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:admdt 101 QUESTION}{p_end}{p2col:}Enter the date the patient was formally admitted to inpatient status at this VAMC.{p_end}{p2col:}{res:admdt 101 DEFINITION}{p_end}{p2col:}Auto-filled; can be modified{p_end}{p2col:}Admission date is date on which the patient was formally admitted to acute inpatient care. A patient of a hospital is considered an inpatient upon issuance of written physician orders indicating inpatient hospital admission.{p_end}{p2col:}Exclusion: admit to observation, arrival date25ad_dt)admdt admtime cond hms hospdt hosptime miadmission date/timez{space 1}{txt}{sf}{ul off}admission date/time{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 18:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1}-{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 18:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} d{stata docs @eprp (*) admdt admtime cond hms mi, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) admdt admtime cond hms mi, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:admtime 101 QUESTION}{p_end}{p2col:}Enter the time the patient was formally admitted to inpatient status at this VAMC.{p_end}{p2col:}{res:admtime 101 DEFINITION}{p_end}{p2col:}Auto-filled; can be modified{p_end}{p2col:}Admission time = time when the patient was formally admitted to inpatient status. Excluded: arrival time admission to observation time.{p_end}{p2col:}Enter time in Universal Military Time{p_end}{p2col:}If the time is in the a.m., conversion is not required.{p_end}{p2col:}If the time is in the p.m., add 12 to the clock time hour.26 adsxhoursaacs_arr acs_inpt amisymp1 amisymp2 amisymp3 amisymp4 amisymp5 amisymp99 clntrial onsethrs palcaretime from symp to hosp; {space 1}{txt}{sf}{ul off} time from symp to hosp{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} 0-1{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 3,075{space 1} {space 1} 3.7{space 1} {space 1} 3.7{space 1} {break}{space 1}{txt} >1-2{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 4,764{space 1} {space 1} 5.7{space 1} {space 1} 9.4{space 1} {break}{space 1}{txt} >2-6{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 9,443{space 1} {space 1} 11.4{space 1} {space 1} 20.8{space 1} {break}{space 1}{txt} >6-12{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 5,789{space 1} {space 1} 7.0{space 1} {space 1} 27.8{space 1} {break}{space 1}{txt} >12-24{space 1}{space 1} 5{space 1}{txt:{c |}}{space 1}{res} 5,725{space 1} {space 1} 6.9{space 1} {space 1} 34.7{space 1} {break}{space 1}{txt} >24{space 1}{space 1} 6{space 1}{txt:{c |}}{space 1}{res}19,677{space 1} {space 1} 23.7{space 1} {space 1} 58.4{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}25,748{space 1} {space 1} 31.0{space 1} {space 1} 89.4{space 1} {break}{space 1}{txt} miss->acs_inpt{space 1}{space 1}.i{space 1}{txt:{c |}}{space 1}{res} 816{space 1} {space 1} 1.0{space 1} {space 1} 90.3{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 4,730{space 1} {space 1} 5.7{space 1} {space 1} 96.0{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 2,492{space 1} {space 1} 3.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) onsethrs, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) onsethrs, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:onsethrs 101 QUESTION}{p_end}{p2col:}Enter the number of hours prior to arrival at a VHA hospital that symptom(s) that brought the patient to the hospital began. {p_end}{p2col:}1. 0 - 1{p_end}{p2col:}2. >1 - 2{p_end}{p2col:}3. >2 - 6{p_end}{p2col:}4. >6 - 12{p_end}{p2col:}5. >12 - 24{p_end}{p2col:}6. >24{p_end}{p2col:}99. not documented{p_end}{p2col:}{res:onsethrs 101 DEFINITION}{p_end}{p2col:}The patient may have had a number of symptoms occurring over a period of many hours or days. Count the time period from the earliest onset of symptoms, i.e., count from the furthest point prior to arrival at the acute care hospital. (Example: on 4/10/06 at 1006 hrs, the patient began experiencing an ache in his left arm and jaw. Thinking he might have pulled a muscle, the patient took ibuprofen and tried to ignore the pain. By 2330 that night, the pain was so severe, the patient presented at the VAMC ED. Count from 1006 hrs and enter response # 5.) {p_end}{p2col:}The number of hours prior to hospital arrival that the symptoms began may not be explicitly stated in the record, and may have to be inferred or extrapolated from available documentation. (Examples: "the patient began to experience chest pain shortly before midnight." If hospital arrival time was 4:15 a.m., enter category #3.){p_end}{p2col:}("The patient began taking antacids for severe indigestion yesterday morning, but the epigastric pain continued to worsen until{p_end}{p2col:}presentation at the ED at 3:30 this afternoon." Enter category #6.){p_end}{p2col:}If information in the record is conflicting, use only the ED notes or admitting note as the source of information. Use #99 only if there was no information regarding onset of symptoms.27adtypeadmtypeadmission type{space 1}{txt}{sf}{ul off} admission type{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} emergency{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}39,603{space 1} {space 1} 47.7{space 1} {space 1} 47.7{space 1} {break}{space 1}{txt} urgent{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res}23,727{space 1} {space 1} 28.6{space 1} {space 1} 76.2{space 1} {break}{space 1}{txt} elective{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 4,848{space 1} {space 1} 5.8{space 1} {space 1} 82.1{space 1} {break}{space 1}{txt} trauma{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 12{space 1} {space 1} 0.0{space 1} {space 1} 82.1{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 319{space 1} {space 1} 0.4{space 1} {space 1} 82.5{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}14,550{space 1} {space 1} 17.5{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) admtype, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) admtype, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:admtype 84 QUESTION}{p_end}{p2col:}Designate the type of admission for this patient:{p_end}{p2col:}1. Emergency{p_end}{p2col:}2. Urgent{p_end}{p2col:}3. Elective{p_end}{p2col:}5. Trauma{p_end}{p2col:}9. Information not available{p_end}{p2col:}{res:admtype 84 DEFINITION}{p_end}{p2col:}If the patient was admitted initially to another VAMC, the question is applicable to admission at that VAMC. If the patient was transferred from a community hospital and type is unknown, use "9." {p_end}{p2col:}1. Emergency=the patient required immediate medical intervention as a result of severe, life threatening, or potentially disabling conditions. Generally, the patient was admitted through the emergency room.{p_end}{p2col:}2. Urgent=the patient required immediate attention for the care and treatment of a physical or mental disorder. Generally, the patient was admitted to the first available and suitable accommodations.{p_end}{p2col:}3. Elective=the patient's condition permitted adequate time to schedule the availability of a suitable accommodation.{p_end}{p2col:}5. Trauma=Visit to the trauma center/hospital as licensed by the state or local government authority to do so, or as verified by the American College of Surgeons and involving a trauma activation.{p_end}{p2col:}9. Information not available=the hospital cannot classify the type of admission. This code is used only on rare occasions.28adedcomm24 transintype of ED admissionZ{space 1}{txt}{sf}{ul off} type of ED admission{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} not from ED{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}75,984{space 1} {space 1} 91.5{space 1} {space 1} 91.5{space 1} {break}{space 1}{txt} from VA ED{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 1,235{space 1} {space 1} 1.5{space 1} {space 1} 93.0{space 1} {break}{space 1}{txt} from com ED{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 5,746{space 1} {space 1} 6.9{space 1} {space 1} 99.9{space 1} {break}{space 1}{txt}miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 94{space 1} {space 1} 0.1{space 1} {space 1}100.0{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) transin, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) transin, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:transin 101 QUESTION}{p_end}{p2col:}Was the patient received from an emergency department of another hospital?{p_end}{p2col:}1. received from another VAMC ED{p_end}{p2col:}2. transferred from community hospital ED{p_end}{p2col:}99. not transferred from another ED{p_end}{p2col:}{res:transin 101 DEFINITION}{p_end}{p2col:}1 or 2 = may be from another VAMC or community hospital, but the patient cannot have been an inpatient. The abstractor must know the patient was transferred from the ED.{p_end}{p2col:}Note: the emergency department of another hospital includes both emergency room AND observation bed/unit stays at that hospital.{p_end}{p2col:}Disaster Medical Assistance Team (DMAT): provides emergency medical assistance following catastrophic disaster or other major emergency. If the patient is transferred in by a VHA DMAT, enter "1." If transferred in from a community DMAT, enter "2."{p_end}{p2col:}If "1," the questions regarding initial care are applicable to the ED admission and treatment at the first VAMC.29adsourceadmfrom ptorigin admitted from {space 1}{txt}{sf}{ul off} admitted from{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 33:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} physician referral{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 9,354{space 1} {space 1} 11.3{space 1} {space 1} 11.3{space 1} {break}{space 1}{txt} clinical referral{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 5,740{space 1} {space 1} 6.9{space 1} {space 1} 18.2{space 1} {break}{space 1}{txt} hmo referral{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 5{space 1} {space 1} 0.0{space 1} {space 1} 18.2{space 1} {break}{space 1}{txt} trans from com hosp{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res}11,928{space 1} {space 1} 14.4{space 1} {space 1} 32.5{space 1} {break}{space 1}{txt} trans from sk nurse{space 1}{space 1} 5{space 1}{txt:{c |}}{space 1}{res} 2,056{space 1} {space 1} 2.5{space 1} {space 1} 35.0{space 1} {break}{space 1}{txt} trans from other type fac{space 1}{space 1} 6{space 1}{txt:{c |}}{space 1}{res} 296{space 1} {space 1} 0.4{space 1} {space 1} 35.4{space 1} {break}{space 1}{txt} ER{space 1}{space 1} 7{space 1}{txt:{c |}}{space 1}{res}52,060{space 1} {space 1} 62.7{space 1} {space 1} 98.0{space 1} {break}{space 1}{txt} court/law enforce{space 1}{space 1} 8{space 1}{txt:{c |}}{space 1}{res} 8{space 1} {space 1} 0.0{space 1} {space 1} 98.1{space 1} {break}{space 1}{txt} from VAMC{space 1}{space 1}10{space 1}{txt:{c |}}{space 1}{res} 1,339{space 1} {space 1} 1.6{space 1} {space 1} 99.7{space 1} {break}{space 1}{txt}trans from critical access hosp{space 1}{space 1}11{space 1}{txt:{c |}}{space 1}{res} 77{space 1} {space 1} 0.1{space 1} {space 1} 99.8{space 1} {break}{space 1}{txt} internal trans (same fac){space 1}{space 1}12{space 1}{txt:{c |}}{space 1}{res} 138{space 1} {space 1} 0.2{space 1} {space 1} 99.9{space 1} {break}{space 1}{txt} trans from ambulatory surgery{space 1}{space 1}13{space 1}{txt:{c |}}{space 1}{res} 43{space 1} {space 1} 0.1{space 1} {space 1}100.0{space 1} {break}{space 1}{txt} hospice{space 1}{space 1}14{space 1}{txt:{c |}}{space 1}{res} 8{space 1} {space 1} 0.0{space 1} {space 1}100.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 1{space 1} {space 1} 0.0{space 1} {space 1}100.0{space 1} {break}{space 1}{txt} miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 6{space 1} {space 1} 0.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 33:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) admfrom ptorigin, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) admfrom ptorigin, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ptorigin 101 QUESTION}{p_end}{p2col:}For this admission, what was the point of origin for this patient? {p_end}{p2col:}1. Non-Health Care Facility Point of Origin{p_end}{p2col:}2. Clinic {p_end}{p2col:}4. Transfer from a hospital (different facility where patient was inpatient or outpatient){p_end}{p2col:}5. Transfer from skilled nursing facility (SNF) or Intermediate Care Facility (ICF){p_end}{p2col:}6. Transfer from another health care facility not defined elsewhere in this list{p_end}{p2col:}7. Emergency room (Excludes patients who came to this emergency room from another health care facility.){p_end}{p2col:}8. Court/law enforcement{p_end}{p2col:}9. Information not available{p_end}{p2col:}D Transfer from One Distinct Unit of the Hospital to another Distinct Unit of the Same Hospital Resulting in a Separate Claim to the Payer {p_end}{p2col:}E Transfer from Ambulatory Surgery Center{p_end}{p2col:}F Transfer from Hospice and is Under a Hospice Plan of Care or Enrolled in a Hospice Program{p_end}{p2col:}{res:ptorigin 101 DEFINITION}{p_end}{p2col:}The intent of this data element is to focus on the patient's place or point of origin rather than the source of a physician order or referral. {p_end}{p2col:}1. Non-health care facility point of origin = the patient was admitted to this facility upon order of a physician (e.g. direct admit). Includes patients coming from home, a physician's office, or workplace. Does not include patients who are admitted after receiving services in this facility's ED.{p_end}{p2col:}2. Clinic = the patient was admitted to this facility as a transfer from a freestanding or non-freestanding clinic{p_end}{p2col:}4. Transfer from a hospital (different facility) = the patient was admitted to this facility as a hospital transfer from a different acute care facility where he/she was an inpatient or outpatient. For example, patient has respiratory distress and is taken by EMS to ED of hospital A and is stabilized. Patient is then transferred to hospital B, receives additional treatment in the ED and is admitted to hospital B. For transfers from hospital inpatient in the same facility, see option D{p_end}{p2col:}5. Transfer from skilled nursing facility = the patient was admitted to this facility as a transfer from a skilled nursing facility where he/she was a resident (this or another VAMC NHCU, Intermediate Medicine, community SNF nursing home){p_end}{p2col:}6. Transfer from another health care facility not defined elsewhere on this list = the patient was admitted to this healthcare facility as a transfer from a healthcare facility other than an acute care facility or a skilled nursing facility. This includes transfers from nursing homes, long term care facilities, and skilled nursing facility patients that are at a non-skilled level of care (facility other than acute care or NHCU, as for example, Residential Care, DOM, or assisted living) {p_end}{p2col:}7. Emergency room = the patient was admitted to the facility after receiving services in this facility's emergency room. The emergency room code is limited to patients who received treatment in this ED and were not transferred from another health care facility. {p_end}{p2col:}8. Court/law enforcement=the patient was admitted upon the direction of a court of law, or upon the request of a law enforcement agency representative. Includes transfers from incarceration facilities. {p_end}{p2col:}Cont'd next page{p_end}{p2col:}Point of Origin cont'd{p_end}{p2col:}9. Information not available = the means by which the patient was admitted is not known{p_end}{p2col:}D Transfer from One Distinct Unit of the Hospital to another Distinct Unit of the Same Hospital Resulting in a Separate Claim to the Payer = The patient was admitted to this facility as a transfer from hospital inpatient within this hospital resulting in a separate claim to the payer. For the purposes of this code, "Distinct Unit" is defined as a unique unit or level of care at the hospital requiring the issuance of a separate claim to the payer. Examples could include observation services, psychiatric units, rehabilitation units, a unit in a critical access hospital, or a swing bed located in an acute hospital.{p_end}{p2col:}E Transfer from an Ambulatory Surgery Center = The patient was admitted to this facility as a transfer from an ambulatory surgery center. {p_end}{p2col:}F Transfer from Hospice and is Under a Hospice Plan of Care or Enrolled in a Hospice Program = The patient was admitted to this facility as a transfer from hospice.30inpt_dtxacs_inpt clntrial cond hms m mi onset onsetdoc onsetdt onsetdte onsetime onsetme palcare sign1dt sign1tm symptime symptmdate/time of ACS (inpt){space 1}{txt}{sf}{ul off} date/time of ACS (inpt){space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}13,941{space 1} {space 1} 16.8{space 1} {space 1} 16.8{space 1} {break}{space 1}{txt} miss->acs_inpt{space 1}{space 1}.i{space 1}{txt:{c |}}{space 1}{res}67,480{space 1} {space 1} 81.2{space 1} {space 1} 98.0{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 838{space 1} {space 1} 1.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 7{stata docs @eprp (*) cond hms mi onsetdt onsetdte onsetime onsetme sign1dt sign1tm, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) cond hms mi onsetdt onsetdte onsetime onsetme sign1dt sign1tm, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:sign1tm 101 QUESTION}{p_end}{p2col:}Enter the time the first indication of evolving ACS occurred.{p_end}{p2col:}{res:sign1tm 101 DEFINITION}{p_end}{p2col:}If ACS symptoms were the first indicator, use the time of onset of symptoms. If a positive troponin is the first indicator of ACS, use the troponin report time.{p_end}{p2col:}If unable to determine the time the first indicator occurred, abstractor may enter default time 99:99.31inptsign"acs_inpt clntrial frstsign palcarefirst sign of ACS (inpt)|{space 1}{txt}{sf}{ul off} first sign of ACS (inpt){space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} ACS symptoms{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 3,525{space 1} {space 1} 4.2{space 1} {space 1} 4.2{space 1} {break}{space 1}{txt} elevated troponin{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 4,626{space 1} {space 1} 5.6{space 1} {space 1} 9.8{space 1} {break}{space 1}{txt} ekg changes{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 1,336{space 1} {space 1} 1.6{space 1} {space 1} 11.4{space 1} {break}{space 1}{txt} other{space 1}{space 1}97{space 1}{txt:{c |}}{space 1}{res} 523{space 1} {space 1} 0.6{space 1} {space 1} 12.1{space 1} {break}{space 1}{txt} miss->acs_inpt{space 1}{space 1}.i{space 1}{txt:{c |}}{space 1}{res}45,021{space 1} {space 1} 54.2{space 1} {space 1} 66.3{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}27,228{space 1} {space 1} 32.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} J{stata docs @eprp (*) frstsign, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) frstsign, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:frstsign 101 QUESTION}{p_end}{p2col:}What was the first indication of an evolving ACS?{p_end}{p2col:}1. ACS symptoms{p_end}{p2col:}2. elevated troponin{p_end}{p2col:}3. ECG changes{p_end}{p2col:}4. other{p_end}{p2col:}{res:frstsign 101 DEFINITION}{p_end}{p2col:}Evolving ACS: developing, in the process of occurring - or may already have occurred {p_end}{p2col:}ACS symptoms = chest/substernal discomfort, pressure, or pain. May include pain radiating to one or both arms, shoulder, jaw, neck, or back. May be severe epigastric pain, nausea, vomiting, dyspnea, or diaphoresis. An elevated troponin may be first indicator of ACS and/or the patient may have no definitive symptoms of ACS.{p_end}{p2col:}ECG changes refers to incidental ECG, not to ECG done in response to other ACS symptoms or an elevated troponin.32 dcquarterdcdatefiscal quarter of discharge{space 1}{txt}{sf}{ul off}fiscal quarter of discharge{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 26:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1}-{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 26:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) dcdate, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) dcdate, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:dcdate 101 QUESTION}{p_end}{p2col:}Enter the date of discharge.{p_end}{p2col:}{res:dcdate 101 DEFINITION}{p_end}{p2col:}Will be auto-filled by computer and cannot be modified.33dc_dtcond dcdate dctime hms midischarge date/timez{space 1}{txt}{sf}{ul off}discharge date/time{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 18:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1}-{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 18:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) cond dcdate dctime hms mi, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) cond dcdate dctime hms mi, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:dctime 101 QUESTION}{p_end}{p2col:}Enter the time of discharge.{p_end}{p2col:}{res:dctime 101 DEFINITION}{p_end}{p2col:}Does not auto-fill. Discharge time must be entered. {p_end}{p2col:}Includes the time the patient was discharged from acute care, left against medical advice (AMA), or expired during this stay.{p_end}{p2col:}If the patient expired, use the time of death as the discharge time.{p_end}{p2col:}Suggested sources for patient who expire:{p_end}{p2col:}Death record, resuscitation record, physician progress notes, physician orders, nurses notes{p_end}{p2col:}For other patients:{p_end}{p2col:}If the time of discharge is NOT documented in the nurses notes, discharge/transfer form, or progress notes, enter the discharge time documented in EADT under the "Reports Tab." {p_end}{p2col:}Enter time in Universal Military Time: a 24-hour period from midnight to midnight using a 4-digit number of which the first two digits indicate the hour and the last two digits indicate the minute.{p_end}{p2col:}Converting time to military time:{p_end}{p2col:}If time is in the a.m., no conversion is required.{p_end}{p2col:}If time is the p.m., add 12 to the clock hour time.34dctypeacsptdc dc1day noami2 ptdcdischarge type{space 1}{txt}{sf}{ul off} discharge type{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 31:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} home/routine{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}49,658{space 1} {space 1} 59.8{space 1} {space 1} 59.8{space 1} {break}{space 1}{txt} trans hosp{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 8,462{space 1} {space 1} 10.2{space 1} {space 1} 70.0{space 1} {break}{space 1}{txt} trans sk nurse{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 5,274{space 1} {space 1} 6.3{space 1} {space 1} 76.3{space 1} {break}{space 1}{txt} trans intermed care{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 1,117{space 1} {space 1} 1.3{space 1} {space 1} 77.7{space 1} {break}{space 1}{txt} trans oth inpt care{space 1}{space 1} 5{space 1}{txt:{c |}}{space 1}{res} 203{space 1} {space 1} 0.2{space 1} {space 1} 77.9{space 1} {break}{space 1}{txt} trans home care org{space 1}{space 1} 6{space 1}{txt:{c |}}{space 1}{res} 1,809{space 1} {space 1} 2.2{space 1} {space 1} 80.1{space 1} {break}{space 1}{txt} left ama{space 1}{space 1} 7{space 1}{txt:{c |}}{space 1}{res} 1,672{space 1} {space 1} 2.0{space 1} {space 1} 82.1{space 1} {break}{space 1}{txt} home w/IV therapy{space 1}{space 1} 8{space 1}{txt:{c |}}{space 1}{res} 5{space 1} {space 1} 0.0{space 1} {space 1} 82.1{space 1} {break}{space 1}{txt} died{space 1}{space 1}20{space 1}{txt:{c |}}{space 1}{res} 6,753{space 1} {space 1} 8.1{space 1} {space 1} 90.2{space 1} {break}{space 1}{txt} died{space 1}{space 1}41{space 1}{txt:{c |}}{space 1}{res} 237{space 1} {space 1} 0.3{space 1} {space 1} 90.5{space 1} {break}{space 1}{txt} trans fed hosp{space 1}{space 1}43{space 1}{txt:{c |}}{space 1}{res} 5,375{space 1} {space 1} 6.5{space 1} {space 1} 97.0{space 1} {break}{space 1}{txt} hospice-home{space 1}{space 1}50{space 1}{txt:{c |}}{space 1}{res} 690{space 1} {space 1} 0.8{space 1} {space 1} 97.8{space 1} {break}{space 1}{txt} hospice-facility{space 1}{space 1}51{space 1}{txt:{c |}}{space 1}{res} 804{space 1} {space 1} 1.0{space 1} {space 1} 98.8{space 1} {break}{space 1}{txt}(w/in fac) Medicare swing bed{space 1}{space 1}61{space 1}{txt:{c |}}{space 1}{res} 11{space 1} {space 1} 0.0{space 1} {space 1} 98.8{space 1} {break}{space 1}{txt} trans inpt rehab{space 1}{space 1}62{space 1}{txt:{c |}}{space 1}{res} 412{space 1} {space 1} 0.5{space 1} {space 1} 99.3{space 1} {break}{space 1}{txt} trans LTC{space 1}{space 1}63{space 1}{txt:{c |}}{space 1}{res} 170{space 1} {space 1} 0.2{space 1} {space 1} 99.5{space 1} {break}{space 1}{txt} trans LTC{space 1}{space 1}64{space 1}{txt:{c |}}{space 1}{res} 8{space 1} {space 1} 0.0{space 1} {space 1} 99.5{space 1} {break}{space 1}{txt} trans pscyh{space 1}{space 1}65{space 1}{txt:{c |}}{space 1}{res} 14{space 1} {space 1} 0.0{space 1} {space 1} 99.5{space 1} {break}{space 1}{txt} trans crit access hosp{space 1}{space 1}66{space 1}{txt:{c |}}{space 1}{res} 58{space 1} {space 1} 0.1{space 1} {space 1} 99.6{space 1} {break}{space 1}{txt} other institution{space 1}{space 1}70{space 1}{txt:{c |}}{space 1}{res} 13{space 1} {space 1} 0.0{space 1} {space 1} 99.6{space 1} {break}{space 1}{txt} miss->dc1day (early dc){space 1}{space 1}.e{space 1}{txt:{c |}}{space 1}{res} 207{space 1} {space 1} 0.2{space 1} {space 1} 99.9{space 1} {break}{space 1}{txt} miss->noami1 noami2{space 1}{space 1}.n{space 1}{txt:{c |}}{space 1}{res} 107{space 1} {space 1} 0.1{space 1} {space 1}100.0{space 1} {break}{txt:{dup 31:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acsptdc ptdc, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acsptdc ptdc, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:acsptdc 101 QUESTION}{p_end}{p2col:}Enter the patient's discharge disposition:{p_end}{p2col:}1. Discharged to home care or self care (routine discharge){p_end}{p2col:}2. Discharged/transferred to a short term general hospital for inpatient care{p_end}{p2col:}3. Discharged/transferred to a skilled nursing facility (SNF) with Medicare certification in anticipation of skilled care{p_end}{p2col:}4. Discharged/transferred to a facility that provides custodial or supportive care {p_end}{p2col:}5. Discharged/transferred to a Designated Cancer Center or Children's Hospital{p_end}{p2col:}6. Discharged/transferred to home under care of organized home health service organization in anticipation of covered skilled care. Report this code when the patient is discharged/transferred to home with a written plan of care (tailored to the patient's medical needs) for home care services. {p_end}{p2col:}7. Left against medical advice or discontinued care{p_end}{p2col:}20. Expired {p_end}{p2col:}21. Discharged/transferred to court/law enforcement (includes transfers to incarceration facilities such as jail, prison, or other detention facilities){p_end}{p2col:}43. Discharged/transferred to a federal health care facility{p_end}{p2col:}50. Hospice - home{p_end}{p2col:}51. Hospice - medical facility (certified) providing hospice level of care{p_end}{p2col:}61. Ddischarged/transferred to hospital-based Medicare approved swing bed{p_end}{p2col:}62. Discharged/transferred to inpatient rehabilitation facility (IRF) including rehabilitation distinct parts of a hospital{p_end}{p2col:}63. Discharged/transferred to a Medicare certified long-term care hospital{p_end}{p2col:}64. Discharged/transferred to a nursing facility certified under Medicaid but not certified under Medicare{p_end}{p2col:}65. Discharged/transferred to a psychiatric hospital or psychiatric distinct part unit of a hospital{p_end}{p2col:}66. Discharged/transferred to a Critical Access Hospital (CAH){p_end}{p2col:}70. Discharged/transferred to another Type of Health Care Institution not Defined Elsewhere in this Code List{p_end}{p2col:}{res:acsptdc 101 DEFINITION}{p_end}{p2col:}Inclusion: Refer to Joint Commission Appendix H, Table 2.5 Discharge Status Disposition{p_end}{p2col:}If uncertain of the patient's disposition, ask for help from the EPRP Liaison, since the correct discharge status affects the remainder of the ACS questions.{p_end}{p2col:}1 = Discharged to home care or self care includes discharge to home; jail or law enforcement; home on oxygen if DME only; any other DME only; group home, foster care, independent living and other residential care arrangements; outpatient programs, such as partial hospitalization or outpatient chemical dependency programs; domiciliary. {p_end}{p2col:}2 = To respond "2," it must be known the "other" hospital is an acute-care facility, and the patient's anticipated admission is the same day as discharge from the VAMC.{p_end}{p2col:}3 = Includes skilled nursing facility, skilled nursing facility with hospice referral only (has not accepted hospice care by a hospice organization), SNF rehabilitation unit (a unit within the SNF), Sub-Acute Care, Transitional Care Unit (TCU){p_end}{p2col:}4 = Includes intermediate care facilities (ICFs) if specifically designated at the state level and Assisted Living Facilities. Also used to designate patients discharged/transferred to a nursing facility with neither Medicare nor Medicaid certification. {p_end}{p2col:}5 = For transfers to non-designated cancer hospitals, use option 2 {p_end}{p2col:}7 = a signed AMA document, or progress note by a physician, APN, or PA must appear in the record.{p_end}{p2col:}43 = Use option #43 for discharges and transfers to a government operated health care facility such as a Department of Defense hospital, a Veteran's Administration hospital or a Veteran's Administration nursing facility. To be used whenever the destination at discharge is a federal health care facility, whether the patient resides there or not.35dx1aprocode truamiICD9 diagnosis code{txt} *{stata docs @eprp (*) aprocode, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) aprocode, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:aprocode 101 QUESTION}{p_end}{p2col:}Enter the ICD-9-CM principal diagnosis code.{p_end}{p2col:}Only enter the principal diagnosis code as documented in the record.{p_end}{p2col:}{res:aprocode 101 DEFINITION}{p_end}{p2col:}If the principal diagnosis code is auto-filled, the abstractor may change the code if it is incorrect and enter the principal diagnosis code as documented in the medical record.{p_end}{p2col:}If AMI is the correct principal diagnosis, use the code assigned by the VAMC. Do not attempt to code the AMI by any code other than that assigned by the facility.{p_end}{p2col:}If AMI was incorrectly submitted as the principal diagnosis, and AMI is actually the secondary diagnosis, the abstractor may change the principal diagnosis code by entering the correct principal diagnosis from one of the codes submitted by the facility. Do not attempt to code a diagnosis that was not coded by the VAMC. {p_end}{p2col:}If AMI was submitted as a secondary diagnosis when it is actually the principal diagnosis, the abstractor may enter the AMI code as the principal diagnosis. {p_end}{p2col:}Exclusion Statement{p_end}{p2col:}Although coding indicated the patient had a diagnosis of Acute Coronary Syndrome, documentation in the medical record does not support either an AMI diagnosis.36dx2m othrdx_ truamiICD9 diagnosis code{txt} {stata docs @eprp (*) othrdx_, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) othrdx_, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:othrdx_ 101 QUESTION}{p_end}{p2col:}Enter the ICD-9-CM other diagnosis codes selected for this medical record.{p_end}{p2col:}{res:othrdx_ 101 DEFINITION}{p_end}{p2col:}If the "other diagnoses" codes are auto-filled, the abstractor may change those codes that are incorrect.{p_end}{p2col:}Enter ALL of the ICD-9-CM other diagnosis codes selected for this medical record. If AMI was a secondary diagnosis, enter the AMI code in "othrdx."{p_end}{p2col:}Includes V codes: V64.1, V64.2, and V64.3. The presence of one of these V codes indicates a surgical or other procedure was not carried out because of a contraindication, patient's decision, or other reason.37dx3othrdx2ICD9 diagnosis code{txt} 38dx4othrdx3ICD9 diagnosis code{txt} 39dx5othrdx4ICD9 diagnosis code{txt} 40dx6othrdx5ICD9 diagnosis code{txt} 41dx7othrdx6ICD9 diagnosis code{txt} 42dx8othrdx7ICD9 diagnosis code{txt} 43dx9othrdx8ICD9 diagnosis code{txt} 44dx10othrdx9ICD9 diagnosis code{txt} 45dx11othrdx10ICD9 diagnosis code{txt} 46dx12othrdx11ICD9 diagnosis code{txt} 47dx13othrdx12ICD9 diagnosis code{txt} 48dx14othrdx13ICD9 diagnosis code{txt} 49dx15othrdx14ICD9 diagnosis code{txt} 50dx16othrdx15ICD9 diagnosis code{txt} 51dx17othrdx16ICD9 diagnosis code{txt} 52dx18othrdx17ICD9 diagnosis code{txt} 53 mi_anteriorclntrial palcare pasthx4_1anterior/anterolateral infarct7{space 1}{txt}{sf}{ul off}anterior/anterolateral infarct{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 28:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}64,367{space 1} {space 1} 77.5{space 1} {space 1} 77.5{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 2,683{space 1} {space 1} 3.2{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 28:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} g{stata docs @eprp (*) pasthx4_1, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_1, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_1 101 QUESTION}{p_end}{p2col:}Site of Infarct-Anterior or Anterolateral (this episode of care) 410.01, 410.11{p_end}{p2col:}{res:pasthx4_1 101 DEFINITION}{p_end}{p2col:}Abstractor can override the hospital code, if code is non-specific and the site of infarct is documented as one of the sites listed in the first column54 mi_subendoclntrial palcare pasthx4_2subendocardial infarct0{space 1}{txt}{sf}{ul off} subendocardial infarct{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}28,474{space 1} {space 1} 34.3{space 1} {space 1} 34.3{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}38,578{space 1} {space 1} 46.4{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 7{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} `{stata docs @eprp (*) pasthx4_2, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_2, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_2 101 QUESTION}{p_end}{p2col:}Site of infarct -Subendocardial , (NSTEMI) (this episode of care) 410.71{p_end}{p2col:}{res:pasthx4_2 101 DEFINITION}{p_end}{p2col:}Abstractor can override the hospital code, if code is non-specific and the site of infarct is documented as one of the sites listed in the first column55 hx_50sten5y*blocath cathbloc cathfive clntrial palcare%cath finding >=50% stenosis w/in 5yrs{space 1}{txt}{sf}{ul off}cath finding >=50% stenosis w/in 5yrs{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 35:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res} 3,219{space 1} {space 1} 3.9{space 1} {space 1} 3.9{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}16,057{space 1} {space 1} 19.3{space 1} {space 1} 23.2{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}62,983{space 1} {space 1} 75.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 35:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) blocath cathbloc, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) blocath cathbloc, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:blocath 101 QUESTION}{p_end}{p2col:}At any cath done within the five-year period, was there a finding of > = 50% stenosis in any coronary artery? {p_end}{p2col:}1. yes{p_end}{p2col:}2. no{p_end}{p2col:}95. not applicable{p_end}{p2col:}{res:blocath 101 DEFINITION}{p_end}{p2col:}Stenosis = constriction or narrowing. Buildup of fat, cholesterol, and other substances over time may clog the coronary arteries. The question is applicable to blockage or stenosis of any of the coronary arteries.56 hx_50stendate;blocath cathbloc cathdate cathdoc cathfive clntrial palcare"date that >=50% setnosis was found{space 1}{txt}{sf}{ul off}date that >=50% setnosis was found{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 32:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}16,047{space 1} {space 1} 19.3{space 1} {space 1} 19.3{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}66,212{space 1} {space 1} 79.7{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 32:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 3{stata docs @eprp (*) cathdate, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) cathdate, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:cathdate 101 QUESTION}{p_end}{p2col:}Enter the date the cath with a finding of > = 50% stenosis was performed.{p_end}{p2col:}{res:cathdate 101 DEFINITION}{p_end}{p2col:}Enter the exact date where possible. 01 may be used to designate day and month if only the year is available.57 hx_alcohol&clntrial palcare pasthx3_17 pasthx4_44hist of alcohol abuse0{space 1}{txt}{sf}{ul off} hist of alcohol abuse{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}75,807{space 1} {space 1} 91.3{space 1} {space 1} 91.3{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 4,815{space 1} {space 1} 5.8{space 1} {space 1} 97.1{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 10{space 1} {space 1} 0.0{space 1} {space 1} 97.1{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res} 1,627{space 1} {space 1} 2.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) pasthx3_17 pasthx4_44, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_17 pasthx4_44, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_44 101 QUESTION}{p_end}{p2col:}Alcohol Abuse: 291.0 - 291.3, 291.5, 291.8, 291.81, 291.82, 291.9, 303.00 - 303.93, 305.00 - 305.03, V11.3{p_end}{p2col:}{res:pasthx4_44 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.58hx_anghist of angina/oth acs"{space 1}{txt}{sf}{ul off}hist of angina/oth acs{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 21:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1}0{space 1}{txt:{c |}}{space 1}{res}75,796{space 1} {space 1} 91.3{space 1} {space 1} 91.3{space 1} {break}{space 1}{txt} yes{space 1}{space 1}1{space 1}{txt:{c |}}{space 1}{res} 7,263{space 1} {space 1} 8.7{space 1} {space 1}100.0{space 1} {break}{txt:{dup 21:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} PTF prior year, icd: 411* 413*59hx_chf hist of congestive heart failureJ{space 1}{txt}{sf}{ul off}hist of congestive heart failure{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 31:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1}0{space 1}{txt:{c |}}{space 1}{res}65,488{space 1} {space 1} 78.8{space 1} {space 1} 78.8{space 1} {break}{space 1}{txt} yes{space 1}{space 1}1{space 1}{txt:{c |}}{space 1}{res}17,571{space 1} {space 1} 21.2{space 1} {space 1}100.0{space 1} {break}{txt:{dup 31:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} JPTF prior year, icd: 398.91 402.01 402.11 402.91 404.01 404.11 404.91 428*60 hx_dementhist of dementia {space 1}{txt}{sf}{ul off}hist of dementia{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 15:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1}0{space 1}{txt:{c |}}{space 1}{res}76,196{space 1} {space 1} 91.7{space 1} {space 1} 91.7{space 1} {break}{space 1}{txt} yes{space 1}{space 1}1{space 1}{txt:{c |}}{space 1}{res} 6,863{space 1} {space 1} 8.3{space 1} {space 1}100.0{space 1} {break}{txt:{dup 15:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} PTF prior year, icd: 290-295.9961 hx_anemiadefclntrial palcare pasthx4_43hist of deficiency anemia0{space 1}{txt}{sf}{ul off} hist of deficiency anemia{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}56,373{space 1} {space 1} 67.9{space 1} {space 1} 67.9{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}10,680{space 1} {space 1} 12.9{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 6{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} I{stata docs @eprp (*) pasthx4_43, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_43, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_43 101 QUESTION}{p_end}{p2col:}Deficiency Anemias: 280.1- 281.9, 285.21 - 285.29, 285.9{p_end}{p2col:}{res:pasthx4_43 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.62 hx_anemialossclntrial palcare pasthx4_42hist of blood loss anemia0{space 1}{txt}{sf}{ul off} hist of blood loss anemia{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}66,019{space 1} {space 1} 79.5{space 1} {space 1} 79.5{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 1,031{space 1} {space 1} 1.2{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} :{stata docs @eprp (*) pasthx4_42, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_42, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_42 101 QUESTION}{p_end}{p2col:}Blood Loss Anemia: 280.0, 648.20 - 648.24{p_end}{p2col:}{res:pasthx4_42 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.63 hx_arthritisclntrial palcare pasthx4_38-hist of rheumatoid arthritis/collagen disease{space 1}{txt}{sf}{ul off}hist of rheumatoid arthritis/collagen disease{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 43:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}66,368{space 1} {space 1} 79.9{space 1} {space 1} 79.9{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 682{space 1} {space 1} 0.8{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 43:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} y{stata docs @eprp (*) pasthx4_38, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_38, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_38 101 QUESTION}{p_end}{p2col:}Rheumatoid Arthritis/Collagen Vascular Diseases: 701.0, 710.0 - 710.9, 714.0 - 714.9, 720.0 - 720.9, 725{p_end}{p2col:}{res:pasthx4_38 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.64hx_cabg&clntrial palcare pasthx3_10 pasthx4_15 hist of CABGH{space 1}{txt}{sf}{ul off} hist of CABG{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}65,444{space 1} {space 1} 78.8{space 1} {space 1} 78.8{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}16,804{space 1} {space 1} 20.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 11{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} >{stata docs @eprp (*) pasthx3_10 pasthx4_15, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_10 pasthx4_15, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_15 101 QUESTION}{p_end}{p2col:}History of CABG: V45.81{p_end}{p2col:}{res:pasthx4_15 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.65 hx_cabg6mclntrial palcare revasc2CABG w/in 6mosH{space 1}{txt}{sf}{ul off} CABG w/in 6mos{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}81,379{space 1} {space 1} 98.0{space 1} {space 1} 98.0{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 877{space 1} {space 1} 1.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 3{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) revasc2, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) revasc2, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:revasc2 101 QUESTION}{p_end}{p2col:}Did the patient have a revascularization procedure within the last six months?{p_end}{p2col:}2. CABG{p_end}{p2col:}{res:revasc2 101 DEFINITION}{p_end}{p2col:}Within the last six months = from the last day of the study interval to the first day of the month six months previously. (Example: Study interval is 9/01/06 - 9/24/06. Six months previously is April 1, 2006.){p_end}{p2col:}Look for documentation in the H&P or admitting note that a PTCA/PCI or CABG was performed within the past 6 months. Procedure may have been done at this or another VAMC, or at a private sector facility.66 hx_cancer$clntrial palcare pasthx3_2 pasthx4_6hist of cancerH{space 1}{txt}{sf}{ul off} hist of cancer{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}75,579{space 1} {space 1} 91.0{space 1} {space 1} 91.0{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 6,669{space 1} {space 1} 8.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 11{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 5{stata docs @eprp (*) pasthx3_2 pasthx4_6, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_2 pasthx4_6, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_6 101 QUESTION}{p_end}{p2col:}Cancer: 140.0-208.91{p_end}{p2col:}{res:pasthx4_6 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.67 hx_cath5y"cathbloc cathfive clntrial palcarecath w/in 5yrsZ{space 1}{txt}{sf}{ul off} cath w/in 5yrs{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}62,983{space 1} {space 1} 75.8{space 1} {space 1} 75.8{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}17,975{space 1} {space 1} 21.6{space 1} {space 1} 97.5{space 1} {break}{space 1}{txt}miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 1,301{space 1} {space 1} 1.6{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} H{stata docs @eprp (*) cathbloc cathfive, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) cathbloc cathfive, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:cathfive 101 QUESTION}{p_end}{p2col:}Within the past five years, did the patient have a cardiac catheterization?{p_end}{p2col:}{res:cathfive 101 DEFINITION}{p_end}{p2col:}Answer "2" if the patient did not have a cardiac catheterization or whether the patient had a cath is unknown.68 hx_cerebrov$clntrial palcare pasthx3_3 pasthx4_7hist of cerebrovasc. dis.r{space 1}{txt}{sf}{ul off}hist of cerebrovasc. dis.{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 23:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}76,927{space 1} {space 1} 92.6{space 1} {space 1} 92.6{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 5,321{space 1} {space 1} 6.4{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 11{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 23:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} Z{stata docs @eprp (*) pasthx3_3 pasthx4_7, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_3 pasthx4_7, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_7 101 QUESTION}{p_end}{p2col:}Chronic Cerebrovascular Disease: 437.0-437.9, 438.0-438.9{p_end}{p2col:}{res:pasthx4_7 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.69 hx_chrcardiac%clntrial palcare pasthx3_8 pasthx4_13hist of chr cardiac condl{space 1}{txt}{sf}{ul off}hist of chr cardiac cond{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 22:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}65,025{space 1} {space 1} 78.3{space 1} {space 1} 78.3{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}17,229{space 1} {space 1} 20.7{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 5{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 22:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) pasthx3_8 pasthx4_13, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_8 pasthx4_13, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_13 101 QUESTION}{p_end}{p2col:}Chronic Cardiac Conditions: 398.90, 398.91, 398.99, 402.00-402.91, 414.8, 414.9, 416.0-416.9,429.1,429.2,429.3, 443.81, 443.89, 443.9,V12.50, V15.1{p_end}{p2col:}{res:pasthx4_13 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.70 hx_chrliver$clntrial palcare pasthx3_5 pasthx4_9hist of chronic liver disease{space 1}{txt}{sf}{ul off}hist of chronic liver disease{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}81,170{space 1} {space 1} 97.7{space 1} {space 1} 97.7{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 1,077{space 1} {space 1} 1.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 12{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} C{stata docs @eprp (*) pasthx3_5 pasthx4_9, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_5 pasthx4_9, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_9 101 QUESTION}{p_end}{p2col:}Chronic Liver Disease: 571.0-572.8{p_end}{p2col:}{res:pasthx4_9 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.71 hx_chrpulmclntrial palcare pasthx4_27!hist of chronic pulmonary diseaseL{space 1}{txt}{sf}{ul off}hist of chronic pulmonary disease{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 31:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}61,996{space 1} {space 1} 74.6{space 1} {space 1} 74.6{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 5,055{space 1} {space 1} 6.1{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 8{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 31:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} i{stata docs @eprp (*) pasthx4_27, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_27, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_27 101 QUESTION}{p_end}{p2col:}Chronic Pulmonary Disease: 490 - 492.8, 493.00 - 493.92, 494 - 494.1, 495.0 - 505, 506.4{p_end}{p2col:}{res:pasthx4_27 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.72 hx_cmyopathy%clntrial palcare pasthx3_7 pasthx4_12hist of cardiomyopathy`{space 1}{txt}{sf}{ul off}hist of cardiomyopathy{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 20:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}79,192{space 1} {space 1} 95.3{space 1} {space 1} 95.3{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 3,055{space 1} {space 1} 3.7{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 12{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 20:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} @{stata docs @eprp (*) pasthx3_7 pasthx4_12, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_7 pasthx4_12, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_12 101 QUESTION}{p_end}{p2col:}Cardiomyopathy: 425.0-425.9{p_end}{p2col:}{res:pasthx4_12 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.73hx_coagulopathyclntrial palcare pasthx4_39hist of coagulopathy0{space 1}{txt}{sf}{ul off} hist of coagulopathy{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}64,945{space 1} {space 1} 78.2{space 1} {space 1} 78.2{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 2,105{space 1} {space 1} 2.5{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} a{stata docs @eprp (*) pasthx4_39, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_39, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_39 101 QUESTION}{p_end}{p2col:}Coagulopathy: 286.0 - 286.9, 287-287.1, 287.30 - 287.33, 287.39, 289.81 - 289.82{p_end}{p2col:}{res:pasthx4_39 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.74hx_copd%clntrial palcare pasthx3_6 pasthx4_11 hist of COPDH{space 1}{txt}{sf}{ul off} hist of COPD{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}67,488{space 1} {space 1} 81.3{space 1} {space 1} 81.3{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}14,761{space 1} {space 1} 17.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 10{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} F{stata docs @eprp (*) pasthx3_6 pasthx4_11, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_6 pasthx4_11, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_11 101 QUESTION}{p_end}{p2col:}COPD: 491.21, 493.20, 493.21, 496{p_end}{p2col:}{res:pasthx4_11 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.75 hx_depressionclntrial palcare pasthx4_47hist of depression0{space 1}{txt}{sf}{ul off} hist of depression{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}60,385{space 1} {space 1} 72.7{space 1} {space 1} 72.7{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 6,666{space 1} {space 1} 8.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 8{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} ={stata docs @eprp (*) pasthx4_47, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_47, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_47 101 QUESTION}{p_end}{p2col:}Depression: 300.4, 301.12, 309.0, 309.1, 311{p_end}{p2col:}{res:pasthx4_47 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.76 hx_diabetes$clntrial palcare pasthx3_1 pasthx4_3hist of diabetesH{space 1}{txt}{sf}{ul off} hist of diabetes{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}67,486{space 1} {space 1} 81.3{space 1} {space 1} 81.3{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}14,767{space 1} {space 1} 17.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 6{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} `{stata docs @eprp (*) pasthx3_1 pasthx4_3, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_1 pasthx4_3, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_3 101 QUESTION}{p_end}{p2col:}Diabetes Mellitus: 250.01 -250.03, 250.10-250.93, 648.00-648.04{p_end}{p2col:}{res:pasthx4_3 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.77 hx_dmcompclntrial palcare pasthx4_29(hist of diabetes w/chronic complications}{space 1}{txt}{sf}{ul off}hist of diabetes w/chronic complications{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 38:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}61,436{space 1} {space 1} 74.0{space 1} {space 1} 74.0{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 5,617{space 1} {space 1} 6.8{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 6{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 38:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} J{stata docs @eprp (*) pasthx4_29, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_29, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_29 101 QUESTION}{p_end}{p2col:}Diabetes w/ Chronic Complications: 250.40 - 250.93, 775.1{p_end}{p2col:}{res:pasthx4_29 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.78 hx_dmuncompclntrial palcare pasthx4_28*hist of diabetes w/o chronic complications{space 1}{txt}{sf}{ul off}hist of diabetes w/o chronic complications{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 40:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}44,417{space 1} {space 1} 53.5{space 1} {space 1} 53.5{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}22,634{space 1} {space 1} 27.3{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 8{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 40:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} U{stata docs @eprp (*) pasthx4_28, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_28, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_28 101 QUESTION}{p_end}{p2col:}Diabetes w/o Chronic Complications: 250.00 - 250.33, 648.00 - 648.04{p_end}{p2col:}{res:pasthx4_28 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.79hx_drugsclntrial palcare pasthx4_45hist of drug abuse0{space 1}{txt}{sf}{ul off} hist of drug abuse{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}64,833{space 1} {space 1} 78.1{space 1} {space 1} 78.1{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 2,217{space 1} {space 1} 2.7{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} m{stata docs @eprp (*) pasthx4_45, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_45, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_45 101 QUESTION}{p_end}{p2col:}Drug Abuse: 292.0, 292.81 - 292.85, 292.9, 304.00 - 304.93, 305.20 - 305.93, 648.30 - 648.34{p_end}{p2col:}{res:pasthx4_45 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.80 hx_familyca pasthx3_16fam hist of cor artery dis{space 1}{txt}{sf}{ul off} fam hist of cor artery dis{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}13,449{space 1} {space 1} 16.2{space 1} {space 1} 16.2{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 1,748{space 1} {space 1} 2.1{space 1} {space 1} 18.3{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 3{space 1} {space 1} 0.0{space 1} {space 1} 18.3{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}67,859{space 1} {space 1} 81.7{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} K{stata docs @eprp (*) pasthx3_16, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_16, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx3_16 51 QUESTION}{p_end}{p2col:}Indicate all applicable active diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient:{p_end}{p2col:}16. Documented family history of coronary artery disease{p_end}{p2col:}{res:pasthx3_16 51 DEFINITION}{p_end}{p2col:}81hx_fluidclntrial palcare pasthx4_41"hist of fluid/electrolyte disorderS{space 1}{txt}{sf}{ul off}hist of fluid/electrolyte disorder{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 32:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}58,604{space 1} {space 1} 70.6{space 1} {space 1} 70.6{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 8,449{space 1} {space 1} 10.2{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 6{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 32:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} M{stata docs @eprp (*) pasthx4_41, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_41, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_41 101 QUESTION}{p_end}{p2col:}Fluid and Electrolyte Disorder: 276.0 - 276.9, 276.50-276.52{p_end}{p2col:}{res:pasthx4_41 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.82hx_hivclntrial palcare pasthx4_34hist of HIV or AIDS0{space 1}{txt}{sf}{ul off} hist of HIV or AIDS{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}66,787{space 1} {space 1} 80.4{space 1} {space 1} 80.4{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 263{space 1} {space 1} 0.3{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} *{stata docs @eprp (*) pasthx4_34, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_34, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_34 101 QUESTION}{p_end}{p2col:}HIV and AIDS: 042 - 044.9{p_end}{p2col:}{res:pasthx4_34 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.83hx_htnhist of hypertension{space 1}{txt}{sf}{ul off}hist of hypertension{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 19:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1}0{space 1}{txt:{c |}}{space 1}{res}52,158{space 1} {space 1} 62.8{space 1} {space 1} 62.8{space 1} {break}{space 1}{txt} yes{space 1}{space 1}1{space 1}{txt:{c |}}{space 1}{res}30,901{space 1} {space 1} 37.2{space 1} {space 1}100.0{space 1} {break}{txt:{dup 19:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} PTF prior year, icd: 401-405.9984 hx_htncompclntrial palcare pasthx4_24"hist of hypertension (complicated)S{space 1}{txt}{sf}{ul off}hist of hypertension (complicated){space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 32:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}60,373{space 1} {space 1} 72.7{space 1} {space 1} 72.7{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 6,677{space 1} {space 1} 8.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 32:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) pasthx4_24, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_24, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_24 101 QUESTION}{p_end}{p2col:}Hypertension (Complicated): 401.0, 402.00, 402.10, 402.90, 403.00, 403.10, 403.90, 404.00, 404.10, 404.90, 405.01, 405.09, 405.11, 405.19, 405.91, 405.99, 642.10 - 642.24, 642.70 - 642.94{p_end}{p2col:}{res:pasthx4_24 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.85 hx_htnuncompclntrial palcare pasthx4_23$hist of hypertension (uncomplicated)a{space 1}{txt}{sf}{ul off}hist of hypertension (uncomplicated){space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 34:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}24,456{space 1} {space 1} 29.4{space 1} {space 1} 29.4{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}42,598{space 1} {space 1} 51.3{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 5{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 34:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} L{stata docs @eprp (*) pasthx4_23, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_23, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_23 101 QUESTION}{p_end}{p2col:}Hypertension (Uncomplicated): 401.1, 401.9, 642.00 - 642.04{p_end}{p2col:}{res:pasthx4_23 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.86hx_hypothyroidclntrial palcare pasthx4_30hist of hypothyroidism0{space 1}{txt}{sf}{ul off} hist of hypothyroidism{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}63,153{space 1} {space 1} 76.0{space 1} {space 1} 76.0{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 3,897{space 1} {space 1} 4.7{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} :{stata docs @eprp (*) pasthx4_30, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_30, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_30 101 QUESTION}{p_end}{p2col:}Hypothyroidism: 243 - 244.2, 244.8, 244.9{p_end}{p2col:}{res:pasthx4_30 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.87hx_lipid&clntrial palcare pasthx3_11 pasthx4_16hist of lipid disorder`{space 1}{txt}{sf}{ul off}hist of lipid disorder{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 20:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}27,473{space 1} {space 1} 33.1{space 1} {space 1} 33.1{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}54,781{space 1} {space 1} 66.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 5{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 20:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} r{stata docs @eprp (*) pasthx3_11 pasthx4_16, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_11 pasthx4_16, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_16 101 QUESTION}{p_end}{p2col:}Atherosclerosis and Lipid Disorders: 272.0-272.9, 414.0-414.05, 440.0-440.9{p_end}{p2col:}{res:pasthx4_16 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.88 hx_liverDclntrial palcare pasthx4_32hist of liver disease0{space 1}{txt}{sf}{ul off} hist of liver disease{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}65,347{space 1} {space 1} 78.7{space 1} {space 1} 78.7{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 1,703{space 1} {space 1} 2.1{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) pasthx4_32, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_32, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_32 101 QUESTION}{p_end}{p2col:}Liver Disease: 070.22, 070.23, 070.32, 070.33, 070.44, 070.54, 456.0, 456.1, 456.20, 456.21, 571.0, 571.2, 571.3, 571.40 - 571.49, 571.5, 571.6, 571.8, 571.9, 572.3, 572.8, V42.7{p_end}{p2col:}{res:pasthx4_32 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.89 hx_lymphomaclntrial palcare pasthx4_35hist of lymphoma0{space 1}{txt}{sf}{ul off} hist of lymphoma{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}66,565{space 1} {space 1} 80.1{space 1} {space 1} 80.1{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 485{space 1} {space 1} 0.6{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} x{stata docs @eprp (*) pasthx4_35, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_35, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_35 101 QUESTION}{p_end}{p2col:}Lymphoma: 200.00 - 202.38, 202.50 - 203.01, 203.8 - 203.81, 238.6, 238.7, 273.3, V10.71, V10.72, V10.79{p_end}{p2col:}{res:pasthx4_35 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.90 hx_metastaticclntrial palcare pasthx4_36hist of metastatic cancer0{space 1}{txt}{sf}{ul off} hist of metastatic cancer{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}65,913{space 1} {space 1} 79.4{space 1} {space 1} 79.4{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 1,138{space 1} {space 1} 1.4{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 8{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 1{stata docs @eprp (*) pasthx4_36, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_36, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_36 101 QUESTION}{p_end}{p2col:}Metastatic Cancer: 196.0 - 199.1{p_end}{p2col:}{res:pasthx4_36 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.91hx_mi&clntrial palcare pasthx3_13 pasthx4_18 hist of MIH{space 1}{txt}{sf}{ul off} hist of MI{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}64,716{space 1} {space 1} 77.9{space 1} {space 1} 77.9{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}17,532{space 1} {space 1} 21.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 11{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 9{stata docs @eprp (*) pasthx3_13 pasthx4_18, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_13 pasthx4_18, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_18 101 QUESTION}{p_end}{p2col:}History of MI: 412{p_end}{p2col:}{res:pasthx4_18 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.92 hx_mskeletal&clntrial palcare pasthx3_12 pasthx4_17!hist of musculo-skeletal disorder{space 1}{txt}{sf}{ul off}hist of musculo-skeletal disorder{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 31:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}76,554{space 1} {space 1} 92.2{space 1} {space 1} 92.2{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 5,694{space 1} {space 1} 6.9{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 11{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 31:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} k{stata docs @eprp (*) pasthx3_12 pasthx4_17, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_12 pasthx4_17, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_17 101 QUESTION}{p_end}{p2col:}Musculoskeletal Conditions: 714.0-714.33,715.00-715.98,720.0,721.90,{p_end}{p2col:}{res:pasthx4_17 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.93 hx_obesityclntrial palcare pasthx4_10hist of obesity0{space 1}{txt}{sf}{ul off} hist of obesity{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}61,378{space 1} {space 1} 73.9{space 1} {space 1} 73.9{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 5,673{space 1} {space 1} 6.8{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 8{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} F{stata docs @eprp (*) pasthx4_10, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_10, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_10 101 QUESTION}{p_end}{p2col:}Overweight and Obesity: 278.0, 278.00, 278.01, 278.02{p_end}{p2col:}{res:pasthx4_10 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.94 hx_othneuroclntrial palcare pasthx4_26#hist of other neurological problemsZ{space 1}{txt}{sf}{ul off}hist of other neurological problems{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 33:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}63,761{space 1} {space 1} 76.8{space 1} {space 1} 76.8{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 3,290{space 1} {space 1} 4.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 8{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 33:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) pasthx4_26, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_26, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_26 101 QUESTION}{p_end}{p2col:}Other Neurological: 330.0 - 331.9, 332.0, 333-333.99, 334.0 - 335.9, 340, 341.1 - 341.9, 345 - 345.11, 345.2 - 345.3, 345.40 - 345.91, 348.1, 348.3 - 348.39, 780.3, 780.39, 784.3{p_end}{p2col:}{res:pasthx4_26 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.95 hx_paralysisclntrial palcare pasthx4_25hist of paralysis0{space 1}{txt}{sf}{ul off} hist of paralysis{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}65,594{space 1} {space 1} 79.0{space 1} {space 1} 79.0{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 1,457{space 1} {space 1} 1.8{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 8{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} J{stata docs @eprp (*) pasthx4_25, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_25, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_25 101 QUESTION}{p_end}{p2col:}Paralysis: 342.0 - 342.12, 342.9 - 344.9, 438.20 - 438.53{p_end}{p2col:}{res:pasthx4_25 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.96hx_pci6mclntrial palcare revasc1PTCA/PCI w/in 6mosH{space 1}{txt}{sf}{ul off}PTCA/PCI w/in 6mos{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}78,328{space 1} {space 1} 94.3{space 1} {space 1} 94.3{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 3,930{space 1} {space 1} 4.7{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 1{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) revasc1, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) revasc1, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:revasc1 101 QUESTION}{p_end}{p2col:}Did the patient have a revascularization procedure within the last six months?{p_end}{p2col:}1. PCI{p_end}{p2col:}{res:revasc1 101 DEFINITION}{p_end}{p2col:}Within the last six months = from the last day of the study interval to the first day of the month six months previously. (Example: Study interval is 9/01/06 - 9/24/06. Six months previously is April 1, 2006.){p_end}{p2col:}Look for documentation in the H&P or admitting note that a PTCA/PCI or CABG was performed within the past 6 months. Procedure may have been done at this or another VAMC, or at a private sector facility.97 hx_periphvascclntrial palcare pasthx4_22#hist of peripheral vascular diseaseZ{space 1}{txt}{sf}{ul off}hist of peripheral vascular disease{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 33:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}58,338{space 1} {space 1} 70.2{space 1} {space 1} 70.2{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 8,714{space 1} {space 1} 10.5{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 7{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 33:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) pasthx4_22, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_22, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_22 101 QUESTION}{p_end}{p2col:}Peripheral Vascular Disorder: 440.0 - 440.9, 441.0 - 441.9, 442.0 - 442.9, 443.1 - 443.9, 447.1, 557.1, 557.9, V43.4{p_end}{p2col:}{res:pasthx4_22 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.98 hx_psychosesclntrial palcare pasthx4_46hist of psychoses0{space 1}{txt}{sf}{ul off} hist of psychoses{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}64,479{space 1} {space 1} 77.6{space 1} {space 1} 77.6{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 2,571{space 1} {space 1} 3.1{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} :{stata docs @eprp (*) pasthx4_46, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_46, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_46 101 QUESTION}{p_end}{p2col:}Psychoses: 295.00 - 298.9, 299.10, 299.11{p_end}{p2col:}{res:pasthx4_46 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.99hx_ptca%clntrial palcare pasthx3_9 pasthx4_14 hist of PTCAH{space 1}{txt}{sf}{ul off} hist of PTCA{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}69,177{space 1} {space 1} 83.3{space 1} {space 1} 83.3{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}13,072{space 1} {space 1} 15.7{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 10{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} <{stata docs @eprp (*) pasthx3_9 pasthx4_14, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_9 pasthx4_14, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_14 101 QUESTION}{p_end}{p2col:}History of PTCA: V45.82{p_end}{p2col:}{res:pasthx4_14 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.100 hx_pulmcircclntrial palcare pasthx4_21&hist of pulmonary circulation disordero{space 1}{txt}{sf}{ul off}hist of pulmonary circulation disorder{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 36:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}65,613{space 1} {space 1} 79.0{space 1} {space 1} 79.0{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 1,437{space 1} {space 1} 1.7{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 36:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} E{stata docs @eprp (*) pasthx4_21, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_21, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_21 101 QUESTION}{p_end}{p2col:}Pulmonary Circulation Disorder: 416.0 - 416.9, 417.9{p_end}{p2col:}{res:pasthx4_21 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.101hx_renal$clntrial palcare pasthx3_4 pasthx4_8hist of renal diseaseZ{space 1}{txt}{sf}{ul off}hist of renal disease{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}67,886{space 1} {space 1} 81.7{space 1} {space 1} 81.7{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}14,363{space 1} {space 1} 17.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 10{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) pasthx3_4 pasthx4_8, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx3_4 pasthx4_8, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_8 101 QUESTION}{p_end}{p2col:}Hypertensive Kidney Disease (w, w/o Kidney Failure): 403.00, 403.01, 403.10, 403.11, 403.90, 403.91, 404.00, 404.01, 404.02, 404.03, 404.10, 404.11, 404.12, 404.13, 404.90, 404.91, 404.92, 404.93, 582.0-583.9, 585-587{p_end}{p2col:}{res:pasthx4_8 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.102 hx_renalfailclntrial palcare pasthx4_31hist of renal failure0{space 1}{txt}{sf}{ul off} hist of renal failure{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}53,593{space 1} {space 1} 64.5{space 1} {space 1} 64.5{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}13,460{space 1} {space 1} 16.2{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 6{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) pasthx4_31, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_31, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_31 101 QUESTION}{p_end}{p2col:}Kidney Disease: 403.01, 403.11, 403.91, 404.02, 404.03, 404.12, 404.13, 404.92, 404.93, 585-585.6, 585.9, 586, V42.0, V45.1, V56.0 - V56.2, V56.8{p_end}{p2col:}{res:pasthx4_31 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.103 hx_smoke_histclntrial palcare pasthx4_5hist of tobacco use0{space 1}{txt}{sf}{ul off} hist of tobacco use{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}51,700{space 1} {space 1} 62.2{space 1} {space 1} 62.2{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}15,351{space 1} {space 1} 18.5{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 8{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} '{stata docs @eprp (*) pasthx4_5, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_5, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_5 101 QUESTION}{p_end}{p2col:}History of Smoking: V15.82{p_end}{p2col:}{res:pasthx4_5 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.104 hx_smoke_nowclntrial palcare pasthx4_4current smoker0{space 1}{txt}{sf}{ul off} current smoker{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}50,165{space 1} {space 1} 60.4{space 1} {space 1} 60.4{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}16,888{space 1} {space 1} 20.3{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 6{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} "{stata docs @eprp (*) pasthx4_4, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_4, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_4 101 QUESTION}{p_end}{p2col:}Current Smoker: 305.1{p_end}{p2col:}{res:pasthx4_4 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.105 hx_stroke5yclntrial palcare pastcvahist of stroke w/in 5yrs{space 1}{txt}{sf}{ul off}hist of stroke w/in 5yrs{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 22:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}79,132{space 1} {space 1} 95.3{space 1} {space 1} 95.3{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 3,127{space 1} {space 1} 3.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 22:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) pastcva, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pastcva, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pastcva 101 QUESTION}{p_end}{p2col:}Does the patient have a history of stroke within the past five years?{p_end}{p2col:}{res:pastcva 101 DEFINITION}{p_end}{p2col:}Codes which may be used to identify stroke within the past five years are: ICD-9 Code 436. Codes 438.0-438.42 and 438.81-438.9 indicate late effects of cerebrovascular disease. Old stroke without residuals is coded V12.59. Do not answer "yes" based on an old stroke code unless the record documents the stroke occurred within the past five years.106hx_tumorclntrial palcare pasthx4_37hist of tumor w/o metastasis0{space 1}{txt}{sf}{ul off} hist of tumor w/o metastasis{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}61,813{space 1} {space 1} 74.4{space 1} {space 1} 74.4{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 5,238{space 1} {space 1} 6.3{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 8{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {{stata docs @eprp (*) pasthx4_37, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_37, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_37 101 QUESTION}{p_end}{p2col:}Solid Tumor without Metastasis: 140.0 - 172.9, 174.0 - 175.9, 179 - 195.8, V10.00 - V10.59, V10.81 - V10.9{p_end}{p2col:}{res:pasthx4_37 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.107hx_ulcerclntrial palcare pasthx4_33hist of ulcers0{space 1}{txt}{sf}{ul off} hist of ulcers{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}65,999{space 1} {space 1} 79.5{space 1} {space 1} 79.5{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 1,051{space 1} {space 1} 1.3{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) pasthx4_33, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_33, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_33 101 QUESTION}{p_end}{p2col:}Peptic Ulcer Disease Including Bleeding: 531.41, 531.51, 531.61, 531.70, 531.71, 531.90, 531.91, 532.41, 532.51, 532.61, 532.70, 532.71, 532.90,532.91, 533.41, 533.51, 533.61, 533.70, 533.71, 533.90, 533.91, 534.41, 534.51, 534.61, 534.70, 534.71, 534.90, 534.91, V12.71{p_end}{p2col:}{res:pasthx4_33 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.108hx_valveclntrial palcare pasthx4_20hist of valvular disease0{space 1}{txt}{sf}{ul off} hist of valvular disease{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}61,553{space 1} {space 1} 74.1{space 1} {space 1} 74.1{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 5,497{space 1} {space 1} 6.6{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} n{stata docs @eprp (*) pasthx4_20, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_20, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_20 101 QUESTION}{p_end}{p2col:}Valvular Disease: 093.20 - 093.24, 394.0 - 397.1, 424.0 - 424.91, 746.3 - 746.6, V42.2, V43.3{p_end}{p2col:}{res:pasthx4_20 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.109 hx_weightlossclntrial palcare pasthx4_40hist of weight loss0{space 1}{txt}{sf}{ul off} hist of weight loss{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}66,161{space 1} {space 1} 79.7{space 1} {space 1} 79.7{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 889{space 1} {space 1} 1.1{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 80.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}15,200{space 1} {space 1} 18.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} ){stata docs @eprp (*) pasthx4_40, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) pasthx4_40, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:pasthx4_40 101 QUESTION}{p_end}{p2col:}Weight loss: 260 - 263.9{p_end}{p2col:}{res:pasthx4_40 101 DEFINITION}{p_end}{p2col:}Past Medical History (Diagnoses in othrdx must be entered in pasthx4; however, abstractor may indicate additional dx not in othrdx). Indicate all applicable diagnoses, past medical history, past cardiac procedures, and past history of MI for this patient as found in the H&P, discharge summary, progress notes, and nursing assessments for this episode of care. If coded, codes must be applicable.110rx_aceclntrial palcare priorx3prev on ACE inhibitorZ{space 1}{txt}{sf}{ul off}prev on ACE inhibitor{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}44,186{space 1} {space 1} 53.2{space 1} {space 1} 53.2{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}38,070{space 1} {space 1} 45.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 3{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) priorx3, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) priorx3, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:priorx3 101 QUESTION}{p_end}{p2col:}Was the patient on any of the following medications prior to admission for this episode of care?{p_end}{p2col:}3. ACE inhibitor{p_end}{p2col:}{res:priorx3 101 DEFINITION}{p_end}{p2col:}The question refers to medications being taken routinely by the patient, at his/her place of residence, prior to admission for this episode of care. If the patient was a transfer from another VAMC or a community hospital, check clinic records for medications the patient may have been taking prior to admission to the first hospital. Do not include medications administered to the patient at the first hospital.{p_end}{p2col:}Medications given once the patient has arrived at the hospital are excluded from the question.{p_end}{p2col:}1. Aspirin = 81 to 325 mg daily; see Joint Commission (JC) Medication Table for listing of aspirin and aspirin-containing medications {p_end}{p2col:}2. Beta-blocker = see JC listing of beta blocker medications{p_end}{p2col:}3. ACEI = see JC listing of ACE inhibitor medications.{p_end}{p2col:}4. Lipid-lowering Medications{p_end}{p2col:}HMG-CoA Reductase Inhibitors (Statins): fluvastatin sodium (Lescol), atorvastatin calcium (Lipitor), lovastatin (Mevacor) (Altocor), pravastatin sodium (Pravacol), simvastatin (Zocor), rosuvastatin calcium (Crestor){p_end}{p2col:}Cholesterol absorption inhibitors: ezetimibe (Zetia){p_end}{p2col:}Combination: ezetimibe/simvastatin (Vytorin), Niaspan/lovastatin (Advicor){p_end}{p2col:}Nicotinic Acid: niacin extended release tablets (Niaspan), Crystalline niacin, sustained or timed release niacin{p_end}{p2col:}Bile Acid Sequestrants: colestipol hydrochloride (Colestid), colesevelam hydrochloride (Welchol), cholestyramine (Questran) (Locholest){p_end}{p2col:}Fibrates: clofibrate (Atromid-S) (Abitrate), gemfibrozil (Lopid) (Gemcor), fenofibrate (Tricor) (Lofibra){p_end}{p2col:}Omega- Fatty Acids (Fish Oils): Marine-derived omega-3 fatty acid supplements (DHA/EPA){p_end}{p2col:}5. Insulin Synonyms/Inclusions: 70/30, 50/50, continuous subcutaneous, infusion of insulin (CS11), HUMALOG, HUMULIN, ILETIN I or II, insulin pen, insulin pump, LENTE, LISPRO, MDI, NOVOLIN, NOVOLIN penfill, NOVO NORDISK, NPH, Regular, SEMILENTE, ULTRALENTE, VELOSULIN{p_end}{p2col:}6. Platelet aggregation inhibitors = clopidogrel (Plavix), ticlopidine (Ticlid), dipyridamole (Persantine), dipyridamole and aspirin (Aggrenox){p_end}{p2col:}7. LMWH: enoxaparin (Lovenox), dalteparin (Fragmin), tinzaparin (Innohep), nadroparin (Fraxiparine), reviparin (Clivarin), and certoparin{p_end}{p2col:}8. ARB: losartan potassium, valsartan, irbesartan, candesartan, telmisartan, eprosartan, and olmesartan.111rx_arbclntrial palcare priorx8 prev on ARB0{space 1}{txt}{sf}{ul off} prev on ARB{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}58,352{space 1} {space 1} 70.3{space 1} {space 1} 70.3{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 4,787{space 1} {space 1} 5.8{space 1} {space 1} 76.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 294{space 1} {space 1} 0.4{space 1} {space 1} 76.4{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}18,826{space 1} {space 1} 22.7{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) priorx8, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) priorx8, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:priorx8 101 QUESTION}{p_end}{p2col:}Was the patient on any of the following medications prior to admission for this episode of care?{p_end}{p2col:}8. ARB (AIIRA){p_end}{p2col:}{res:priorx8 101 DEFINITION}{p_end}{p2col:}The question refers to medications being taken routinely by the patient, at his/her place of residence, prior to admission for this episode of care. If the patient was a transfer from another VAMC or a community hospital, check clinic records for medications the patient may have been taking prior to admission to the first hospital. Do not include medications administered to the patient at the first hospital.{p_end}{p2col:}Medications given once the patient has arrived at the hospital are excluded from the question.{p_end}{p2col:}1. Aspirin = 81 to 325 mg daily; see Joint Commission (JC) Medication Table for listing of aspirin and aspirin-containing medications {p_end}{p2col:}2. Beta-blocker = see JC listing of beta blocker medications{p_end}{p2col:}3. ACEI = see JC listing of ACE inhibitor medications.{p_end}{p2col:}4. Lipid-lowering Medications{p_end}{p2col:}HMG-CoA Reductase Inhibitors (Statins): fluvastatin sodium (Lescol), atorvastatin calcium (Lipitor), lovastatin (Mevacor) (Altocor), pravastatin sodium (Pravacol), simvastatin (Zocor), rosuvastatin calcium (Crestor){p_end}{p2col:}Cholesterol absorption inhibitors: ezetimibe (Zetia){p_end}{p2col:}Combination: ezetimibe/simvastatin (Vytorin), Niaspan/lovastatin (Advicor){p_end}{p2col:}Nicotinic Acid: niacin extended release tablets (Niaspan), Crystalline niacin, sustained or timed release niacin{p_end}{p2col:}Bile Acid Sequestrants: colestipol hydrochloride (Colestid), colesevelam hydrochloride (Welchol), cholestyramine (Questran) (Locholest){p_end}{p2col:}Fibrates: clofibrate (Atromid-S) (Abitrate), gemfibrozil (Lopid) (Gemcor), fenofibrate (Tricor) (Lofibra){p_end}{p2col:}Omega- Fatty Acids (Fish Oils): Marine-derived omega-3 fatty acid supplements (DHA/EPA){p_end}{p2col:}5. Insulin Synonyms/Inclusions: 70/30, 50/50, continuous subcutaneous, infusion of insulin (CS11), HUMALOG, HUMULIN, ILETIN I or II, insulin pen, insulin pump, LENTE, LISPRO, MDI, NOVOLIN, NOVOLIN penfill, NOVO NORDISK, NPH, Regular, SEMILENTE, ULTRALENTE, VELOSULIN{p_end}{p2col:}6. Platelet aggregation inhibitors = clopidogrel (Plavix), ticlopidine (Ticlid), dipyridamole (Persantine), dipyridamole and aspirin (Aggrenox){p_end}{p2col:}7. LMWH: enoxaparin (Lovenox), dalteparin (Fragmin), tinzaparin (Innohep), nadroparin (Fraxiparine), reviparin (Clivarin), and certoparin{p_end}{p2col:}8. ARB: losartan potassium, valsartan, irbesartan, candesartan, telmisartan, eprosartan, and olmesartan.112 rx_aspirinclntrial palcare priorx1prev on aspirinH{space 1}{txt}{sf}{ul off} prev on aspirin{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}40,090{space 1} {space 1} 48.3{space 1} {space 1} 48.3{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}42,166{space 1} {space 1} 50.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 3{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) priorx1, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) priorx1, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:priorx1 101 QUESTION}{p_end}{p2col:}Was the patient on any of the following medications prior to admission for this episode of care?{p_end}{p2col:}1. aspirin{p_end}{p2col:}{res:priorx1 101 DEFINITION}{p_end}{p2col:}The question refers to medications being taken routinely by the patient, at his/her place of residence, prior to admission for this episode of care. If the patient was a transfer from another VAMC or a community hospital, check clinic records for medications the patient may have been taking prior to admission to the first hospital. Do not include medications administered to the patient at the first hospital.{p_end}{p2col:}Medications given once the patient has arrived at the hospital are excluded from the question.{p_end}{p2col:}1. Aspirin = 81 to 325 mg daily; see Joint Commission (JC) Medication Table for listing of aspirin and aspirin-containing medications {p_end}{p2col:}2. Beta-blocker = see JC listing of beta blocker medications{p_end}{p2col:}3. ACEI = see JC listing of ACE inhibitor medications.{p_end}{p2col:}4. Lipid-lowering Medications{p_end}{p2col:}HMG-CoA Reductase Inhibitors (Statins): fluvastatin sodium (Lescol), atorvastatin calcium (Lipitor), lovastatin (Mevacor) (Altocor), pravastatin sodium (Pravacol), simvastatin (Zocor), rosuvastatin calcium (Crestor){p_end}{p2col:}Cholesterol absorption inhibitors: ezetimibe (Zetia){p_end}{p2col:}Combination: ezetimibe/simvastatin (Vytorin), Niaspan/lovastatin (Advicor){p_end}{p2col:}Nicotinic Acid: niacin extended release tablets (Niaspan), Crystalline niacin, sustained or timed release niacin{p_end}{p2col:}Bile Acid Sequestrants: colestipol hydrochloride (Colestid), colesevelam hydrochloride (Welchol), cholestyramine (Questran) (Locholest){p_end}{p2col:}Fibrates: clofibrate (Atromid-S) (Abitrate), gemfibrozil (Lopid) (Gemcor), fenofibrate (Tricor) (Lofibra){p_end}{p2col:}Omega- Fatty Acids (Fish Oils): Marine-derived omega-3 fatty acid supplements (DHA/EPA){p_end}{p2col:}5. Insulin Synonyms/Inclusions: 70/30, 50/50, continuous subcutaneous, infusion of insulin (CS11), HUMALOG, HUMULIN, ILETIN I or II, insulin pen, insulin pump, LENTE, LISPRO, MDI, NOVOLIN, NOVOLIN penfill, NOVO NORDISK, NPH, Regular, SEMILENTE, ULTRALENTE, VELOSULIN{p_end}{p2col:}6. Platelet aggregation inhibitors = clopidogrel (Plavix), ticlopidine (Ticlid), dipyridamole (Persantine), dipyridamole and aspirin (Aggrenox){p_end}{p2col:}7. LMWH: enoxaparin (Lovenox), dalteparin (Fragmin), tinzaparin (Innohep), nadroparin (Fraxiparine), reviparin (Clivarin), and certoparin{p_end}{p2col:}8. ARB: losartan potassium, valsartan, irbesartan, candesartan, telmisartan, eprosartan, and olmesartan.113rx_betabclntrial palcare priorx2prev on beta blockersZ{space 1}{txt}{sf}{ul off}prev on beta blockers{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}35,626{space 1} {space 1} 42.9{space 1} {space 1} 42.9{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}46,631{space 1} {space 1} 56.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 2{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) priorx2, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) priorx2, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:priorx2 101 QUESTION}{p_end}{p2col:}Was the patient on any of the following medications prior to admission for this episode of care?{p_end}{p2col:}2. beta blocker{p_end}{p2col:}{res:priorx2 101 DEFINITION}{p_end}{p2col:}The question refers to medications being taken routinely by the patient, at his/her place of residence, prior to admission for this episode of care. If the patient was a transfer from another VAMC or a community hospital, check clinic records for medications the patient may have been taking prior to admission to the first hospital. Do not include medications administered to the patient at the first hospital.{p_end}{p2col:}Medications given once the patient has arrived at the hospital are excluded from the question.{p_end}{p2col:}1. Aspirin = 81 to 325 mg daily; see Joint Commission (JC) Medication Table for listing of aspirin and aspirin-containing medications {p_end}{p2col:}2. Beta-blocker = see JC listing of beta blocker medications{p_end}{p2col:}3. ACEI = see JC listing of ACE inhibitor medications.{p_end}{p2col:}4. Lipid-lowering Medications{p_end}{p2col:}HMG-CoA Reductase Inhibitors (Statins): fluvastatin sodium (Lescol), atorvastatin calcium (Lipitor), lovastatin (Mevacor) (Altocor), pravastatin sodium (Pravacol), simvastatin (Zocor), rosuvastatin calcium (Crestor){p_end}{p2col:}Cholesterol absorption inhibitors: ezetimibe (Zetia){p_end}{p2col:}Combination: ezetimibe/simvastatin (Vytorin), Niaspan/lovastatin (Advicor){p_end}{p2col:}Nicotinic Acid: niacin extended release tablets (Niaspan), Crystalline niacin, sustained or timed release niacin{p_end}{p2col:}Bile Acid Sequestrants: colestipol hydrochloride (Colestid), colesevelam hydrochloride (Welchol), cholestyramine (Questran) (Locholest){p_end}{p2col:}Fibrates: clofibrate (Atromid-S) (Abitrate), gemfibrozil (Lopid) (Gemcor), fenofibrate (Tricor) (Lofibra){p_end}{p2col:}Omega- Fatty Acids (Fish Oils): Marine-derived omega-3 fatty acid supplements (DHA/EPA){p_end}{p2col:}5. Insulin Synonyms/Inclusions: 70/30, 50/50, continuous subcutaneous, infusion of insulin (CS11), HUMALOG, HUMULIN, ILETIN I or II, insulin pen, insulin pump, LENTE, LISPRO, MDI, NOVOLIN, NOVOLIN penfill, NOVO NORDISK, NPH, Regular, SEMILENTE, ULTRALENTE, VELOSULIN{p_end}{p2col:}6. Platelet aggregation inhibitors = clopidogrel (Plavix), ticlopidine (Ticlid), dipyridamole (Persantine), dipyridamole and aspirin (Aggrenox){p_end}{p2col:}7. LMWH: enoxaparin (Lovenox), dalteparin (Fragmin), tinzaparin (Innohep), nadroparin (Fraxiparine), reviparin (Clivarin), and certoparin{p_end}{p2col:}8. ARB: losartan potassium, valsartan, irbesartan, candesartan, telmisartan, eprosartan, and olmesartan.114 rx_heparinclntrial palcare priorx7prev on heparinH{space 1}{txt}{sf}{ul off} prev on heparin{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}80,487{space 1} {space 1} 96.9{space 1} {space 1} 96.9{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 1,763{space 1} {space 1} 2.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 9{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) priorx7, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) priorx7, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:priorx7 101 QUESTION}{p_end}{p2col:}Was the patient on any of the following medications prior to admission for this episode of care?{p_end}{p2col:}7. low molecular weight heparin (LMWH){p_end}{p2col:}{res:priorx7 101 DEFINITION}{p_end}{p2col:}The question refers to medications being taken routinely by the patient, at his/her place of residence, prior to admission for this episode of care. If the patient was a transfer from another VAMC or a community hospital, check clinic records for medications the patient may have been taking prior to admission to the first hospital. Do not include medications administered to the patient at the first hospital.{p_end}{p2col:}Medications given once the patient has arrived at the hospital are excluded from the question.{p_end}{p2col:}1. Aspirin = 81 to 325 mg daily; see Joint Commission (JC) Medication Table for listing of aspirin and aspirin-containing medications {p_end}{p2col:}2. Beta-blocker = see JC listing of beta blocker medications{p_end}{p2col:}3. ACEI = see JC listing of ACE inhibitor medications.{p_end}{p2col:}4. Lipid-lowering Medications{p_end}{p2col:}HMG-CoA Reductase Inhibitors (Statins): fluvastatin sodium (Lescol), atorvastatin calcium (Lipitor), lovastatin (Mevacor) (Altocor), pravastatin sodium (Pravacol), simvastatin (Zocor), rosuvastatin calcium (Crestor){p_end}{p2col:}Cholesterol absorption inhibitors: ezetimibe (Zetia){p_end}{p2col:}Combination: ezetimibe/simvastatin (Vytorin), Niaspan/lovastatin (Advicor){p_end}{p2col:}Nicotinic Acid: niacin extended release tablets (Niaspan), Crystalline niacin, sustained or timed release niacin{p_end}{p2col:}Bile Acid Sequestrants: colestipol hydrochloride (Colestid), colesevelam hydrochloride (Welchol), cholestyramine (Questran) (Locholest){p_end}{p2col:}Fibrates: clofibrate (Atromid-S) (Abitrate), gemfibrozil (Lopid) (Gemcor), fenofibrate (Tricor) (Lofibra){p_end}{p2col:}Omega- Fatty Acids (Fish Oils): Marine-derived omega-3 fatty acid supplements (DHA/EPA){p_end}{p2col:}5. Insulin Synonyms/Inclusions: 70/30, 50/50, continuous subcutaneous, infusion of insulin (CS11), HUMALOG, HUMULIN, ILETIN I or II, insulin pen, insulin pump, LENTE, LISPRO, MDI, NOVOLIN, NOVOLIN penfill, NOVO NORDISK, NPH, Regular, SEMILENTE, ULTRALENTE, VELOSULIN{p_end}{p2col:}6. Platelet aggregation inhibitors = clopidogrel (Plavix), ticlopidine (Ticlid), dipyridamole (Persantine), dipyridamole and aspirin (Aggrenox){p_end}{p2col:}7. LMWH: enoxaparin (Lovenox), dalteparin (Fragmin), tinzaparin (Innohep), nadroparin (Fraxiparine), reviparin (Clivarin), and certoparin{p_end}{p2col:}8. ARB: losartan potassium, valsartan, irbesartan, candesartan, telmisartan, eprosartan, and olmesartan.115 rx_insulinclntrial palcare priorx5prev on insulinH{space 1}{txt}{sf}{ul off} prev on insulin{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}68,954{space 1} {space 1} 83.0{space 1} {space 1} 83.0{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}13,298{space 1} {space 1} 16.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 7{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) priorx5, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) priorx5, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:priorx5 101 QUESTION}{p_end}{p2col:}Was the patient on any of the following medications prior to admission for this episode of care?{p_end}{p2col:}5. insulin{p_end}{p2col:}{res:priorx5 101 DEFINITION}{p_end}{p2col:}The question refers to medications being taken routinely by the patient, at his/her place of residence, prior to admission for this episode of care. If the patient was a transfer from another VAMC or a community hospital, check clinic records for medications the patient may have been taking prior to admission to the first hospital. Do not include medications administered to the patient at the first hospital.{p_end}{p2col:}Medications given once the patient has arrived at the hospital are excluded from the question.{p_end}{p2col:}1. Aspirin = 81 to 325 mg daily; see Joint Commission (JC) Medication Table for listing of aspirin and aspirin-containing medications {p_end}{p2col:}2. Beta-blocker = see JC listing of beta blocker medications{p_end}{p2col:}3. ACEI = see JC listing of ACE inhibitor medications.{p_end}{p2col:}4. Lipid-lowering Medications{p_end}{p2col:}HMG-CoA Reductase Inhibitors (Statins): fluvastatin sodium (Lescol), atorvastatin calcium (Lipitor), lovastatin (Mevacor) (Altocor), pravastatin sodium (Pravacol), simvastatin (Zocor), rosuvastatin calcium (Crestor){p_end}{p2col:}Cholesterol absorption inhibitors: ezetimibe (Zetia){p_end}{p2col:}Combination: ezetimibe/simvastatin (Vytorin), Niaspan/lovastatin (Advicor){p_end}{p2col:}Nicotinic Acid: niacin extended release tablets (Niaspan), Crystalline niacin, sustained or timed release niacin{p_end}{p2col:}Bile Acid Sequestrants: colestipol hydrochloride (Colestid), colesevelam hydrochloride (Welchol), cholestyramine (Questran) (Locholest){p_end}{p2col:}Fibrates: clofibrate (Atromid-S) (Abitrate), gemfibrozil (Lopid) (Gemcor), fenofibrate (Tricor) (Lofibra){p_end}{p2col:}Omega- Fatty Acids (Fish Oils): Marine-derived omega-3 fatty acid supplements (DHA/EPA){p_end}{p2col:}5. Insulin Synonyms/Inclusions: 70/30, 50/50, continuous subcutaneous, infusion of insulin (CS11), HUMALOG, HUMULIN, ILETIN I or II, insulin pen, insulin pump, LENTE, LISPRO, MDI, NOVOLIN, NOVOLIN penfill, NOVO NORDISK, NPH, Regular, SEMILENTE, ULTRALENTE, VELOSULIN{p_end}{p2col:}6. Platelet aggregation inhibitors = clopidogrel (Plavix), ticlopidine (Ticlid), dipyridamole (Persantine), dipyridamole and aspirin (Aggrenox){p_end}{p2col:}7. LMWH: enoxaparin (Lovenox), dalteparin (Fragmin), tinzaparin (Innohep), nadroparin (Fraxiparine), reviparin (Clivarin), and certoparin{p_end}{p2col:}8. ARB: losartan potassium, valsartan, irbesartan, candesartan, telmisartan, eprosartan, and olmesartan.116rx_lipidclntrial palcare priorx4prev on lipid lowering meds~{space 1}{txt}{sf}{ul off}prev on lipid lowering meds{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 25:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}34,792{space 1} {space 1} 41.9{space 1} {space 1} 41.9{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}47,465{space 1} {space 1} 57.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 2{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 25:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) priorx4, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) priorx4, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:priorx4 101 QUESTION}{p_end}{p2col:}Was the patient on any of the following medications prior to admission for this episode of care?{p_end}{p2col:}4. lipid-lowering medication{p_end}{p2col:}{res:priorx4 101 DEFINITION}{p_end}{p2col:}The question refers to medications being taken routinely by the patient, at his/her place of residence, prior to admission for this episode of care. If the patient was a transfer from another VAMC or a community hospital, check clinic records for medications the patient may have been taking prior to admission to the first hospital. Do not include medications administered to the patient at the first hospital.{p_end}{p2col:}Medications given once the patient has arrived at the hospital are excluded from the question.{p_end}{p2col:}1. Aspirin = 81 to 325 mg daily; see Joint Commission (JC) Medication Table for listing of aspirin and aspirin-containing medications {p_end}{p2col:}2. Beta-blocker = see JC listing of beta blocker medications{p_end}{p2col:}3. ACEI = see JC listing of ACE inhibitor medications.{p_end}{p2col:}4. Lipid-lowering Medications{p_end}{p2col:}HMG-CoA Reductase Inhibitors (Statins): fluvastatin sodium (Lescol), atorvastatin calcium (Lipitor), lovastatin (Mevacor) (Altocor), pravastatin sodium (Pravacol), simvastatin (Zocor), rosuvastatin calcium (Crestor){p_end}{p2col:}Cholesterol absorption inhibitors: ezetimibe (Zetia){p_end}{p2col:}Combination: ezetimibe/simvastatin (Vytorin), Niaspan/lovastatin (Advicor){p_end}{p2col:}Nicotinic Acid: niacin extended release tablets (Niaspan), Crystalline niacin, sustained or timed release niacin{p_end}{p2col:}Bile Acid Sequestrants: colestipol hydrochloride (Colestid), colesevelam hydrochloride (Welchol), cholestyramine (Questran) (Locholest){p_end}{p2col:}Fibrates: clofibrate (Atromid-S) (Abitrate), gemfibrozil (Lopid) (Gemcor), fenofibrate (Tricor) (Lofibra){p_end}{p2col:}Omega- Fatty Acids (Fish Oils): Marine-derived omega-3 fatty acid supplements (DHA/EPA){p_end}{p2col:}5. Insulin Synonyms/Inclusions: 70/30, 50/50, continuous subcutaneous, infusion of insulin (CS11), HUMALOG, HUMULIN, ILETIN I or II, insulin pen, insulin pump, LENTE, LISPRO, MDI, NOVOLIN, NOVOLIN penfill, NOVO NORDISK, NPH, Regular, SEMILENTE, ULTRALENTE, VELOSULIN{p_end}{p2col:}6. Platelet aggregation inhibitors = clopidogrel (Plavix), ticlopidine (Ticlid), dipyridamole (Persantine), dipyridamole and aspirin (Aggrenox){p_end}{p2col:}7. LMWH: enoxaparin (Lovenox), dalteparin (Fragmin), tinzaparin (Innohep), nadroparin (Fraxiparine), reviparin (Clivarin), and certoparin{p_end}{p2col:}8. ARB: losartan potassium, valsartan, irbesartan, candesartan, telmisartan, eprosartan, and olmesartan.117rx_platclntrial palcare priorx6prev on platelet inhibitors~{space 1}{txt}{sf}{ul off}prev on platelet inhibitors{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 25:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}68,793{space 1} {space 1} 82.8{space 1} {space 1} 82.8{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}13,459{space 1} {space 1} 16.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 7{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 25:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) priorx6, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) priorx6, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:priorx6 101 QUESTION}{p_end}{p2col:}Was the patient on any of the following medications prior to admission for this episode of care?{p_end}{p2col:}6. platelet aggregation inhibitor{p_end}{p2col:}{res:priorx6 101 DEFINITION}{p_end}{p2col:}The question refers to medications being taken routinely by the patient, at his/her place of residence, prior to admission for this episode of care. If the patient was a transfer from another VAMC or a community hospital, check clinic records for medications the patient may have been taking prior to admission to the first hospital. Do not include medications administered to the patient at the first hospital.{p_end}{p2col:}Medications given once the patient has arrived at the hospital are excluded from the question.{p_end}{p2col:}1. Aspirin = 81 to 325 mg daily; see Joint Commission (JC) Medication Table for listing of aspirin and aspirin-containing medications {p_end}{p2col:}2. Beta-blocker = see JC listing of beta blocker medications{p_end}{p2col:}3. ACEI = see JC listing of ACE inhibitor medications.{p_end}{p2col:}4. Lipid-lowering Medications{p_end}{p2col:}HMG-CoA Reductase Inhibitors (Statins): fluvastatin sodium (Lescol), atorvastatin calcium (Lipitor), lovastatin (Mevacor) (Altocor), pravastatin sodium (Pravacol), simvastatin (Zocor), rosuvastatin calcium (Crestor){p_end}{p2col:}Cholesterol absorption inhibitors: ezetimibe (Zetia){p_end}{p2col:}Combination: ezetimibe/simvastatin (Vytorin), Niaspan/lovastatin (Advicor){p_end}{p2col:}Nicotinic Acid: niacin extended release tablets (Niaspan), Crystalline niacin, sustained or timed release niacin{p_end}{p2col:}Bile Acid Sequestrants: colestipol hydrochloride (Colestid), colesevelam hydrochloride (Welchol), cholestyramine (Questran) (Locholest){p_end}{p2col:}Fibrates: clofibrate (Atromid-S) (Abitrate), gemfibrozil (Lopid) (Gemcor), fenofibrate (Tricor) (Lofibra){p_end}{p2col:}Omega- Fatty Acids (Fish Oils): Marine-derived omega-3 fatty acid supplements (DHA/EPA){p_end}{p2col:}5. Insulin Synonyms/Inclusions: 70/30, 50/50, continuous subcutaneous, infusion of insulin (CS11), HUMALOG, HUMULIN, ILETIN I or II, insulin pen, insulin pump, LENTE, LISPRO, MDI, NOVOLIN, NOVOLIN penfill, NOVO NORDISK, NPH, Regular, SEMILENTE, ULTRALENTE, VELOSULIN{p_end}{p2col:}6. Platelet aggregation inhibitors = clopidogrel (Plavix), ticlopidine (Ticlid), dipyridamole (Persantine), dipyridamole and aspirin (Aggrenox){p_end}{p2col:}7. LMWH: enoxaparin (Lovenox), dalteparin (Fragmin), tinzaparin (Innohep), nadroparin (Fraxiparine), reviparin (Clivarin), and certoparin{p_end}{p2col:}8. ARB: losartan potassium, valsartan, irbesartan, candesartan, telmisartan, eprosartan, and olmesartan.118 rx_lipid2clntrial lipidmedprev on lipid lowering meds{space 1}{txt}{sf}{ul off} prev on lipid lowering meds{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}20,748{space 1} {space 1} 25.0{space 1} {space 1} 25.0{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}62,133{space 1} {space 1} 74.8{space 1} {space 1} 99.8{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 178{space 1} {space 1} 0.2{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) lipidmed, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) lipidmed, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:lipidmed 101 QUESTION}{p_end}{p2col:}Is there documentation that the patient was on a lipid-lowering medication prior to hospital arrival?{p_end}{p2col:}1. Yes{p_end}{p2col:}2. No{p_end}{p2col:}{res:lipidmed 101 DEFINITION}{p_end}{p2col:}If there is documentation that the patient was on a lipid-lowering medication prior to arrival, select "1." For cases where the patient was prescribed a lipid-lowering medication at home, but there is documentation the lipid-lowering medication was on temporary hold or the patient had been non-complaint/self-discontinued their medication (e.g., refusal, side effects, cost), select "1." {p_end}{p2col:}If conflicting information about whether the patient was on a lipid-lowering medication prior to arrival is documented in the record, select "1." {p_end}{p2col:}Lipid-lowering Medications {p_end}{p2col:}HMG-CoA Reductase Inhibitors (Statins): fluvastatin sodium (Lescol), atorvastatin calcium (Lipitor), lovastatin (Mevacor) (Altocor), pravastatin sodium (Pravachol), simvastatin (Zocor), rosuvastatin calcium (Crestor){p_end}{p2col:}Cholesterol absorption inhibitors: ezetimibe (Zetia){p_end}{p2col:}Combination: ezetimibe/simvastatin (Vytorin), Niaspan/lovastatin (Advicor){p_end}{p2col:}Nicotinic Acid: niacin extended release tablets (Niaspan), Crystalline niacin, sustained or timed release niacin{p_end}{p2col:}Bile Acid Sequestrants: colestipol hydrochloride (Colestid), colesevelam hydrochloride (Welchol), cholestyramine (Questran) (Locholest){p_end}{p2col:}Fibrates: clofibrate (Atromid-S) (Abitrate), gemfibrozil (Lopid) (Gemcor), fenofibrate (Tricor) (Lofibra){p_end}{p2col:}Omega- Fatty Acids (Fish Oils): Marine-derived omega-3 fatty acid supplements (DHA/EPA)119predaysdays in hosp in prior 1000 days{space 1}{txt}{sf}{ul off}days in hosp in prior 1000 days{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1}-{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 6Sum of {it:ls} over 1000 days before current admission120femalesex{space 1}{txt}{sf}{ul off}female{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 5:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1}0{space 1}{txt:{c |}}{space 1}{res}81,614{space 1} {space 1} 98.3{space 1} {space 1} 98.3{space 1} {break}{space 1}{txt}yes{space 1}{space 1}1{space 1}{txt:{c |}}{space 1}{res} 1,445{space 1} {space 1} 1.7{space 1} {space 1}100.0{space 1} {break}{txt:{dup 5:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 121racerace or national origin{space 1}{txt}{sf}{ul off} race or national origin{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 28:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} white{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}53,128{space 1} {space 1} 64.0{space 1} {space 1} 64.0{space 1} {break}{space 1}{txt} black{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 9,522{space 1} {space 1} 11.5{space 1} {space 1} 75.4{space 1} {break}{space 1}{txt} asian{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 303{space 1} {space 1} 0.4{space 1} {space 1} 75.8{space 1} {break}{space 1}{txt} hispanic, white{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 4,922{space 1} {space 1} 5.9{space 1} {space 1} 81.7{space 1} {break}{space 1}{txt} hispanic, black{space 1}{space 1} 5{space 1}{txt:{c |}}{space 1}{res} 418{space 1} {space 1} 0.5{space 1} {space 1} 82.2{space 1} {break}{space 1}{txt} am. indian{space 1}{space 1} 6{space 1}{txt:{c |}}{space 1}{res} 340{space 1} {space 1} 0.4{space 1} {space 1} 82.6{space 1} {break}{space 1}{txt} unknown{space 1}{space 1}99{space 1}{txt:{c |}}{space 1}{res} 8,834{space 1} {space 1} 10.6{space 1} {space 1} 93.3{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 5,531{space 1} {space 1} 6.7{space 1} {space 1} 99.9{space 1} {break}{space 1}{txt}miss/link to external data{space 1}{space 1}.l{space 1}{txt:{c |}}{space 1}{res} 61{space 1} {space 1} 0.1{space 1} {space 1}100.0{space 1} {break}{txt:{dup 28:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 5Compiled from all inpt & outpt records from fy2001 on122ageage{space 1}{txt}{sf}{ul off} age{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 13:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}Not missing{space 1}{space 1}-{space 1}{txt:{c |}}{space 1}{res}82,472{space 1} {space 1} 99.3{space 1} {space 1} 99.3{space 1} {break}{space 1}{txt} {space 1}{space 1}.{space 1}{txt:{c |}}{space 1}{res} 587{space 1} {space 1} 0.7{space 1} {space 1}100.0{space 1} {break}{txt:{dup 13:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 123hrateEacs_arr acs_both acs_inpt acs_trc clntrial frstrate frstrate1 palcareheart rate at arrival{space 1}{txt}{sf}{ul off}heart rate at arrival{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}69,606{space 1} {space 1} 83.8{space 1} {space 1} 83.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 86.2{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt frstrate frstrate1, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt frstrate frstrate1, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:frstrate1 101 QUESTION}{p_end}{p2col:}Enter the patient's heart rate recorded closest to onset of the evolving ACS.{p_end}{p2col:}{res:frstrate1 101 DEFINITION}{p_end}{p2col:}Use the heart rate recorded closest to the onset of ACS symptoms, time of elevated troponin, or to the abnormal ECG, whichever marked the onset of the ACS event.124systolicFacs_arr acs_both acs_inpt acs_trc arvipres_ arvpress_ clntrial palcaresystolic at arrival{space 1}{txt}{sf}{ul off}systolic at arrival{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 17:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}69,606{space 1} {space 1} 83.8{space 1} {space 1} 83.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 86.2{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 17:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt arvipres_ arvpress_, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt arvipres_ arvpress_, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:arvipres_ 101 QUESTION}{p_end}{p2col:}Enter the patient's blood pressure recorded closest to onset of the evolving ACS.{p_end}{p2col:}{res:arvipres_ 101 DEFINITION}{p_end}{p2col:}Use the blood pressure recorded closest to the onset of ACS symptoms, time of elevated troponin, or to the abnormal ECG, whichever marked the onset of the ACS event.125 diastolicacs_inpt arvipres2 arvpress2diastolic at arrival{space 1}{txt}{sf}{ul off}diastolic at arrival{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 18:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}69,606{space 1} {space 1} 83.8{space 1} {space 1} 83.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 86.2{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 18:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 126weightanytimwt clntrial dc1day docid entrunit entrwt frstwt inptwt m noami2 nodc palcare prewkwt recentwt weight wtdone wtmeas wtondt wtunit wtunit3 weight (kg){space 1}{txt}{sf}{ul off} weight (kg){space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}76,226{space 1} {space 1} 91.8{space 1} {space 1} 91.8{space 1} {break}{space 1}{txt} miss->dctype{space 1}{space 1}.d{space 1}{txt:{c |}}{space 1}{res} 2,677{space 1} {space 1} 3.2{space 1} {space 1} 95.0{space 1} {break}{space 1}{txt} miss->dc1day (early dc){space 1}{space 1}.e{space 1}{txt:{c |}}{space 1}{res} 633{space 1} {space 1} 0.8{space 1} {space 1} 95.8{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 2,485{space 1} {space 1} 3.0{space 1} {space 1} 98.8{space 1} {break}{space 1}{txt} miss->noami1 noami2{space 1}{space 1}.n{space 1}{txt:{c |}}{space 1}{res} 238{space 1} {space 1} 0.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} ){stata docs @eprp (*) docid entrunit entrwt frstwt inptwt prewkwt weight wtmeas wtondt wtunit wtunit3, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) docid entrunit entrwt frstwt inptwt prewkwt weight wtmeas wtondt wtunit wtunit3, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:wtunit3 101 QUESTION}{p_end}{p2col:}Unit of measure{p_end}{p2col:}1. pounds{p_end}{p2col:}2. kilograms{p_end}{p2col:}95. not applicable{p_end}{p2col:}{res:wtunit3 101 DEFINITION}{p_end}{p2col:}BMI is calculated in kilograms. If pounds are entered, the computer will convert pounds to kilograms in making the calculation. The resulting BMI is displayed on the computer screen as BMI.127 weightdateanytimwt anywtdt clntrial dc1day frstwt frstwtdt inptwt inptwtdt m noami2 nodc palcare prewkwt prewtdt recentwt weight wtdate wtdone wtdtdocdate of weight measurement{space 1}{txt}{sf}{ul off} date of weight measurement{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}62,300{space 1} {space 1} 75.0{space 1} {space 1} 75.0{space 1} {break}{space 1}{txt} miss->dctype{space 1}{space 1}.d{space 1}{txt:{c |}}{space 1}{res} 2,677{space 1} {space 1} 3.2{space 1} {space 1} 78.2{space 1} {break}{space 1}{txt} miss->dc1day (early dc){space 1}{space 1}.e{space 1}{txt:{c |}}{space 1}{res} 633{space 1} {space 1} 0.8{space 1} {space 1} 79.0{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res}14,567{space 1} {space 1} 17.5{space 1} {space 1} 96.5{space 1} {break}{space 1}{txt} miss->noami1 noami2{space 1}{space 1}.n{space 1}{txt:{c |}}{space 1}{res} 238{space 1} {space 1} 0.3{space 1} {space 1} 96.8{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 1,844{space 1} {space 1} 2.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) anywtdt frstwtdt inptwtdt prewkwt prewtdt wtdate, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) anywtdt frstwtdt inptwtdt prewkwt prewtdt wtdate, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:frstwtdt 101 QUESTION}{p_end}{p2col:}Enter the date the first weight was measured.{p_end}{p2col:}{res:frstwtdt 101 DEFINITION}{p_end}{p2col:}Enter the exact date. The use of 01 to indicate missing day or month is not acceptable. {p_end}{p2col:}If the inpatient weight is z-filled, FRSTWTDT will auto-fill as 99/99/9999. The abstractor cannot enter 99/99/9999 default date if a valid weight was entered.128heightWclntrial dc1day entrht entrmeas height htdone htrec htunit m noami2 nodc palcare wtdone height (cm){space 1}{txt}{sf}{ul off} height (cm){space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}77,703{space 1} {space 1} 93.6{space 1} {space 1} 93.6{space 1} {break}{space 1}{txt} miss->dctype{space 1}{space 1}.d{space 1}{txt:{c |}}{space 1}{res} 2,677{space 1} {space 1} 3.2{space 1} {space 1} 96.8{space 1} {break}{space 1}{txt} miss->dc1day (early dc){space 1}{space 1}.e{space 1}{txt:{c |}}{space 1}{res} 633{space 1} {space 1} 0.8{space 1} {space 1} 97.5{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 1,008{space 1} {space 1} 1.2{space 1} {space 1} 98.8{space 1} {break}{space 1}{txt} miss->noami1 noami2{space 1}{space 1}.n{space 1}{txt:{c |}}{space 1}{res} 238{space 1} {space 1} 0.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) entrht entrmeas height htunit, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) entrht entrmeas height htunit, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:htunit 101 QUESTION}{p_end}{p2col:}Unit of measure{p_end}{p2col:}1. inches{p_end}{p2col:}2. centimeters{p_end}{p2col:}95. not applicable{p_end}{p2col:}{res:htunit 101 DEFINITION}{p_end}{p2col:}Height must be entered wholly in inches or centimeters. If pt. is 5 feet 8 inches, enter 68. 5ft = 60 in. 6ft = 72in.{p_end}{p2col:}If HEIGHT is z-filled, HTUNIT will be auto-filled as 95. Abstractor cannot enter 95 if HEIGHT contains a valid value.129bmi{space 1}{txt}{sf}{ul off} bmi{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}75,521{space 1} {space 1} 90.9{space 1} {space 1} 90.9{space 1} {break}{space 1}{txt}miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 7,538{space 1} {space 1} 9.1{space 1} {space 1}100.0{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} from weight & height130ptzippatient zipcode6{space 1}{txt}{sf}{ul off} patient zipcode{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 25:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}83,040{space 1} {space 1} 100.0{space 1} {space 1}100.0{space 1} {break}{space 1}{txt}miss/source is not EPRP{space 1}{space 1}.s{space 1}{txt:{c |}}{space 1}{res} 19{space 1} {space 1} 0.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 25:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} from matching PTF record131ldl0outMclntrial inptldlv inptunit ldlqual palcare preldlut preldlvl prequal priorldlolder LDL outcome{space 1}{txt}{sf}{ul off} older LDL outcome{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} normal range{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res} 3{space 1} {space 1} 0.0{space 1} {space 1} 0.0{space 1} {break}{space 1}{txt} above normal{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 12{space 1} {space 1} 0.0{space 1} {space 1} 0.0{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 36{space 1} {space 1} 0.0{space 1} {space 1} 0.1{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}41,329{space 1} {space 1} 49.8{space 1} {space 1} 49.8{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}41,122{space 1} {space 1} 49.5{space 1} {space 1} 99.3{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 557{space 1} {space 1} 0.7{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 5{stata docs @eprp (*) prequal, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) prequal, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:prequal 101 QUESTION}{p_end}{p2col:}How did the physician, APN, or PA qualitatively describe the patient's LDL-cholesterol (LDL-c) from the test performed within one year prior to arrival?{p_end}{p2col:}1. Elevated LDL-c{p_end}{p2col:}2. No elevated LDL-c{p_end}{p2col:}95. Not applicable{p_end}{p2col:}99. Not documented{p_end}{p2col:}{res:prequal 101 DEFINITION}{p_end}{p2col:}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 hospital arrival. If unable to determine which qualitative description refers to the time closest to hospital arrival, select "Elevated LDL-c" if any of the descriptions are consistent with elevated LDL-c.{p_end}{p2col:}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." {p_end}{p2col:}Inclusions/Exclusions same as in question LDLQUAL.132ldl0Dclntrial docid inptldlv inptunit ldlqual m palcare preldlvl priorldlolder LDL cholesterolE{space 1}{txt}{sf}{ul off} older LDL cholesterol{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}16,442{space 1} {space 1} 19.8{space 1} {space 1} 19.8{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 51{space 1} {space 1} 0.1{space 1} {space 1} 19.9{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}24,887{space 1} {space 1} 30.0{space 1} {space 1} 49.8{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}41,122{space 1} {space 1} 49.5{space 1} {space 1} 99.3{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 557{space 1} {space 1} 0.7{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) docid preldlvl, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) docid preldlvl, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:preldlvl 101 QUESTION}{p_end}{p2col:}Enter the LDL-c value in mg/dL or mg/100ml from the test performed within one year prior to arrival.{p_end}{p2col:}{res:preldlvl 101 DEFINITION}{p_end}{p2col:}If more than one LDL-c value from the past year is documented, use the test performed closest to the time of hospital arrival. {p_end}{p2col:}Direct and calculated LDL-c values are acceptable. If both direct and calculated LDL-c values are documented for the same specimen date/time, enter the direct LDL-c value.{p_end}{p2col:}If the LDL-c on the pre-arrival laboratory report conflicts with that from another source of documentation, use the value from the laboratory report.{p_end}{p2col:}If progress notes indicate an LDL-c level was obtained in the past year, but the value cannot be found, enter zzz as the default value. {p_end}{p2col:}If high triglycerides rendered the LDL-c calculation inaccurate, enter "0."{p_end}{p2col:}Inclusion <{c +}> Exclusion{p_end}{p2col:}Low den lipoprotein <{c +}> Very low density lipoprotein{p_end}{p2col:}Low density lipoprotein (LDL) <{c +}> {p_end}{p2col:}Value described as "bad cholesterol" <{c +}>133ldl0unit<clntrial inptunit ldlqual palcare preldlut preldlvl priorldlolder LDL unit0{space 1}{txt}{sf}{ul off} older LDL unit{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} mg/dl{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}10,710{space 1} {space 1} 12.9{space 1} {space 1} 12.9{space 1} {break}{space 1}{txt} mmol/L{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 47{space 1} {space 1} 0.1{space 1} {space 1} 13.0{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}16,192{space 1} {space 1} 19.5{space 1} {space 1} 32.4{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}55,672{space 1} {space 1} 67.0{space 1} {space 1} 99.5{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 438{space 1} {space 1} 0.5{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} k{stata docs @eprp (*) preldlut, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) preldlut, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:preldlut 84 QUESTION}{p_end}{p2col:}Enter the LDL-C unit of measurement:{p_end}{p2col:}1. mg/dL{p_end}{p2col:}2. mmol/L{p_end}{p2col:}95. not applicable{p_end}{p2col:}{res:preldlut 84 DEFINITION}{p_end}{p2col:}This data must be taken from the lab report in order to ensure the correct unit of measurement is linked to the LDL-C value.134ldl0date<clntrial inptldlv inptunit ldlqual palcare preldldt priorldlolder LDL date{space 1}{txt}{sf}{ul off} older LDL date{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}16,493{space 1} {space 1} 19.9{space 1} {space 1} 19.9{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}24,887{space 1} {space 1} 30.0{space 1} {space 1} 49.8{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}41,122{space 1} {space 1} 49.5{space 1} {space 1} 99.3{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 557{space 1} {space 1} 0.7{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} !{stata docs @eprp (*) preldldt, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) preldldt, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:preldldt 101 QUESTION}{p_end}{p2col:}Enter the date of the LDL-cholesterol performed closest to the date of hospital arrival{p_end}{p2col:}{res:preldldt 101 DEFINITION}{p_end}{p2col:}Enter month and year at a minimum. If day is unknown, default 01 may be used.135ldl1out2clntrial inptldl inptldlv inptunit ldlqual palcare LDL outcome{space 1}{txt}{sf}{ul off} LDL outcome{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} normal range{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res} 6{space 1} {space 1} 0.0{space 1} {space 1} 0.0{space 1} {break}{space 1}{txt} above normal{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 31{space 1} {space 1} 0.0{space 1} {space 1} 0.0{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 66{space 1} {space 1} 0.1{space 1} {space 1} 0.1{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}41,277{space 1} {space 1} 49.7{space 1} {space 1} 49.8{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}41,122{space 1} {space 1} 49.5{space 1} {space 1} 99.3{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 557{space 1} {space 1} 0.7{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) ldlqual, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) ldlqual, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ldlqual 101 QUESTION}{p_end}{p2col:}How did the physician, APN, or PA qualitatively describe the results of the first LDL-cholesterol (LDL-c) performed after hospital arrival?{p_end}{p2col:}1. Elevated LDL-c{p_end}{p2col:}2. No elevated LDL-c{p_end}{p2col:}95. Not applicable{p_end}{p2col:}99. Not documented{p_end}{p2col:}{res:ldlqual 101 DEFINITION}{p_end}{p2col:}If unable to determine which LDL-c test was performed first, select "1" if any of the descriptions are consistent with elevated LDL-c.{p_end}{p2col:}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." {p_end}{p2col:}Inclusion <{c +}> Exclusion{p_end}{p2col:}Low den lipoprotein <{c +}> VLDL{p_end}{p2col:}Low density lipoprotein <{c +}> Alpha lipoproteinemia{p_end}{p2col:}Qualitative Description <{c +}> {p_end}{p2col:}Cholesterol described as elevated, elev <{c +}> Elevated LDL-c or any of the other elevated LDL-c inclusion terms using a negative qualifier such as:{p_end}{p2col:}Dyslipidemia <{c +}> cannot exclude{p_end}{p2col:}Dyslipoproteinemia <{c +}> cannot rule out{p_end}{p2col:}Hyperbetalipoproteinemia <{c +}> may have, may have had{p_end}{p2col:}Hypercholesterolemia <{c +}> May indicate{p_end}{p2col:}Hyperlipemia <{c +}> possible{p_end}{p2col:}Hyperlipidemia <{c +}> suggestive of, suspect{p_end}{p2col:}Hyperlipoproteinemia <{c +}> suspicious{p_end}{p2col:}LDL described as elevated, high, or elev <{c +}> {p_end}{p2col:}LDL above goal or target <{c +}> {p_end}{p2col:}Lipids described as elevated, high, elev <{c +}>136ldl1)clntrial docid inptldl inptldlv m palcareLDL cholesterolE{space 1}{txt}{sf}{ul off} LDL cholesterol{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}21,420{space 1} {space 1} 25.8{space 1} {space 1} 25.8{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 103{space 1} {space 1} 0.1{space 1} {space 1} 25.9{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}19,857{space 1} {space 1} 23.9{space 1} {space 1} 49.8{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}41,122{space 1} {space 1} 49.5{space 1} {space 1} 99.3{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 557{space 1} {space 1} 0.7{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) docid inptldlv, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) docid inptldlv, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:inptldlv 101 QUESTION}{p_end}{p2col:}Enter the value of the first LDL-c in mg/dL or mg/100ml performed after hospital arrival.{p_end}{p2col:}{res:inptldlv 101 DEFINITION}{p_end}{p2col:}If unable to determine which LDL-c test was performed first, enter the highest value.{p_end}{p2col:}Direct and calculated LDL-c values are acceptable. If both direct and calculated LDL-c values are documented for the same specimen date/time, enter the direct LDL-c value.{p_end}{p2col:}If the LDL-c value on the laboratory report conflicts with that from another source of documentation for the same specimen, use the value from the laboratory report.{p_end}{p2col:}If progress notes or order indicate an LDL-c level was obtained, but the value cannot be found, enter default zzz. {p_end}{p2col:}If high triglycerides render the LDL-c calculation inaccurate, enter "0."137ldl1unit*clntrial inptldl inptldlv inptunit palcareLDL unit0{space 1}{txt}{sf}{ul off} LDL unit{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} mg/dl{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}13,738{space 1} {space 1} 16.5{space 1} {space 1} 16.5{space 1} {break}{space 1}{txt} mmol/L{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 40{space 1} {space 1} 0.0{space 1} {space 1} 16.6{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}13,171{space 1} {space 1} 15.9{space 1} {space 1} 32.4{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}55,672{space 1} {space 1} 67.0{space 1} {space 1} 99.5{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 438{space 1} {space 1} 0.5{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} k{stata docs @eprp (*) inptunit, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) inptunit, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:inptunit 84 QUESTION}{p_end}{p2col:}Enter the LDL-C unit of measurement:{p_end}{p2col:}1. mg/dL{p_end}{p2col:}2. mmol/L{p_end}{p2col:}95. not applicable{p_end}{p2col:}{res:inptunit 84 DEFINITION}{p_end}{p2col:}This data must be taken from the lab report in order to ensure the correct unit of measurement is linked to the LDL-C value.138ldl1_dt4clntrial cond hms inptldl ldldate ldltime mi palcare LDL date/time{space 1}{txt}{sf}{ul off} LDL date/time{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}21,523{space 1} {space 1} 25.9{space 1} {space 1} 25.9{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}19,857{space 1} {space 1} 23.9{space 1} {space 1} 49.8{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}41,122{space 1} {space 1} 49.5{space 1} {space 1} 99.3{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 557{space 1} {space 1} 0.7{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} /{stata docs @eprp (*) cond hms ldldate ldltime mi, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) cond hms ldldate ldltime mi, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ldltime 101 QUESTION}{p_end}{p2col:}Enter the time of the first LDL-cholesterol done after hospital arrival.{p_end}{p2col:}{res:ldltime 101 DEFINITION}{p_end}{p2col:}Use the laboratory report date. Enter time in Universal Military Time.139 sx1_chestpain2acs_arr acs_both acs_trc amisymp1 clntrial palcareami: chest pain w/in 24 prior|{space 1}{txt}{sf}{ul off}ami: chest pain w/in 24 prior{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}30,611{space 1} {space 1} 36.9{space 1} {space 1} 36.9{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}28,304{space 1} {space 1} 34.1{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 2{space 1} {space 1} 0.0{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}21,129{space 1} {space 1} 25.4{space 1} {space 1} 96.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 1,194{space 1} {space 1} 1.4{space 1} {space 1} 97.8{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 1,019{space 1} {space 1} 1.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) amisymp1, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) amisymp1, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:amisymp1 101 QUESTION}{p_end}{p2col:}Within 24 hours prior to, or on arrival at any VAMC, did the veteran have any of the following symptoms?{p_end}{p2col:}1. chest pain or severe epigastric pain, non-traumatic in origin{p_end}{p2col:}{res:amisymp1 101 DEFINITION}{p_end}{p2col:}"Any VAMC" includes this or another VAMC. The question refers to any acute care hospital within the VHA system. If the patient presented first to a VAMC other than the VAMC in which the case is being reviewed, questions regarding care will be pertinent to the hospital where the patient first presented, since care is expected to be seamless within the VHA system.{p_end}{p2col:}Prior to or on arrival = patient was experiencing one of more of these symptoms at home or elsewhere, during transport to the hospital, or at the time of initial presentation to the hospital. Even if the symptom(s) had subsided by the time the patient presented to the hospital, indicate the symptom(s) that occurred prior to presentation.140 sx1_crushing2acs_arr acs_both acs_trc amisymp2 clntrial palcare ami: crushing pain w/in 24 prior{space 1}{txt}{sf}{ul off}ami: crushing pain w/in 24 prior{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}49,416{space 1} {space 1} 59.5{space 1} {space 1} 59.5{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 9,498{space 1} {space 1} 11.4{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 3{space 1} {space 1} 0.0{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}21,129{space 1} {space 1} 25.4{space 1} {space 1} 96.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 1,194{space 1} {space 1} 1.4{space 1} {space 1} 97.8{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 1,019{space 1} {space 1} 1.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) amisymp2, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) amisymp2, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:amisymp2 101 QUESTION}{p_end}{p2col:}Within 24 hours prior to, or on arrival at any VAMC, did the veteran have any of the following symptoms?{p_end}{p2col:}2. central/substernal compression or crushing chest pain{p_end}{p2col:}{res:amisymp2 101 DEFINITION}{p_end}{p2col:}"Any VAMC" includes this or another VAMC. The question refers to any acute care hospital within the VHA system. If the patient presented first to a VAMC other than the VAMC in which the case is being reviewed, questions regarding care will be pertinent to the hospital where the patient first presented, since care is expected to be seamless within the VHA system.{p_end}{p2col:}Prior to or on arrival = patient was experiencing one of more of these symptoms at home or elsewhere, during transport to the hospital, or at the time of initial presentation to the hospital. Even if the symptom(s) had subsided by the time the patient presented to the hospital, indicate the symptom(s) that occurred prior to presentation.141 sx1_pressure2acs_arr acs_both acs_trc amisymp3 clntrial palcare$ami: pressure/cramping w/in 24 prior{space 1}{txt}{sf}{ul off}ami: pressure/cramping w/in 24 prior{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 34:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}46,269{space 1} {space 1} 55.7{space 1} {space 1} 55.7{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}12,645{space 1} {space 1} 15.2{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 3{space 1} {space 1} 0.0{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}21,129{space 1} {space 1} 25.4{space 1} {space 1} 96.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 1,194{space 1} {space 1} 1.4{space 1} {space 1} 97.8{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 1,019{space 1} {space 1} 1.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 34:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) amisymp3, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) amisymp3, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:amisymp3 101 QUESTION}{p_end}{p2col:}Within 24 hours prior to, or on arrival at any VAMC, did the veteran have any of the following symptoms?{p_end}{p2col:}3. pressure, tightness, heaviness, cramping, burning or aching sensation{p_end}{p2col:}{res:amisymp3 101 DEFINITION}{p_end}{p2col:}"Any VAMC" includes this or another VAMC. The question refers to any acute care hospital within the VHA system. If the patient presented first to a VAMC other than the VAMC in which the case is being reviewed, questions regarding care will be pertinent to the hospital where the patient first presented, since care is expected to be seamless within the VHA system.{p_end}{p2col:}Prior to or on arrival = patient was experiencing one of more of these symptoms at home or elsewhere, during transport to the hospital, or at the time of initial presentation to the hospital. Even if the symptom(s) had subsided by the time the patient presented to the hospital, indicate the symptom(s) that occurred prior to presentation.142 sx1_belching2acs_arr acs_both acs_trc amisymp4 clntrial palcare#ami: indigestion etc. w/in 24 prior{space 1}{txt}{sf}{ul off}ami: indigestion etc. w/in 24 prior{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 33:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}56,505{space 1} {space 1} 68.0{space 1} {space 1} 68.0{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 2,406{space 1} {space 1} 2.9{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 6{space 1} {space 1} 0.0{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}21,129{space 1} {space 1} 25.4{space 1} {space 1} 96.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 1,194{space 1} {space 1} 1.4{space 1} {space 1} 97.8{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 1,019{space 1} {space 1} 1.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 33:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) amisymp4, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) amisymp4, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:amisymp4 101 QUESTION}{p_end}{p2col:}Within 24 hours prior to, or on arrival at any VAMC, did the veteran have any of the following symptoms?{p_end}{p2col:}4. unexplained indigestion, belching, epigastric pain{p_end}{p2col:}{res:amisymp4 101 DEFINITION}{p_end}{p2col:}"Any VAMC" includes this or another VAMC. The question refers to any acute care hospital within the VHA system. If the patient presented first to a VAMC other than the VAMC in which the case is being reviewed, questions regarding care will be pertinent to the hospital where the patient first presented, since care is expected to be seamless within the VHA system.{p_end}{p2col:}Prior to or on arrival = patient was experiencing one of more of these symptoms at home or elsewhere, during transport to the hospital, or at the time of initial presentation to the hospital. Even if the symptom(s) had subsided by the time the patient presented to the hospital, indicate the symptom(s) that occurred prior to presentation.143 sx1_shoulders2acs_arr acs_both acs_trc amisymp5 clntrial palcare!ami: radiating pain w/in 24 prior{space 1}{txt}{sf}{ul off}ami: radiating pain w/in 24 prior{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 31:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}41,829{space 1} {space 1} 50.4{space 1} {space 1} 50.4{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}17,087{space 1} {space 1} 20.6{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 1{space 1} {space 1} 0.0{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}21,129{space 1} {space 1} 25.4{space 1} {space 1} 96.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 1,194{space 1} {space 1} 1.4{space 1} {space 1} 97.8{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 1,019{space 1} {space 1} 1.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 31:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) amisymp5, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) amisymp5, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:amisymp5 101 QUESTION}{p_end}{p2col:}Within 24 hours prior to, or on arrival at any VAMC, did the veteran have any of the following symptoms?{p_end}{p2col:}5. radiating pain in neck, jaw, shoulders, back, one or both arms{p_end}{p2col:}{res:amisymp5 101 DEFINITION}{p_end}{p2col:}"Any VAMC" includes this or another VAMC. The question refers to any acute care hospital within the VHA system. If the patient presented first to a VAMC other than the VAMC in which the case is being reviewed, questions regarding care will be pertinent to the hospital where the patient first presented, since care is expected to be seamless within the VHA system.{p_end}{p2col:}Prior to or on arrival = patient was experiencing one of more of these symptoms at home or elsewhere, during transport to the hospital, or at the time of initial presentation to the hospital. Even if the symptom(s) had subsided by the time the patient presented to the hospital, indicate the symptom(s) that occurred prior to presentation.144 sx1_dyspnea2acs_arr acs_both acs_trc amisymp6 clntrial palcareami: dyspnea w/in 24 priora{space 1}{txt}{sf}{ul off}ami: dyspnea w/in 24 prior{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 24:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}34,169{space 1} {space 1} 41.1{space 1} {space 1} 41.1{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}24,746{space 1} {space 1} 29.8{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 2{space 1} {space 1} 0.0{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}21,129{space 1} {space 1} 25.4{space 1} {space 1} 96.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 1,194{space 1} {space 1} 1.4{space 1} {space 1} 97.8{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 1,019{space 1} {space 1} 1.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 24:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) amisymp6, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) amisymp6, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:amisymp6 101 QUESTION}{p_end}{p2col:}Within 24 hours prior to, or on arrival at any VAMC, did the veteran have any of the following symptoms?{p_end}{p2col:}6. dyspnea{p_end}{p2col:}{res:amisymp6 101 DEFINITION}{p_end}{p2col:}"Any VAMC" includes this or another VAMC. The question refers to any acute care hospital within the VHA system. If the patient presented first to a VAMC other than the VAMC in which the case is being reviewed, questions regarding care will be pertinent to the hospital where the patient first presented, since care is expected to be seamless within the VHA system.{p_end}{p2col:}Prior to or on arrival = patient was experiencing one of more of these symptoms at home or elsewhere, during transport to the hospital, or at the time of initial presentation to the hospital. Even if the symptom(s) had subsided by the time the patient presented to the hospital, indicate the symptom(s) that occurred prior to presentation.145 sx1_nausea2acs_arr acs_both acs_trc amisymp7 clntrial palcareami: nausea w/in 24 priorX{space 1}{txt}{sf}{ul off}ami: nausea w/in 24 prior{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 23:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}48,872{space 1} {space 1} 58.8{space 1} {space 1} 58.8{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}10,040{space 1} {space 1} 12.1{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 5{space 1} {space 1} 0.0{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}21,129{space 1} {space 1} 25.4{space 1} {space 1} 96.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 1,194{space 1} {space 1} 1.4{space 1} {space 1} 97.8{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 1,019{space 1} {space 1} 1.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 23:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) amisymp7, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) amisymp7, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:amisymp7 101 QUESTION}{p_end}{p2col:}Within 24 hours prior to, or on arrival at any VAMC, did the veteran have any of the following symptoms?{p_end}{p2col:}7. nausea and/or vomiting{p_end}{p2col:}{res:amisymp7 101 DEFINITION}{p_end}{p2col:}"Any VAMC" includes this or another VAMC. The question refers to any acute care hospital within the VHA system. If the patient presented first to a VAMC other than the VAMC in which the case is being reviewed, questions regarding care will be pertinent to the hospital where the patient first presented, since care is expected to be seamless within the VHA system.{p_end}{p2col:}Prior to or on arrival = patient was experiencing one of more of these symptoms at home or elsewhere, during transport to the hospital, or at the time of initial presentation to the hospital. Even if the symptom(s) had subsided by the time the patient presented to the hospital, indicate the symptom(s) that occurred prior to presentation.146sx1_diaphoresis2acs_arr acs_both acs_trc amisymp8 clntrial palcareami: diaphoresis w/in 24 prior{space 1}{txt}{sf}{ul off}ami: diaphoresis w/in 24 prior{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 28:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}49,163{space 1} {space 1} 59.2{space 1} {space 1} 59.2{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 9,750{space 1} {space 1} 11.7{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 4{space 1} {space 1} 0.0{space 1} {space 1} 70.9{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}21,129{space 1} {space 1} 25.4{space 1} {space 1} 96.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 1,194{space 1} {space 1} 1.4{space 1} {space 1} 97.8{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 1,019{space 1} {space 1} 1.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 28:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) amisymp8, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) amisymp8, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:amisymp8 101 QUESTION}{p_end}{p2col:}Within 24 hours prior to, or on arrival at any VAMC, did the veteran have any of the following symptoms?{p_end}{p2col:}8. diaphoresis{p_end}{p2col:}{res:amisymp8 101 DEFINITION}{p_end}{p2col:}"Any VAMC" includes this or another VAMC. The question refers to any acute care hospital within the VHA system. If the patient presented first to a VAMC other than the VAMC in which the case is being reviewed, questions regarding care will be pertinent to the hospital where the patient first presented, since care is expected to be seamless within the VHA system.{p_end}{p2col:}Prior to or on arrival = patient was experiencing one of more of these symptoms at home or elsewhere, during transport to the hospital, or at the time of initial presentation to the hospital. Even if the symptom(s) had subsided by the time the patient presented to the hospital, indicate the symptom(s) that occurred prior to presentation.147sx2_hfEacs_arr acs_both acs_inpt acs_trc chfsymp1 clntrial ipchfsym1 palcarechf: heart failure~{space 1}{txt}{sf}{ul off}chf: heart failure{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}63,624{space 1} {space 1} 76.6{space 1} {space 1} 76.6{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 6,814{space 1} {space 1} 8.2{space 1} {space 1} 84.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 87.2{space 1} {break}{space 1}{txt}miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 90.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 7,281{space 1} {space 1} 8.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt chfsymp1 ipchfsym1, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt chfsymp1 ipchfsym1, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ipchfsym1 101 QUESTION}{p_end}{p2col:}At the time the ACS event occurred, did the patient have any of the following symptoms?{p_end}{p2col:}1. 1. heart failure{p_end}{p2col:}{res:ipchfsym1 101 DEFINITION}{p_end}{p2col:}MR murmur, S3 gallop, rales, or cardiogenic shock must be documented in the record by a physician, APN, or PA. The abstractor may not make this judgment based on other documentation in the record.{p_end}{p2col:}MR murmur: Heard on auscultation of the heart, it is a murmur due to leakage or backward flow of blood current through the mitral valve.{p_end}{p2col:}Rales are abnormal sounds heard on auscultation of the chest. Documentation in the record must specify rales > 3, or 1/3 up.{p_end}{p2col:}Chest x-ray evidence of pulmonary edema may be taken from the chest x-ray report, but the abstractor must be certain the x-ray was done at the time of presentation to the hospital, or transfer to a monitored bed if the AMI occurred post-admission.148sx2_lvEacs_arr acs_both acs_inpt acs_trc chfsymp2 clntrial ipchfsym2 palcarechf: impaired lv function{space 1}{txt}{sf}{ul off}chf: impaired lv function{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 23:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}69,774{space 1} {space 1} 84.0{space 1} {space 1} 84.0{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 664{space 1} {space 1} 0.8{space 1} {space 1} 84.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 87.2{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 90.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 7,281{space 1} {space 1} 8.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 23:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt chfsymp2 ipchfsym2, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt chfsymp2 ipchfsym2, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ipchfsym2 101 QUESTION}{p_end}{p2col:}At the time the ACS event occurred, did the patient have any of the following symptoms?{p_end}{p2col:}2. impaired left ventricular function{p_end}{p2col:}{res:ipchfsym2 101 DEFINITION}{p_end}{p2col:}MR murmur, S3 gallop, rales, or cardiogenic shock must be documented in the record by a physician, APN, or PA. The abstractor may not make this judgment based on other documentation in the record.{p_end}{p2col:}MR murmur: Heard on auscultation of the heart, it is a murmur due to leakage or backward flow of blood current through the mitral valve.{p_end}{p2col:}Rales are abnormal sounds heard on auscultation of the chest. Documentation in the record must specify rales > 3, or 1/3 up.{p_end}{p2col:}Chest x-ray evidence of pulmonary edema may be taken from the chest x-ray report, but the abstractor must be certain the x-ray was done at the time of presentation to the hospital, or transfer to a monitored bed if the AMI occurred post-admission.149 sx2_murmurEacs_arr acs_both acs_inpt acs_trc chfsymp3 clntrial ipchfsym3 palcarechf: mitral murmur~{space 1}{txt}{sf}{ul off}chf: mitral murmur{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}70,411{space 1} {space 1} 84.8{space 1} {space 1} 84.8{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 27{space 1} {space 1} 0.0{space 1} {space 1} 84.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 87.2{space 1} {break}{space 1}{txt}miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 90.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 7,281{space 1} {space 1} 8.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt chfsymp3 ipchfsym3, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt chfsymp3 ipchfsym3, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ipchfsym3 101 QUESTION}{p_end}{p2col:}At the time the ACS event occurred, did the patient have any of the following symptoms?{p_end}{p2col:}3. new mitral regurgitation murmur{p_end}{p2col:}{res:ipchfsym3 101 DEFINITION}{p_end}{p2col:}MR murmur, S3 gallop, rales, or cardiogenic shock must be documented in the record by a physician, APN, or PA. The abstractor may not make this judgment based on other documentation in the record.{p_end}{p2col:}MR murmur: Heard on auscultation of the heart, it is a murmur due to leakage or backward flow of blood current through the mitral valve.{p_end}{p2col:}Rales are abnormal sounds heard on auscultation of the chest. Documentation in the record must specify rales > 3, or 1/3 up.{p_end}{p2col:}Chest x-ray evidence of pulmonary edema may be taken from the chest x-ray report, but the abstractor must be certain the x-ray was done at the time of presentation to the hospital, or transfer to a monitored bed if the AMI occurred post-admission.150sx2_s3Eacs_arr acs_both acs_inpt acs_trc chfsymp4 clntrial ipchfsym4 palcarechf: S3 gallop~{space 1}{txt}{sf}{ul off} chf: S3 gallop{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}70,373{space 1} {space 1} 84.7{space 1} {space 1} 84.7{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 65{space 1} {space 1} 0.1{space 1} {space 1} 84.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 87.2{space 1} {break}{space 1}{txt}miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 90.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 7,281{space 1} {space 1} 8.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt chfsymp4 ipchfsym4, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt chfsymp4 ipchfsym4, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ipchfsym4 101 QUESTION}{p_end}{p2col:}At the time the ACS event occurred, did the patient have any of the following symptoms?{p_end}{p2col:}4. an S3 gallop{p_end}{p2col:}{res:ipchfsym4 101 DEFINITION}{p_end}{p2col:}MR murmur, S3 gallop, rales, or cardiogenic shock must be documented in the record by a physician, APN, or PA. The abstractor may not make this judgment based on other documentation in the record.{p_end}{p2col:}MR murmur: Heard on auscultation of the heart, it is a murmur due to leakage or backward flow of blood current through the mitral valve.{p_end}{p2col:}Rales are abnormal sounds heard on auscultation of the chest. Documentation in the record must specify rales > 3, or 1/3 up.{p_end}{p2col:}Chest x-ray evidence of pulmonary edema may be taken from the chest x-ray report, but the abstractor must be certain the x-ray was done at the time of presentation to the hospital, or transfer to a monitored bed if the AMI occurred post-admission.151 sx2_ralesEacs_arr acs_both acs_inpt acs_trc chfsymp5 clntrial ipchfsym5 palcare chf: rales~{space 1}{txt}{sf}{ul off} chf: rales{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}70,290{space 1} {space 1} 84.6{space 1} {space 1} 84.6{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 148{space 1} {space 1} 0.2{space 1} {space 1} 84.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 87.2{space 1} {break}{space 1}{txt}miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 90.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 7,281{space 1} {space 1} 8.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt chfsymp5 ipchfsym5, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt chfsymp5 ipchfsym5, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ipchfsym5 101 QUESTION}{p_end}{p2col:}At the time the ACS event occurred, did the patient have any of the following symptoms?{p_end}{p2col:}5. rales > 3 or 1/3 up{p_end}{p2col:}{res:ipchfsym5 101 DEFINITION}{p_end}{p2col:}MR murmur, S3 gallop, rales, or cardiogenic shock must be documented in the record by a physician, APN, or PA. The abstractor may not make this judgment based on other documentation in the record.{p_end}{p2col:}MR murmur: Heard on auscultation of the heart, it is a murmur due to leakage or backward flow of blood current through the mitral valve.{p_end}{p2col:}Rales are abnormal sounds heard on auscultation of the chest. Documentation in the record must specify rales > 3, or 1/3 up.{p_end}{p2col:}Chest x-ray evidence of pulmonary edema may be taken from the chest x-ray report, but the abstractor must be certain the x-ray was done at the time of presentation to the hospital, or transfer to a monitored bed if the AMI occurred post-admission.152 sx2_edemaEacs_arr acs_both acs_inpt acs_trc chfsymp6 clntrial ipchfsym6 palcarechf: x-ray w/edema~{space 1}{txt}{sf}{ul off}chf: x-ray w/edema{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}68,176{space 1} {space 1} 82.1{space 1} {space 1} 82.1{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 2,262{space 1} {space 1} 2.7{space 1} {space 1} 84.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 87.2{space 1} {break}{space 1}{txt}miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 90.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 7,281{space 1} {space 1} 8.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 16:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 9{stata docs @eprp (*) acs_inpt chfsymp6 ipchfsym6, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt chfsymp6 ipchfsym6, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ipchfsym6 101 QUESTION}{p_end}{p2col:}At the time the ACS event occurred, did the patient have any of the following symptoms?{p_end}{p2col:}6. documentation of a chest x-ray with evidence of pulmonary edema{p_end}{p2col:}{res:ipchfsym6 101 DEFINITION}{p_end}{p2col:}MR murmur, S3 gallop, rales, or cardiogenic shock must be documented in the record by a physician, APN, or PA. The abstractor may not make this judgment based on other documentation in the record.{p_end}{p2col:}MR murmur: Heard on auscultation of the heart, it is a murmur due to leakage or backward flow of blood current through the mitral valve.{p_end}{p2col:}Rales are abnormal sounds heard on auscultation of the chest. Documentation in the record must specify rales > 3, or 1/3 up.{p_end}{p2col:}Chest x-ray evidence of pulmonary edema may be taken from the chest x-ray report, but the abstractor must be certain the x-ray was done at the time of presentation to the hospital, or transfer to a monitored bed if the AMI occurred post-admission.153 sx2_shockEacs_arr acs_both acs_inpt acs_trc chfsymp7 clntrial ipchfsym7 palcarechf: cardiogenic shock{space 1}{txt}{sf}{ul off}chf: cardiogenic shock{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 20:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}69,834{space 1} {space 1} 84.1{space 1} {space 1} 84.1{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 604{space 1} {space 1} 0.7{space 1} {space 1} 84.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 87.2{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 90.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 7,281{space 1} {space 1} 8.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 20:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} Q{stata docs @eprp (*) acs_inpt chfsymp7 ipchfsym7, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt chfsymp7 ipchfsym7, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ipchfsym7 101 QUESTION}{p_end}{p2col:}At the time the ACS event occurred, did the patient have any of the following symptoms?{p_end}{p2col:}7. documentation of cardiogenic shock (severe and persistent hypotension in Trendelenburg){p_end}{p2col:}{res:ipchfsym7 101 DEFINITION}{p_end}{p2col:}MR murmur, S3 gallop, rales, or cardiogenic shock must be documented in the record by a physician, APN, or PA. The abstractor may not make this judgment based on other documentation in the record.{p_end}{p2col:}MR murmur: Heard on auscultation of the heart, it is a murmur due to leakage or backward flow of blood current through the mitral valve.{p_end}{p2col:}Rales are abnormal sounds heard on auscultation of the chest. Documentation in the record must specify rales > 3, or 1/3 up.{p_end}{p2col:}Chest x-ray evidence of pulmonary edema may be taken from the chest x-ray report, but the abstractor must be certain the x-ray was done at the time of presentation to the hospital, or transfer to a monitored bed if the AMI occurred post-admission.154pain0acs_arr acs_inpt angina anginum clntrial palcare angina w/in 24hrs before arrival{space 1}{txt}{sf}{ul off}angina w/in 24hrs before arrival{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}12,079{space 1} {space 1} 14.5{space 1} {space 1} 14.5{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}43,587{space 1} {space 1} 52.5{space 1} {space 1} 67.0{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}25,748{space 1} {space 1} 31.0{space 1} {space 1} 98.0{space 1} {break}{space 1}{txt} miss->acs_inpt{space 1}{space 1}.i{space 1}{txt:{c |}}{space 1}{res} 816{space 1} {space 1} 1.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 29{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) angina anginum, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) angina anginum, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:angina 101 QUESTION}{p_end}{p2col:}Did the patient experience angina within 24 hours prior to presentation to the hospital?{p_end}{p2col:}{res:angina 101 DEFINITION}{p_end}{p2col:}Angina is defined as: chest pain or severe epigastric pain, non-traumatic in origin; central/substernal compression or crushing chest pain; pressure, tightness, heaviness, cramping, burning or aching sensation; unexplained indigestion, belching, epigastric pain; radiating pain in neck, jaw, shoulders, back, one or both arms; dyspnea; nausea and/or vomiting; diaphoresis{p_end}{p2col:}There may be conflicting notes in the ED record, admitting note, H&P, etc, regarding episodes of angina. If angina is noted in any of these sources, answer "1."155 paincountacs_arr acs_inpt anginum.# of episodes angina w/in 24hrs before arrival{space 1}{txt}{sf}{ul off}# of episodes angina w/in 24hrs before arrival{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 44:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}18,879{space 1} {space 1} 22.7{space 1} {space 1} 22.7{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 7,504{space 1} {space 1} 9.0{space 1} {space 1} 31.8{space 1} {break}{space 1}{txt} miss->acs_inpt{space 1}{space 1}.i{space 1}{txt:{c |}}{space 1}{res} 816{space 1} {space 1} 1.0{space 1} {space 1} 32.7{space 1} {break}{space 1}{txt} miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 29{space 1} {space 1} 0.0{space 1} {space 1} 32.8{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}55,831{space 1} {space 1} 67.2{space 1} {space 1}100.0{space 1} {break}{txt:{dup 44:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) anginum, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) anginum, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:anginum 54 QUESTION}{p_end}{p2col:}Enter the number of episodes of angina experienced by the patient within 24 hours prior to presentation to the hospital.{p_end}{p2col:}(Angina is defined as: chest pain or severe epigastric pain, non-traumatic in origin; central/substernal compression or crushing chest pain; pressure, tightness, heaviness, cramping, burning or aching sensation; unexplained indigestion, belching, epigastric pain; radiating pain in neck, jaw, shoulders, back, one or both arms; dyspnea; nausea and/or vomiting; diaphoresis){p_end}{p2col:}{res:anginum 54 DEFINITION}{p_end}{p2col:}If any of the symptoms of angina were continuous within the 24-hour period (or less) prior to presentation, consider it as one episode. If the pain or other symptom relented for a period of time and then recurred, count each episode of pain (or other symptom) as a separate episode.{p_end}{p2col:}There may be conflicting notes in the ED record, admitting note, H&P, etc, regarding number of episodes of angina. It is suggested that one source, preferably the admitting note, be used as the source of information.{p_end}{p2col:}Enter "99" if the number of episodes of angina is unknown.156 painrelief!acs_arr acs_inpt angiease anginum,# of episodes angina relieved by NTG or rest{space 1}{txt}{sf}{ul off}# of episodes angina relieved by NTG or rest{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 42:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}14,349{space 1} {space 1} 17.3{space 1} {space 1} 17.3{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 7,504{space 1} {space 1} 9.0{space 1} {space 1} 26.3{space 1} {break}{space 1}{txt} miss->acs_inpt{space 1}{space 1}.i{space 1}{txt:{c |}}{space 1}{res} 816{space 1} {space 1} 1.0{space 1} {space 1} 27.3{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 4,559{space 1} {space 1} 5.5{space 1} {space 1} 32.8{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}55,831{space 1} {space 1} 67.2{space 1} {space 1}100.0{space 1} {break}{txt:{dup 42:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} `{stata docs @eprp (*) angiease anginum, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) angiease anginum, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:angiease 54 QUESTION}{p_end}{p2col:}Enter the number of these episodes of angina that were relieved by sublingual NTG and/or rest.{p_end}{p2col:}{res:angiease 54 DEFINITION}{p_end}{p2col:}This number is a component of the number of episodes of angina experienced in the last 24 hours and entered in anginum.157 painlevelXacs_arr acs_both acs_inpt acs_trc clntrial entrpain entrpain1 painmeas painmeas1 palcaresubjective pain 0-10{space 1}{txt}{sf}{ul off} subjective pain 0-10{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}59,029{space 1} {space 1} 71.1{space 1} {space 1} 71.1{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 73.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 76.5{space 1} {break}{space 1}{txt}miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}10,577{space 1} {space 1} 12.7{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt entrpain entrpain1, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt entrpain entrpain1, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:entrpain1 101 QUESTION}{p_end}{p2col:}Enter the level of pain reported by the patient.{p_end}{p2col:}{res:entrpain1 101 DEFINITION}{p_end}{p2col:}Pain screening may be done by description, color intensity, or faces rating, but a 0 - 10 scale must be used. Answer can only be numeric, zero or greater, and not greater than 10.158painlongCacs_arr acs_both acs_inpt acs_trc clntrial palcare restang restang1*pain in chest arm or neck >20mins at onset>{space 1}{txt}{sf}{ul off}pain in chest arm or neck >20mins at onset{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 40:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}51,185{space 1} {space 1} 61.6{space 1} {space 1} 61.6{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}18,421{space 1} {space 1} 22.2{space 1} {space 1} 83.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 86.2{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 40:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} M{stata docs @eprp (*) acs_inpt restang restang1, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt restang restang1, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:restang1 101 QUESTION}{p_end}{p2col:}At the time of the ACS event, did the patient experience prolonged ongoing rest pain (pain in chest, arm, or neck > 20 minutes)?{p_end}{p2col:}{res:restang1 101 DEFINITION}{p_end}{p2col:}Myocardial ischemic pain is usually described as pressing, squeezing, or weightlike. The pain is greatest in the central precordium. The pain frequently radiates in the distribution of the lower cervical nerves and may therefore be felt in the neck, lower jaw, or either shoulder or arm. Myocardial ischemic pain due to coronary arteriosclerosis is usually exertion-related, at least initially, but may occur suddenly when the patient is at rest.{p_end}{p2col:}Rest pain = the patient is sitting or lying in bed and not involved in exertion-related activity.159ekg0type1acs_arr clntrial obtnecg palcare priorecg wherecglocation of ekg before arrival,{space 1}{txt}{sf}{ul off}location of ekg before arrival{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 28:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} another VAMC{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 123{space 1} {space 1} 0.1{space 1} {space 1} 0.1{space 1} {break}{space 1}{txt} ambulance{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 72{space 1} {space 1} 0.1{space 1} {space 1} 0.2{space 1} {break}{space 1}{txt} this VAMC, non-acute{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 1,297{space 1} {space 1} 1.6{space 1} {space 1} 1.8{space 1} {break}{space 1}{txt} other{space 1}{space 1}97{space 1}{txt:{c |}}{space 1}{res} 412{space 1} {space 1} 0.5{space 1} {space 1} 2.3{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}21,129{space 1} {space 1} 25.4{space 1} {space 1} 27.7{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}40,400{space 1} {space 1} 48.6{space 1} {space 1} 76.4{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}18,826{space 1} {space 1} 22.7{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 28:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) wherecg, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) wherecg, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:wherecg 101 QUESTION}{p_end}{p2col:}Where was the ECG prior to arrival done?{p_end}{p2col:}1. at another VAMC{p_end}{p2col:}2. in the ambulance{p_end}{p2col:}3. non-acute treatment setting at this VAMC{p_end}{p2col:}4. other{p_end}{p2col:}95. not applicable{p_end}{p2col:}{res:wherecg 101 DEFINITION}{p_end}{p2col:}At another VAMC: patient was first treated at another VAMC, either in the ED or admitted as an inpatient, and transferred to this VAMC {p_end}{p2col:}In an ambulance: during transport to this or another VAMC{p_end}{p2col:}Non-acute setting in this VAMC: urgent care, ambulatory clinic, NHCU, Rehab unit{p_end}{p2col:}Other: private sector physician office, urgent care, etc.160ekg0_dt(acs_arr acs_inpt admdt admtime alsoclos anyvamc arrvdoc arrvtime arvekgdt arvekgtm clntrial closdoc closdt3 closedoc clostme3 cond docecgtm docid ecgdate ecgdun ecgtime eddate edtime ekgdone4 frstdate frstime hms hospdt hosptime inecgdt inecgtme inptecg m mi min obtnecg palcare priorecg timeclosdate/time of ekg before arrival{space 1}{txt}{sf}{ul off} date/time of ekg before arrival{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res} 2,316{space 1} {space 1} 2.8{space 1} {space 1} 2.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}27,396{space 1} {space 1} 33.0{space 1} {space 1} 35.8{space 1} {break}{space 1}{txt} miss/hole in data{space 1}{space 1}.h{space 1}{txt:{c |}}{space 1}{res} 3,340{space 1} {space 1} 4.0{space 1} {space 1} 39.8{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 1{space 1} {space 1} 0.0{space 1} {space 1} 39.8{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}49,206{space 1} {space 1} 59.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} K{stata docs @eprp (*) admdt admtime arvekgdt arvekgtm closdt3 clostme3 cond docid ecgdate ecgtime eddate edtime hms inecgdt inecgtme mi min, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) admdt admtime arvekgdt arvekgtm closdt3 clostme3 cond docid ecgdate ecgtime eddate edtime hms inecgdt inecgtme mi min, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:arvekgtm 101 QUESTION}{p_end}{p2col:}Enter the time the first 12-lead ECG after acute care arrival was done.{p_end}{p2col:}{res:arvekgtm 101 DEFINITION}{p_end}{p2col:}This is the first ECG done after the patient entered a VHA acute care hospital. {p_end}{p2col:}If the patient presented initially to another VAMC, the question refers to the time the first EKG at that hospital was done.{p_end}{p2col:}Determining ECG Time{p_end}{p2col:}The abstractor can accept only the date and time printed on the ECG tracing.{p_end}{p2col:}If no ECG was done after acute care arrival, enter default time 99:99161ekg1_dtacs_arr acs_inpt arvekgdt arvekgtm clntrial cond didecg docecgtm docekgtm ecgdun ekgdone4 frstdate frstime hms inecgdt inecgtme inekgdt inekgtme inptecg inptekg m mi obtnecg palcaredate/time of 1st ekgE{space 1}{txt}{sf}{ul off} date/time of 1st ekg{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}54,246{space 1} {space 1} 65.3{space 1} {space 1} 65.3{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}27,396{space 1} {space 1} 33.0{space 1} {space 1} 98.3{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 419{space 1} {space 1} 0.5{space 1} {space 1} 98.8{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 198{space 1} {space 1} 0.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} 0{stata docs @eprp (*) acs_arr acs_inpt arvekgdt arvekgtm cond hms inecgdt inecgtme inekgdt inekgtme mi, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_arr acs_inpt arvekgdt arvekgtm cond hms inecgdt inecgtme inekgdt inekgtme mi, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:inekgtme 101 QUESTION}{p_end}{p2col:}Enter the time of the ECG done in response to the first indication of evolving ACS.{p_end}{p2col:}{res:inekgtme 101 DEFINITION}{p_end}{p2col:}The question does not refer to a routine ECG on admission, but to the ECG done in response to the indication (either symptoms or a positive troponin) that ACS has occurred. If the first ECG done following ACS symptoms or a positive troponin was normal but a later ECG was abnormal or diagnostic for ACS, use the time of the abnormal ECG. {p_end}{p2col:}Determining ECG Time{p_end}{p2col:}The abstractor can accept only the date and time printed on the ECG tracing.162ekg2_dtacs_arr acs_both acs_inpt acs_trc clntrial closecg cond ekgdone4 hms m mi nexdoctm nextdate nextdate1 nextecg nextecg1 nextime nextime1 nxtdocdt obtnecg palcaredate/time of subsequent ekg@{space 1}{txt}{sf}{ul off} date/time of subsequent ekg{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res} 2,483{space 1} {space 1} 3.0{space 1} {space 1} 3.0{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 5.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 8.5{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res}60,579{space 1} {space 1} 72.9{space 1} {space 1} 81.4{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 2,292{space 1} {space 1} 2.8{space 1} {space 1} 84.1{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 7,281{space 1} {space 1} 8.8{space 1} {space 1} 92.9{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res} 5,084{space 1} {space 1} 6.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt cond hms mi nextdate nextdate1 nextime nextime1, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt cond hms mi nextdate nextdate1 nextime nextime1, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:nextime1 101 QUESTION}{p_end}{p2col:}Enter the time of the ECG with a documented interpretation.{p_end}{p2col:}{res:nextime1 101 DEFINITION}{p_end}{p2col:}Time must be entered in Universal Military Time.{p_end}{p2col:}If the time is in the a.m., conversion is not required.{p_end}{p2col:}If the time is in the p.m., add 12 to the clock time hour.{p_end}{p2col:}Determining ECG Time{p_end}{p2col:}The abstractor can accept only the date and time printed on the ECG tracing.{p_end}{p2col:}Will auto-fill as 99:99 if NEXTECG = 2. {p_end}{p2col:}If unable to find the time of the ECG with a documented interpretation, enter default time 99:99.163ekgusedracs_arr acs_both acs_trc clntrial closecg docid ekg0_dt ekgdone4 frstecg nextecg obtnecg palcare priorecg worknecgwhich ekg was used for dx{space 1}{txt}{sf}{ul off} which ekg was used for dx{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 32:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} ekg prior to arrival (ekg0){space 1}{space 1}0{space 1}{txt:{c |}}{space 1}{res} 1,851{space 1} {space 1} 2.2{space 1} {space 1} 2.2{space 1} {break}{space 1}{txt}first ekg after arrival (ekg1){space 1}{space 1}1{space 1}{txt:{c |}}{space 1}{res}81,005{space 1} {space 1} 97.5{space 1} {space 1} 99.8{space 1} {break}{space 1}{txt} second or later ekg (ekg2){space 1}{space 1}2{space 1}{txt:{c |}}{space 1}{res} 203{space 1} {space 1} 0.2{space 1} {space 1}100.0{space 1} {break}{txt:{dup 32:{c -}}{dup 3:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) docid ekg0_dt nextecg worknecg, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) docid ekg0_dt nextecg worknecg, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:nextecg 101 QUESTION}{p_end}{p2col:}Was there a subsequent ECG with a documented interpretation?{p_end}{p2col:}1. yes{p_end}{p2col:}2. no{p_end}{p2col:}95. not applicable{p_end}{p2col:}{res:nextecg 101 DEFINITION}{p_end}{p2col:}Use the ECG done second closest to arrival time if there is no documented interpretation of the first ECG. If there is no interpretation of the second closest ECG, look further in the record until a documented ECG interpretation is found. {p_end}{p2col:}Hierarchy for ECG interpretation:{p_end}{p2col:}1. If there is a cardiologist's note that refers to interpretation of the first ECG, use this interpretation. If the ECG interpretation differs between the cardiologist and another physician, use the cardiologist interpretation.{p_end}{p2col:}2. If there is discrepancy in interpretation between two physicians and neither is a cardiologist, use the interpretation done closest to the ACS event. {p_end}{p2col:}3. A 12-lead ECG tracing in which the name or initials of the MD/NP/ or PA who reviewed the ECG is signed, stamped, or typed on the tracing.{p_end}{p2col:}4. Any physician interpretation of ECG findings. Interpretations may be taken from documentation of ECG findings in ED notes, admission note, or progress note.{p_end}{p2col:}5. If the ECG/EKG interpretation is an electronic "reading," do not use clinician documentation of the EKG findings unless the clinician "signs off" on the electronic interpretation as described above. {p_end}{p2col:}If the physician references ECG/EKG findings but does not specify the ECG/EKG was 12-lead, infer that it was 12-lead if lead markings ( i.e., I, II, III, aVR, aVL, aVF, V1, V2, V3,V4, V5, V6) are noted in the report.164ekgacs_arr acs_both acs_inpt acs_trc clntrial closecg comunecg ecgfind ecgintrp ekgdone4 frstecg m nextecg obtnecg palcare priorecg transecg worknecgresults of diagnostic ekg~{space 1}{txt}{sf}{ul off} results of diagnostic ekg{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} No ST elev or LBBB{space 1}{space 1}-2{space 1}{txt:{c |}}{space 1}{res} 547{space 1} {space 1} 0.7{space 1} {space 1} 0.7{space 1} {break}{space 1}{txt} ST elev or LBBB{space 1}{space 1}-1{space 1}{txt:{c |}}{space 1}{res} 160{space 1} {space 1} 0.2{space 1} {space 1} 0.9{space 1} {break}{space 1}{txt} STelev/AMI{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 9,372{space 1} {space 1} 11.3{space 1} {space 1} 12.1{space 1} {break}{space 1}{txt} new LBBB{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 968{space 1} {space 1} 1.2{space 1} {space 1} 13.3{space 1} {break}{space 1}{txt} old LBBB{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 1,759{space 1} {space 1} 2.1{space 1} {space 1} 15.4{space 1} {break}{space 1}{txt} old ST depression{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 4,092{space 1} {space 1} 4.9{space 1} {space 1} 20.3{space 1} {break}{space 1}{txt} T wave inversion{space 1}{space 1} 5{space 1}{txt:{c |}}{space 1}{res} 9,405{space 1} {space 1} 11.3{space 1} {space 1} 31.7{space 1} {break}{space 1}{txt} STseg & Twav changes{space 1}{space 1} 6{space 1}{txt:{c |}}{space 1}{res}10,939{space 1} {space 1} 13.2{space 1} {space 1} 44.8{space 1} {break}{space 1}{txt} Normal{space 1}{space 1} 7{space 1}{txt:{c |}}{space 1}{res} 4,959{space 1} {space 1} 6.0{space 1} {space 1} 50.8{space 1} {break}{space 1}{txt} Q waves{space 1}{space 1} 8{space 1}{txt:{c |}}{space 1}{res} 2,610{space 1} {space 1} 3.1{space 1} {space 1} 54.0{space 1} {break}{space 1}{txt} RBBB{space 1}{space 1} 9{space 1}{txt:{c |}}{space 1}{res} 4,015{space 1} {space 1} 4.8{space 1} {space 1} 58.8{space 1} {break}{space 1}{txt} changes w/rest ang{space 1}{space 1}10{space 1}{txt:{c |}}{space 1}{res} 72{space 1} {space 1} 0.1{space 1} {space 1} 58.9{space 1} {break}{space 1}{txt} vent tachycardia{space 1}{space 1}11{space 1}{txt:{c |}}{space 1}{res} 315{space 1} {space 1} 0.4{space 1} {space 1} 59.3{space 1} {break}{space 1}{txt} new ST depression{space 1}{space 1}12{space 1}{txt:{c |}}{space 1}{res} 6,778{space 1} {space 1} 8.2{space 1} {space 1} 67.4{space 1} {break}{space 1}{txt} NSTEMI{space 1}{space 1}13{space 1}{txt:{c |}}{space 1}{res} 7,664{space 1} {space 1} 9.2{space 1} {space 1} 76.6{space 1} {break}{space 1}{txt} other{space 1}{space 1}97{space 1}{txt:{c |}}{space 1}{res}15,064{space 1} {space 1} 18.1{space 1} {space 1} 94.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 2,266{space 1} {space 1} 2.7{space 1} {space 1} 97.5{space 1} {break}{space 1}{txt} miss->acs_inpt{space 1}{space 1}.i{space 1}{txt:{c |}}{space 1}{res} 171{space 1} {space 1} 0.2{space 1} {space 1} 97.7{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 1,035{space 1} {space 1} 1.2{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 67{space 1} {space 1} 0.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 1{space 1} {space 1} 0.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_trc comunecg ecgfind ecgintrp transecg, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_trc comunecg ecgfind ecgintrp transecg, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:comunecg 101 QUESTION}{p_end}{p2col:}Does the record of this patient transferred from a community hospital document that any of the following were identified on the initial ECG? {p_end}{p2col:}1. ST-segment elevation{p_end}{p2col:}o-Acute myocardial infarction (AMI) or myocardial infarction (MI) with any mention of location or combination of locations (e.g., anterior, apical, basal, inferior, lateral, posterior, or combination) IF DESCRIBED AS ACUTE/EVOLVING {p_end}{p2col:}Q wave AMI, IF DESCRIBED AS ACUTE/EVOLVING{p_end}{p2col:}o-ST ({p_end}{p2col:}ST, ST abnormality, or ST changes consistent with injury or acute/evolving MI{p_end}{p2col:}o-ST-elevation (STE){p_end}{p2col:}o-ST-elevation myocardial infarction (STEMI){p_end}{p2col:}o-ST-segment noted as > = .10mV{p_end}{p2col:}ST-segment noted as > = 1mm{p_end}{p2col:}o-Transmural AMI{p_end}{p2col:}o-Transmural MI, IF DESCRIBED AS ACUTE/EVOLVING{p_end}{p2col:}2. Left bundle branch block (LBBB) (new or not known to be old, chronic, or previously seen){p_end}{p2col:}o-intraventricular conduction delay of LBBB type{p_end}{p2col:}o-variable LBBB{p_end}{p2col:}3. LBBB described as old or chronic {p_end}{p2col:}4. ST-segment depression, old and/or unchanged{p_end}{p2col:}5. T wave inversion{p_end}{p2col:}6. Non-specific ST-segment and T wave changes {p_end}{p2col:}7. Normal ECG{p_end}{p2col:}8. Q waves{p_end}{p2col:}9. Right bundle branch block{p_end}{p2col:}10. Transient or dynamic ST-segment changes in association with rest angina{p_end}{p2col:}11. Sustained ventricular tachycardia runs and/or sustained ventricular tachycardia with hypotension{p_end}{p2col:}12. ST-segment depression, new or not known to be old{p_end}{p2col:}13. Documented NSTEMI, non ST-elevation MI{p_end}{p2col:}95. Not applicable{p_end}{p2col:}99. Interpretation not consistent with above terminology{p_end}{p2col:}{res:comunecg 101 DEFINITION}{p_end}{p2col:}Do Not include the following as ST-elevation:{p_end}{p2col:}o- Non Q wave MI (NQWMI){p_end}{p2col:}o- Non ST-elevation MI (NSTEMI){p_end}{p2col:}o- ST elev clearly described as confined to ONE lead{p_end}{p2col:}o- ST-elevation (ST elev) described as minimal, < .10mV, < 1mm, non-diagnostic, or non-specific either in ALL leads noted to have ST-elevation or in GENERAL terms, where lead(s) are NOT specified (e.g., "minimal ST-elevation"){p_end}{p2col:}o- ST-elevation (ST elev) with mention of early repolarization, left ventricular hypertrophy (LVH), normal variant, pericarditis, or Printzmetal/Printzmetal's variant{p_end}{p2col:}o- ST-segment elevation, any of the other ST-segment elevation inclusion terms, ST, ST abnormality, or ST changes consistent with injury or acute/evolving MI OR any of the "myocardial infarction" (MI) inclusion terms described using one of the negative qualifiers or modifiers listed below {p_end}{p2col:}o- Any ST-segment elevation terms with mention of pacemaker (unless atrial only or non-functioning pacemaker) {p_end}{p2col:}MI described as "new, recent, or subacute" should not be considered as synonymous with "acute." {p_end}{p2col:}Do Not include the following as Left Bundle Branch Block {p_end}{p2col:}o- incomplete left bundle branch block (LBBB){p_end}{p2col:}o- intraventricular conduction delay (IVCD) or block{p_end}{p2col:}o- left bundle branch block (LBBB), or any other left bundle branch block inclusion term, described using one of the negative qualifiers or modifiers listed below{p_end}{p2col:}o- LBBB with mention of pacemaker/pacing (unless atrial only or non-functioning pacemaker){p_end}{p2col:}JC Appendix H, Table 2.6 Qualifiers/Modifiers{p_end}{p2col:}Qualifiers: cannot exclude, cannot rule out, could be, could have been, may have, may have had, may indicate, possible, questionable, risk of, ruled out, suggestive of, suspect, or suspicious <{c +}> Modifiers: borderline, insignificant, scant, sub-clinical, subtle, trace, trivial{p_end}{p2col:}Hierarchy for ECG interpretation:{p_end}{p2col:}1. If there is a cardiologist's note that refers to interpretation of the first ECG, use this interpretation. If the ECG interpretation differs between the cardiologist and another physician, use the cardiologist interpretation.{p_end}{p2col:}2. If there is discrepancy in interpretation between two physicians and neither is a cardiologist, use the interpretation done closest to the ACS event. {p_end}{p2col:}3. A 12-lead ECG report in which the name or initials of the physician/APN/PA who reviewed the ECG is signed, stamped, or typed on the report. An electronic ECG "reading" must also be" signed off" by the physician/APN/PA.{p_end}{p2col:}4. Any physician interpretation of ECG findings. Interpretations may be taken from documentation of ECG findings in ED notes, admission note, or progress note.165ekg_notemacs_arr acs_inpt acs_trc clntrial comunecg comunecg_txt ecgintrp ecgintrp1 ecgintrp_txt ecgintrp_txt1 palcaredescription of unusual ekg{txt} U{stata docs @eprp (*) acs_inpt acs_trc comunecg_txt ecgintrp_txt ecgintrp_txt1, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt acs_trc comunecg_txt ecgintrp_txt ecgintrp_txt1, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:comunecg_txt 101 QUESTION}{p_end}{p2col:}Please enter the ECG interpretation found in the record.{p_end}{p2col:}{res:comunecg_txt 101 DEFINITION}{p_end}{p2col:}Text box to capture actual ECG reading when "99" entered166ekgF!dc1day docid finalecg noami2 nodcresults of final ekg{space 1}{txt}{sf}{ul off} results of final ekg{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}ST depression, old or new{space 1}{space 1}-3{space 1}{txt:{c |}}{space 1}{res} 135{space 1} {space 1} 0.2{space 1} {space 1} 0.2{space 1} {break}{space 1}{txt} STelev/AMI{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 409{space 1} {space 1} 0.5{space 1} {space 1} 0.7{space 1} {break}{space 1}{txt} new LBBB{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 189{space 1} {space 1} 0.2{space 1} {space 1} 0.9{space 1} {break}{space 1}{txt} old LBBB{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 270{space 1} {space 1} 0.3{space 1} {space 1} 1.2{space 1} {break}{space 1}{txt} old ST depression{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 274{space 1} {space 1} 0.3{space 1} {space 1} 1.5{space 1} {break}{space 1}{txt} T wave inversion{space 1}{space 1} 5{space 1}{txt:{c |}}{space 1}{res} 718{space 1} {space 1} 0.9{space 1} {space 1} 2.4{space 1} {break}{space 1}{txt} STseg & Twav changes{space 1}{space 1} 6{space 1}{txt:{c |}}{space 1}{res} 2,594{space 1} {space 1} 3.1{space 1} {space 1} 5.5{space 1} {break}{space 1}{txt} Normal{space 1}{space 1} 7{space 1}{txt:{c |}}{space 1}{res} 935{space 1} {space 1} 1.1{space 1} {space 1} 6.7{space 1} {break}{space 1}{txt} Q waves{space 1}{space 1} 8{space 1}{txt:{c |}}{space 1}{res} 184{space 1} {space 1} 0.2{space 1} {space 1} 6.9{space 1} {break}{space 1}{txt} RBBB{space 1}{space 1} 9{space 1}{txt:{c |}}{space 1}{res} 774{space 1} {space 1} 0.9{space 1} {space 1} 7.8{space 1} {break}{space 1}{txt} changes w/rest ang{space 1}{space 1}10{space 1}{txt:{c |}}{space 1}{res} 4{space 1} {space 1} 0.0{space 1} {space 1} 7.8{space 1} {break}{space 1}{txt} vent tachycardia{space 1}{space 1}11{space 1}{txt:{c |}}{space 1}{res} 15{space 1} {space 1} 0.0{space 1} {space 1} 7.8{space 1} {break}{space 1}{txt} new ST depression{space 1}{space 1}12{space 1}{txt:{c |}}{space 1}{res} 161{space 1} {space 1} 0.2{space 1} {space 1} 8.0{space 1} {break}{space 1}{txt} other{space 1}{space 1}97{space 1}{txt:{c |}}{space 1}{res} 5,992{space 1} {space 1} 7.2{space 1} {space 1} 15.2{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 10{space 1} {space 1} 0.0{space 1} {space 1} 15.2{space 1} {break}{space 1}{txt} miss->dctype{space 1}{space 1}.d{space 1}{txt:{c |}}{space 1}{res} 4,917{space 1} {space 1} 5.9{space 1} {space 1} 21.2{space 1} {break}{space 1}{txt} miss->dc1day (early dc){space 1}{space 1}.e{space 1}{txt:{c |}}{space 1}{res} 777{space 1} {space 1} 0.9{space 1} {space 1} 22.1{space 1} {break}{space 1}{txt} miss->noami1 noami2{space 1}{space 1}.n{space 1}{txt:{c |}}{space 1}{res} 306{space 1} {space 1} 0.4{space 1} {space 1} 22.5{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 162{space 1} {space 1} 0.2{space 1} {space 1} 22.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}64,233{space 1} {space 1} 77.3{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} ^{stata docs @eprp (*) docid finalecg, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) docid finalecg, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:finalecg 52 QUESTION}{p_end}{p2col:}What were the specific findings from interpretation of the last 12-lead ECG performed prior to discharge?{p_end}{p2col:}1. ST segment elevation{p_end}{p2col:}o-Acute myocardial infarction (AMI) or myocardial infarction (MI) with any mention of location or combination of locations (e.g., anterior, apical, basal, inferior, lateral, posterior, or combination){p_end}{p2col:}o-Q wave AMI{p_end}{p2col:}o-Q-wave MI, if described as acute{p_end}{p2col:}o-ST ({p_end}{p2col:}o-ST changes consistent with injury, infarct, ischemia, or MI{p_end}{p2col:}o-ST consistent with injury, infarct, ischemia, or MI{p_end}{p2col:}o-ST elevation consistent with injury, infarct, ischemia, or MI{p_end}{p2col:}o-ST elevation myocardial infarction (STEMI){p_end}{p2col:}o-ST segment noted as > = .10mV{p_end}{p2col:}o-Transmural AMI{p_end}{p2col:}o-Transmural MI, if described as acute {p_end}{p2col:}2. Left bundle branch block (LBBB) (new or not known to be old){p_end}{p2col:}o-intermittent LBBB{p_end}{p2col:}o-intraventricular conduction delay of LBBB type{p_end}{p2col:}o-variable LBBB{p_end}{p2col:}3. LBBB old {p_end}{p2col:}4. ST segment depression, old and/or unchanged{p_end}{p2col:}5. T wave inversion{p_end}{p2col:}6. Non-specific ST segment and T wave changes {p_end}{p2col:}7. Normal ECG{p_end}{p2col:}8. Q waves{p_end}{p2col:}9. Right bundle branch block{p_end}{p2col:}10. Transient or dynamic ST segment changes in association with rest angina{p_end}{p2col:}11. Sustained ventricular tachycardia runs and/or sustained ventricular tachycardia with hypotension{p_end}{p2col:}12. ST segment depression, new or not known to be old{p_end}{p2col:}97. no ECG done during entire episode of care {p_end}{p2col:}99. none of above-listed ECG findings documented{p_end}{p2col:}{res:finalecg 52 DEFINITION}{p_end}{p2col:}Do Not include the following as ST elevation:{p_end}{p2col:}o- Non Q wave MI (NQWMI){p_end}{p2col:}o- Non ST elevation MI (NSTEMI){p_end}{p2col:}o- ST elevation due to early repolarization{p_end}{p2col:}o- ST elevation due to left ventricular hypertrophy (LVH){p_end}{p2col:}o- ST elevation due to normal variant{p_end}{p2col:}o- ST elevation with mention of pericarditis{p_end}{p2col:}o- ST elevation with mention of Printzmetal/Printzmetal's variant{p_end}{p2col:}o- ST segment elevation, or any of the other ST segment elevation inclusion terms, described as old or previously seen{p_end}{p2col:}o- ST segment elevation, or any of the other ST segment elevation inclusion terms, described using one of the following qualifiers: cannot exclude, cannot rule out, diagnostic of, may have, may have mad, may indicate, possible, suggestive of, suspect, or suspicious{p_end}{p2col:}Do Not include the following as Left Bundle Branch Block {p_end}{p2col:}o- incomplete left bundle branch block (LBBB){p_end}{p2col:}o- intraventricular conduction delay (IVCD){p_end}{p2col:}o- left bundle branch block (LBBB), or any other left bundle branch block inclusion terms, described using one of the following qualifiers: cannot exclude, cannot rule out, diagnostic of, may have, may have mad, may indicate, possible, suggestive of, suspect, or suspicious{p_end}{p2col:}Do not use the EKG tracing to answer this question. The ST segment elevation or left bundle branch block must be identified from the ECG interpretation or by clinician documentation.167ekgFdate!dc1day ekgdt finalecg noami2 nodcdate of final ekg|{space 1}{txt}{sf}{ul off} date of final ekg{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}12,654{space 1} {space 1} 15.2{space 1} {space 1} 15.2{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 10{space 1} {space 1} 0.0{space 1} {space 1} 15.2{space 1} {break}{space 1}{txt} miss->dctype{space 1}{space 1}.d{space 1}{txt:{c |}}{space 1}{res} 4,917{space 1} {space 1} 5.9{space 1} {space 1} 21.2{space 1} {break}{space 1}{txt} miss->dc1day (early dc){space 1}{space 1}.e{space 1}{txt:{c |}}{space 1}{res} 777{space 1} {space 1} 0.9{space 1} {space 1} 22.1{space 1} {break}{space 1}{txt} miss->noami1 noami2{space 1}{space 1}.n{space 1}{txt:{c |}}{space 1}{res} 306{space 1} {space 1} 0.4{space 1} {space 1} 22.5{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 162{space 1} {space 1} 0.2{space 1} {space 1} 22.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}64,233{space 1} {space 1} 77.3{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) ekgdt finalecg, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) ekgdt finalecg, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ekgdt 52 QUESTION}{p_end}{p2col:}Enter the date this ECG was done.{p_end}{p2col:}{res:ekgdt 52 DEFINITION}{p_end}{p2col:}Enter the exact date. The use of 01 to indicate unknown month or day is not acceptable.168tropt1acs_both acs_trc clntrial dotrop palcare wichtroptroponin type T@{space 1}{txt}{sf}{ul off} troponin type T{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} No (type i){space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}54,489{space 1} {space 1} 65.6{space 1} {space 1} 65.6{space 1} {break}{space 1}{txt} Yes (type t){space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}10,716{space 1} {space 1} 12.9{space 1} {space 1} 78.5{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 81.6{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 71{space 1} {space 1} 0.1{space 1} {space 1} 81.7{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 78{space 1} {space 1} 0.1{space 1} {space 1} 81.8{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 9,253{space 1} {space 1} 11.1{space 1} {space 1} 92.9{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res} 5,084{space 1} {space 1} 6.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) wichtrop, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) wichtrop, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:wichtrop 101 QUESTION}{p_end}{p2col:}Which troponin is used by this VAMC's laboratory as a biomarker of myocardial injury?{p_end}{p2col:}1. Troponin T{p_end}{p2col:}2. Troponin I{p_end}{p2col:}99. unable to determine{p_end}{p2col:}{res:wichtrop 101 DEFINITION}{p_end}{p2col:}Troponin is a protein complex consisting of three isotypes, T, I, and C. Troponin has become the marker of choice for diagnosis of myocardial necrosis. If unable to determine which troponin is measured by the facility laboratory, ask the EPRP Liaison to obtain this data. Default "99" should be used only if the laboratory cannot provide the information.169troptest1acs_both acs_trc clntrial dotrop palcare wichasayname of troponin assay~{space 1}{txt}{sf}{ul off} name of troponin assay{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Beckman ACCESS AccuTnl{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}19,252{space 1} {space 1} 23.2{space 1} {space 1} 23.2{space 1} {break}{space 1}{txt} Tosoh A1A 21{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 139{space 1} {space 1} 0.2{space 1} {space 1} 23.3{space 1} {break}{space 1}{txt} Dade-Behring STRATUS CS{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 4,707{space 1} {space 1} 5.7{space 1} {space 1} 29.0{space 1} {break}{space 1}{txt} DPC IMMULITE{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 3,650{space 1} {space 1} 4.4{space 1} {space 1} 33.4{space 1} {break}{space 1}{txt} Bayer ACS CENTAUR{space 1}{space 1} 5{space 1}{txt:{c |}}{space 1}{res} 8,447{space 1} {space 1} 10.2{space 1} {space 1} 43.6{space 1} {break}{space 1}{txt} BYK Sangtech LIASON{space 1}{space 1} 6{space 1}{txt:{c |}}{space 1}{res} 28{space 1} {space 1} 0.0{space 1} {space 1} 43.6{space 1} {break}{space 1}{txt} Bayer IMMUNO 1{space 1}{space 1} 7{space 1}{txt:{c |}}{space 1}{res} 425{space 1} {space 1} 0.5{space 1} {space 1} 44.1{space 1} {break}{space 1}{txt} Biomerieux VIDAS{space 1}{space 1} 8{space 1}{txt:{c |}}{space 1}{res} 221{space 1} {space 1} 0.3{space 1} {space 1} 44.4{space 1} {break}{space 1}{txt} Bayer ACS: 180{space 1}{space 1} 9{space 1}{txt:{c |}}{space 1}{res} 74{space 1} {space 1} 0.1{space 1} {space 1} 44.5{space 1} {break}{space 1}{txt} Dade-Behring DIMENSION RxL{space 1}{space 1}10{space 1}{txt:{c |}}{space 1}{res} 2,648{space 1} {space 1} 3.2{space 1} {space 1} 47.7{space 1} {break}{space 1}{txt} Roche ELECSYS TnT{space 1}{space 1}11{space 1}{txt:{c |}}{space 1}{res}10,752{space 1} {space 1} 12.9{space 1} {space 1} 60.6{space 1} {break}{space 1}{txt} Abbot AXSYM{space 1}{space 1}12{space 1}{txt:{c |}}{space 1}{res} 5,464{space 1} {space 1} 6.6{space 1} {space 1} 67.2{space 1} {break}{space 1}{txt} Ortho Vitros ECi{space 1}{space 1}13{space 1}{txt:{c |}}{space 1}{res} 2,105{space 1} {space 1} 2.5{space 1} {space 1} 69.7{space 1} {break}{space 1}{txt} Dade-Behring OPUS{space 1}{space 1}14{space 1}{txt:{c |}}{space 1}{res} 395{space 1} {space 1} 0.5{space 1} {space 1} 70.2{space 1} {break}{space 1}{txt} First Medical ALPHA Dx{space 1}{space 1}15{space 1}{txt:{c |}}{space 1}{res} 3{space 1} {space 1} 0.0{space 1} {space 1} 70.2{space 1} {break}{space 1}{txt} other{space 1}{space 1}97{space 1}{txt:{c |}}{space 1}{res} 6,460{space 1} {space 1} 7.8{space 1} {space 1} 78.0{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 81.1{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 506{space 1} {space 1} 0.6{space 1} {space 1} 81.7{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 78{space 1} {space 1} 0.1{space 1} {space 1} 81.8{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 9,253{space 1} {space 1} 11.1{space 1} {space 1} 92.9{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res} 5,084{space 1} {space 1} 6.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) wichasay, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) wichasay, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:wichasay 101 QUESTION}{p_end}{p2col:}Which specific bioassay is used by this facility to determine troponin level?{p_end}{p2col:}1. Beckman ACCESS AccuTnl{p_end}{p2col:}2. Tosoh A1A 21{p_end}{p2col:}3. Dade-Behring STRATUS CS{p_end}{p2col:}4. DPC IMMULITE{p_end}{p2col:}5. Bayer ACS CENTAUR{p_end}{p2col:}6. BYK Sangtech LIASON{p_end}{p2col:}7. Bayer IMMUNO 1{p_end}{p2col:}8. Biomerieux VIDAS{p_end}{p2col:}9. Bayer ACS: 180{p_end}{p2col:}10. Dade-Behring DIMENSION RxL{p_end}{p2col:}11. Roche ELECSYS TnT{p_end}{p2col:}12. Abbot AXSYM{p_end}{p2col:}13. Ortho Vitros ECi{p_end}{p2col:}14. Dade-Behring OPUS{p_end}{p2col:}15. First Medical ALPHA Dx{p_end}{p2col:}16. other{p_end}{p2col:}99. unable to determine{p_end}{p2col:}{res:wichasay 101 DEFINITION}{p_end}{p2col:}Specific bioassay may be indicated on the laboratory report, ask the Liaison to contact the facility lab to determine which bioassay is used to measure troponin levels. {p_end}{p2col:}The EPRP Liaison will be responsible for securing this information from laboratory personnel or other sources for the abstractor.{p_end}{p2col:}Default "99" should be used only if the laboratory is unable to provide the information.170tropcut@acs_both acs_trc clntrial cutoff dotrop palcare trophow wichasaytroponin high criterion{space 1}{txt}{sf}{ul off} troponin high criterion{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}64,351{space 1} {space 1} 77.5{space 1} {space 1} 77.5{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 80.6{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 1,003{space 1} {space 1} 1.2{space 1} {space 1} 81.8{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 9,253{space 1} {space 1} 11.1{space 1} {space 1} 92.9{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res} 5,084{space 1} {space 1} 6.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) cutoff, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) cutoff, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:cutoff 101 QUESTION}{p_end}{p2col:}What is the "cutoff point" (or lowest level at which troponin is considered positive) as determined by this facility's bioassay?{p_end}{p2col:}{res:cutoff 101 DEFINITION}{p_end}{p2col:}The abstractor will have to work with the facility Liaison to determine the lowest level at which the concentration of troponin is considered to be positive. This level, which will likely vary from facility to facility, is critical to the determination of whether AMI occurred.171trop1poc8acs_both acs_trc clntrial dotrop howtrop palcare trophow%first troponin taken at point-of-care{space 1}{txt}{sf}{ul off}first troponin taken at point-of-care{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 35:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}50,483{space 1} {space 1} 60.8{space 1} {space 1} 60.8{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}18,807{space 1} {space 1} 22.6{space 1} {space 1} 83.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 86.5{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 316{space 1} {space 1} 0.4{space 1} {space 1} 86.9{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res}10,085{space 1} {space 1} 12.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 35:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} B{stata docs @eprp (*) howtrop trophow, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) howtrop trophow, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:trophow 101 QUESTION}{p_end}{p2col:}How was the first troponin level obtained?{p_end}{p2col:}1. point of care testing{p_end}{p2col:}2. central laboratory assay{p_end}{p2col:}{res:trophow 101 DEFINITION}{p_end}{p2col:}Point of care testing= blood sample drawn at the bedside and analyzed immediately for presence of troponin I or troponin T to identify unstable patients at high risk for occlusion. {p_end}{p2col:}Read ED notes, admitting notes, and progress notes carefully to determine if POCT was used to obtain the first troponin level. Do not reference only the laboratory reports for the initial troponin level.{p_end}{p2col:}Troponin may be obtained within 15 minutes prior to acute care arrival, e.g., in the clinic setting, NHCU, or in the ambulance prior to arrival at the hospital.172trop19acs_both acs_trc clntrial dotrop frstrslt palcare trophowfirst troponin result{space 1}{txt}{sf}{ul off} first troponin result{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}64,369{space 1} {space 1} 77.5{space 1} {space 1} 77.5{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 80.6{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 985{space 1} {space 1} 1.2{space 1} {space 1} 81.8{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 9,253{space 1} {space 1} 11.1{space 1} {space 1} 92.9{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res} 5,084{space 1} {space 1} 6.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} t{stata docs @eprp (*) frstrslt, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) frstrslt, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:frstrslt 101 QUESTION}{p_end}{p2col:}Enter the result of the first troponin level obtained for this patient.{p_end}{p2col:}{res:frstrslt 101 DEFINITION}{p_end}{p2col:}If a level greater than 999.99 is entered, the computer will ask the abstractor to re-check his/her entry since a level over this value is likely to be a quality control issue.173trop1out0acs_both acs_trc clntrial dotrop palcare troponefirst troponin elevated{space 1}{txt}{sf}{ul off}first troponin elevated{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 21:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} normal range{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}27,892{space 1} {space 1} 33.6{space 1} {space 1} 33.6{space 1} {break}{space 1}{txt} above normal{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}41,398{space 1} {space 1} 49.8{space 1} {space 1} 83.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 86.5{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 316{space 1} {space 1} 0.4{space 1} {space 1} 86.9{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res}10,085{space 1} {space 1} 12.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 21:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) tropone, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) tropone, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:tropone 101 QUESTION}{p_end}{p2col:}Indicate whether the result of the first troponin level was positive or negative.{p_end}{p2col:}3. positive (greater than or equal to cutoff point) {p_end}{p2col:}4. negative (less than cutoff point){p_end}{p2col:}{res:tropone 101 DEFINITION}{p_end}{p2col:}Point of care bedside testing may only be reported as positive or negative. Values that are reported as an actual numeric value will need to be compared to the reference range to determine if the result exceeds the lowest level at which troponin is considered positive, according to the hospital's laboratory parameters. Consult your liaison for help if you are unsure. If the value is greater than the normal value of the reference range, it is positive.174 trop1_dt1acs_both acs_trc clntrial cond docfirst dotrop entrfrst entrord firstdoc firstime hms m mi palcare timefirst timeord tropord troptime whatime"date/time of first trop draw/order{space 1}{txt}{sf}{ul off}date/time of first trop draw/order{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 32:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}69,206{space 1} {space 1} 83.3{space 1} {space 1} 83.3{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 86.4{space 1} {break}{space 1}{txt} miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 24{space 1} {space 1} 0.0{space 1} {space 1} 86.4{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 376{space 1} {space 1} 0.5{space 1} {space 1} 86.9{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res}10,085{space 1} {space 1} 12.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 32:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) cond entrfrst entrord hms mi timeord whatime, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) cond entrfrst entrord hms mi timeord whatime, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:timeord 101 QUESTION}{p_end}{p2col:}Enter the time the first troponin level was ordered.{p_end}{p2col:}{res:timeord 101 DEFINITION}{p_end}{p2col:}Order time = the time the first troponin level was ordered. If the sample was drawn at the point of care, look in physician orders for documentation of troponin order even if POCT is not specified. If POCT was done but no order was written, use the POCT time. {p_end}{p2col:}Enter the actual order time if it is documented in the record. Troponin order time can be 15 minutes prior to arrival time.{p_end}{p2col:}If order time cannot be determined, abstractor can enter default time 99:99.175 trop1_dt2Yacs_both acs_trc clntrial cond dotrop hms m mi palcare reportme reprtdoc reprtdt reprtimedate/time of first trop report{space 1}{txt}{sf}{ul off} date/time of first trop report{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}69,233{space 1} {space 1} 83.4{space 1} {space 1} 83.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 86.4{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 57{space 1} {space 1} 0.1{space 1} {space 1} 86.5{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 316{space 1} {space 1} 0.4{space 1} {space 1} 86.9{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res}10,085{space 1} {space 1} 12.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) cond hms mi reportme reprtdt, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) cond hms mi reportme reprtdt, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:reportme 101 QUESTION}{p_end}{p2col:}Enter the time the first troponin level was reported.{p_end}{p2col:}{res:reportme 101 DEFINITION}{p_end}{p2col:}If the troponin level was drawn by POCT and the result entered in the progress notes, use the time of the progress note unless the exact time the result was known is documented in the record.{p_end}{p2col:}Enter the actual report time if it is documented in the record.{p_end}{p2col:}If report time cannot be determined, abstractor can enter default time 99:99.{p_end}{p2col:}If the troponin was determined by point of care testing, the order date/time are the same as report date/time.176trop25acs_trc clntrial dotrop labever palcare poslvl tropos)result of 1st pos troponin, after initial{space 1}{txt}{sf}{ul off}result of 1st pos troponin, after initial{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 39:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}25,346{space 1} {space 1} 30.5{space 1} {space 1} 30.5{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 5,418{space 1} {space 1} 6.5{space 1} {space 1} 37.0{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 5,477{space 1} {space 1} 6.6{space 1} {space 1} 43.6{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}46,502{space 1} {space 1} 56.0{space 1} {space 1} 99.6{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 316{space 1} {space 1} 0.4{space 1} {space 1}100.0{space 1} {break}{txt:{dup 39:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) poslvl, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) poslvl, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:poslvl 101 QUESTION}{p_end}{p2col:}Enter the result of the first positive troponin level obtained after the initial troponin level.{p_end}{p2col:}{res:poslvl 101 DEFINITION}{p_end}{p2col:}If a level greater than 999.99 is entered, the computer will ask the abstractor to re-check his/her entry since a level over this value is likely to be a quality control issue.177trop2_dtNacs_trc clntrial cond dotrop hms labever m mi palcare tropos troposdt tropostm(date/time of 1st pos trop, after initial.{space 1}{txt}{sf}{ul off}date/time of 1st pos trop, after initial{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 38:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}25,344{space 1} {space 1} 30.5{space 1} {space 1} 30.5{space 1} {break}{space 1}{txt} miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 2{space 1} {space 1} 0.0{space 1} {space 1} 30.5{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 5,418{space 1} {space 1} 6.5{space 1} {space 1} 37.0{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 5,477{space 1} {space 1} 6.6{space 1} {space 1} 43.6{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}46,502{space 1} {space 1} 56.0{space 1} {space 1} 99.6{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 316{space 1} {space 1} 0.4{space 1} {space 1}100.0{space 1} {break}{txt:{dup 38:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) cond hms mi troposdt tropostm, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) cond hms mi troposdt tropostm, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:tropostm 101 QUESTION}{p_end}{p2col:}Enter the report time of the first positive troponin level obtained after the initial troponin level.{p_end}{p2col:}{res:tropostm 101 DEFINITION}{p_end}{p2col:}Enter the actual report time if it is documented in the record.{p_end}{p2col:}If report time cannot be determined, abstractor can enter default time 99:99.178tropppoc9acs_both acs_trc clntrial dotrop labever palcare peakdone$peak troponin taken at point-of-care{space 1}{txt}{sf}{ul off}peak troponin taken at point-of-care{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 34:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}57,344{space 1} {space 1} 69.0{space 1} {space 1} 69.0{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 5,128{space 1} {space 1} 6.2{space 1} {space 1} 75.2{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 78.3{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 2,882{space 1} {space 1} 3.5{space 1} {space 1} 81.8{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 9,253{space 1} {space 1} 11.1{space 1} {space 1} 92.9{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res} 5,084{space 1} {space 1} 6.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 34:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) peakdone, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) peakdone, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:peakdone 101 QUESTION}{p_end}{p2col:}How was the peak troponin level obtained?{p_end}{p2col:}1. point of care bedside testing{p_end}{p2col:}2. central laboratory assay{p_end}{p2col:}{res:peakdone 101 DEFINITION}{p_end}{p2col:}Point of care testing= blood sample drawn at the bedside and analyzed immediately for presence of troponin I or troponin T which identify unstable patients at high risk for occlusion.179tropp@acs_both acs_trc clntrial dotrop labever lablvl palcare peakdonepeak troponin result{space 1}{txt}{sf}{ul off} peak troponin result{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}66,341{space 1} {space 1} 79.9{space 1} {space 1} 79.9{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 83.0{space 1} {break}{space 1}{txt}miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 3,265{space 1} {space 1} 3.9{space 1} {space 1} 86.9{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res}10,085{space 1} {space 1} 12.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) lablvl, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) lablvl, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:lablvl 101 QUESTION}{p_end}{p2col:}Enter the result of the highest/peak troponin level.{p_end}{p2col:}{res:lablvl 101 DEFINITION}{p_end}{p2col:}Highest/peak troponin level = of all the troponin samples obtained, enter the highest value reported for this patient.180troppout8acs_both acs_trc clntrial dotrop labever palcare troprefhighest troponin elevated{space 1}{txt}{sf}{ul off}highest troponin elevated{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 23:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} normal range{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res} 8,562{space 1} {space 1} 10.3{space 1} {space 1} 10.3{space 1} {break}{space 1}{txt} above normal{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}57,940{space 1} {space 1} 69.8{space 1} {space 1} 80.1{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 83.2{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 3,104{space 1} {space 1} 3.7{space 1} {space 1} 86.9{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res}10,085{space 1} {space 1} 12.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 23:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) tropref, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) tropref, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:tropref 101 QUESTION}{p_end}{p2col:}Indicate whether the result of the highest/peak troponin level was positive or negative.{p_end}{p2col:}3. positive (greater than or equal to cutoff point){p_end}{p2col:}4. negative (less than cutoff point){p_end}{p2col:}{res:tropref 101 DEFINITION}{p_end}{p2col:}Point of care bedside testing may only be reported as positive or negative. Values that are reported as an actual numeric value will need to be compared to the reference range to determine if the result exceeds the lowest level at which troponin is considered positive, according to the hospital's laboratory parameters. If the value is greater than the normal value of the reference range, it is positive.181tropp_dtMacs_both acs_trc clntrial cond dotrop hms labever m mi palcare trohitm tropdtdate/time of peak troponin draw>{space 1}{txt}{sf}{ul off}date/time of peak troponin draw{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 29:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}66,502{space 1} {space 1} 80.1{space 1} {space 1} 80.1{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 83.2{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 3,104{space 1} {space 1} 3.7{space 1} {space 1} 86.9{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res}10,085{space 1} {space 1} 12.1{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 29:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) cond hms mi trohitm tropdt, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) cond hms mi trohitm tropdt, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:trohitm 101 QUESTION}{p_end}{p2col:}Enter the report time of the peak level.{p_end}{p2col:}{res:trohitm 101 DEFINITION}{p_end}{p2col:}Troponin level report = the time the troponin results were available to the clinician. This does not mean the results must be reported to the clinician. Report time is the time when the results were completed by the lab and could be reported to the clinician if he/she called to ask for the results.{p_end}{p2col:}Time must be entered in Universal Military Time.{p_end}{p2col:}The abstractor can enter default time 99:99 if report time cannot be determined.182 troptrout3acs_arr acs_inpt acs_trc clntrial palcare transtrop troponin of transfer pt elevated@{space 1}{txt}{sf}{ul off}troponin of transfer pt elevated{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} normal range{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res} 2,048{space 1} {space 1} 2.5{space 1} {space 1} 2.5{space 1} {break}{space 1}{txt} above normal{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 8,751{space 1} {space 1} 10.5{space 1} {space 1} 13.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 5{space 1} {space 1} 0.0{space 1} {space 1} 13.0{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res}10,700{space 1} {space 1} 12.9{space 1} {space 1} 25.9{space 1} {break}{space 1}{txt} miss->acs_inpt{space 1}{space 1}.i{space 1}{txt:{c |}}{space 1}{res} 2,934{space 1} {space 1} 3.5{space 1} {space 1} 29.4{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 1,849{space 1} {space 1} 2.2{space 1} {space 1} 31.6{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res}55,972{space 1} {space 1} 67.4{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} C{stata docs @eprp (*) transtrop, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) transtrop, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:transtrop 101 QUESTION}{p_end}{p2col:}Does the record of this patient transferred from a community hospital document that either the initial or peak troponin level was positive?{p_end}{p2col:}2. initial and peak troponin negative{p_end}{p2col:}3. initial or peak troponin positive{p_end}{p2col:}99. unable to determine{p_end}{p2col:}{res:transtrop 101 DEFINITION}{p_end}{p2col:}Use documentation sent from the transferring community hospital if this data is available. If there is no information from the transferring hospital, or no documentation of troponin level, answer "99."{p_end}{p2col:}If the patient was transferred soon after presentation to the initial hospital, and the peak troponin level drawn at this VAMC was positive or negative, use this data and answer in accordance with the findings.183thrcon0acs_both acs_trc clntrial conthth noami1 palcarethrombolysis contra-indicationsS{space 1}{txt}{sf}{ul off} thrombolysis contra-indications{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 70:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} none{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}42,738{space 1} {space 1} 51.5{space 1} {space 1} 51.5{space 1} {break}{space 1}{txt} previous hemorrhagic stroke at any time{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 389{space 1} {space 1} 0.5{space 1} {space 1} 51.9{space 1} {break}{space 1}{txt} other strokes or cerebrovascular events, within one year{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 494{space 1} {space 1} 0.6{space 1} {space 1} 52.5{space 1} {break}{space 1}{txt} known intracranial neoplasm{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 41{space 1} {space 1} 0.0{space 1} {space 1} 52.6{space 1} {break}{space 1}{txt} active internal bleeding (except menses){space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 1,813{space 1} {space 1} 2.2{space 1} {space 1} 54.8{space 1} {break}{space 1}{txt} suspected aortic dissection{space 1}{space 1} 5{space 1}{txt:{c |}}{space 1}{res} 158{space 1} {space 1} 0.2{space 1} {space 1} 54.9{space 1} {break}{space 1}{txt} acute pericarditis{space 1}{space 1} 6{space 1}{txt:{c |}}{space 1}{res} 16{space 1} {space 1} 0.0{space 1} {space 1} 55.0{space 1} {break}{space 1}{txt} clinician documentation of late presentation{space 1}{space 1} 7{space 1}{txt:{c |}}{space 1}{res} 2,895{space 1} {space 1} 3.5{space 1} {space 1} 58.4{space 1} {break}{space 1}{txt} severe uncontrolled hypertension on presentation{space 1}{space 1} 9{space 1}{txt:{c |}}{space 1}{res} 350{space 1} {space 1} 0.4{space 1} {space 1} 58.9{space 1} {break}{space 1}{txt} current use of anticoagulants in therapeutic doses{space 1}{space 1}10{space 1}{txt:{c |}}{space 1}{res} 1,190{space 1} {space 1} 1.4{space 1} {space 1} 60.3{space 1} {break}{space 1}{txt} known bleeding problems{space 1}{space 1}11{space 1}{txt:{c |}}{space 1}{res} 335{space 1} {space 1} 0.4{space 1} {space 1} 60.7{space 1} {break}{space 1}{txt} recent trauma{space 1}{space 1}12{space 1}{txt:{c |}}{space 1}{res} 124{space 1} {space 1} 0.1{space 1} {space 1} 60.9{space 1} {break}{space 1}{txt} recent major surgery - within three weeks{space 1}{space 1}13{space 1}{txt:{c |}}{space 1}{res} 1,935{space 1} {space 1} 2.3{space 1} {space 1} 63.2{space 1} {break}{space 1}{txt} non-compressible vascular punctures{space 1}{space 1}14{space 1}{txt:{c |}}{space 1}{res} 50{space 1} {space 1} 0.1{space 1} {space 1} 63.2{space 1} {break}{space 1}{txt} recent internal bleeding - within 2 to 4 weeks{space 1}{space 1}15{space 1}{txt:{c |}}{space 1}{res} 176{space 1} {space 1} 0.2{space 1} {space 1} 63.5{space 1} {break}{space 1}{txt}prior exposure to streptokinase if intent to use same within 2 years{space 1}{space 1}16{space 1}{txt:{c |}}{space 1}{res} 15{space 1} {space 1} 0.0{space 1} {space 1} 63.5{space 1} {break}{space 1}{txt} active peptic ulcer{space 1}{space 1}18{space 1}{txt:{c |}}{space 1}{res} 13{space 1} {space 1} 0.0{space 1} {space 1} 63.5{space 1} {break}{space 1}{txt} history of chronic severe hypertension{space 1}{space 1}19{space 1}{txt:{c |}}{space 1}{res} 20{space 1} {space 1} 0.0{space 1} {space 1} 63.5{space 1} {break}{space 1}{txt} age > 75 years{space 1}{space 1}20{space 1}{txt:{c |}}{space 1}{res} 9,050{space 1} {space 1} 10.9{space 1} {space 1} 74.4{space 1} {break}{space 1}{txt} Stroke risk score > = 4 risk factors{space 1}{space 1}21{space 1}{txt:{c |}}{space 1}{res} 58{space 1} {space 1} 0.1{space 1} {space 1} 74.5{space 1} {break}{space 1}{txt} cardiogenic shock{space 1}{space 1}22{space 1}{txt:{c |}}{space 1}{res} 220{space 1} {space 1} 0.3{space 1} {space 1} 74.7{space 1} {break}{space 1}{txt} other contra documented by clinician{space 1}{space 1}97{space 1}{txt:{c |}}{space 1}{res} 6,068{space 1} {space 1} 7.3{space 1} {space 1} 82.0{space 1} {break}{space 1}{txt} .{space 1}{space 1} .{space 1}{txt:{c |}}{space 1}{res} 32{space 1} {space 1} 0.0{space 1} {space 1} 82.1{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 1,194{space 1} {space 1} 1.4{space 1} {space 1} 83.5{space 1} {break}{space 1}{txt} miss->noami1 noami2{space 1}{space 1}.n{space 1}{txt:{c |}}{space 1}{res} 1,358{space 1} {space 1} 1.6{space 1} {space 1} 85.2{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res}11,527{space 1} {space 1} 13.9{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 70:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} L{stata docs @eprp (*) conthth, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) conthth, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:conthth 101 QUESTION}{p_end}{p2col:}Does the record document any of the following potential contraindications to fibrinolytic therapy?{p_end}{p2col:}Absolute contraindications{p_end}{p2col:}1. previous hemorrhagic stroke at any time{p_end}{p2col:}2. other strokes or cerebrovascular events, within one year{p_end}{p2col:}3. known intracranial neoplasm{p_end}{p2col:}4. active internal bleeding (except menses){p_end}{p2col:}5. suspected aortic dissection{p_end}{p2col:}6. acute pericarditis {p_end}{p2col:}7. clinician documentation of late presentation{p_end}{p2col:}8. other contraindication documented by clinician{p_end}{p2col:}Relative contraindications{p_end}{p2col:}9. severe uncontrolled hypertension on presentation{p_end}{p2col:}10. current use of anticoagulants in therapeutic doses{p_end}{p2col:}11. known bleeding problems{p_end}{p2col:}12. recent trauma{p_end}{p2col:}13. recent major surgery, i.e., within three weeks{p_end}{p2col:}14. non-compressible vascular punctures{p_end}{p2col:}15. recent internal bleeding, i.e., within 2 to 4 weeks{p_end}{p2col:}16. prior exposure to streptokinase, if that agent is to be administered, i.e., within 5 days to 2 years{p_end}{p2col:}17. pregnancy{p_end}{p2col:}18. active peptic ulcer{p_end}{p2col:}19. history of chronic, severe hypertension{p_end}{p2col:}20. age > 75 years{p_end}{p2col:}21. Stroke risk score > = 4 risk factors{p_end}{p2col:}22. cardiogenic shock{p_end}{p2col:}99. no documented contraindication{p_end}{p2col:}{res:conthth 101 DEFINITION}{p_end}{p2col:}4. Active internal bleeding = patient presents to hospital actively bleeding from non-compressible site, such as biopsy site, subclavian artery, ulcer, lacerated viscera or other internal site. Skin lesions or trauma to external surface is not applicable.{p_end}{p2col:}7. Clinician documentation of late presentation = clinician documents too many hours have passed from the beginning of the patient's symptoms to his/her arrival at the hospital.{p_end}{p2col:}8. Other contraindication documented by a clinician= patient or situation-specific reason why patient is not a candidate for fibrinolytic therapy{p_end}{p2col:}(Examples: patient's advanced age, multiple system failure, patient or family decided against fibrinolytic therapy){p_end}{p2col:}9. Severe uncontrolled hypertension on presentation = systolic BP > 180mm Hg or diastolic BP > 110 mm Hg, following therapy in the emergency department, or a clinician's notation diagnosing severe uncontrolled HTN at time of admission.{p_end}{p2col:}10. anticoagulants = warfarin (Coumadin); heparin{p_end}{p2col:}12. recent trauma = within 2 to 4 weeks; includes head trauma or traumatic or prolonged ( > 10 minutes) cardiopulmonary resuscitation (CPR){p_end}{p2col:}21. Stroke Risk Score > = 4 risk factors{p_end}{p2col:}o- age > = 75 years{p_end}{p2col:}o- female{p_end}{p2col:}o- African American descent{p_end}{p2col:}o- prior stroke{p_end}{p2col:}o- admission systolic BP > = 160 mm Hg{p_end}{p2col:}o- use of alteplase{p_end}{p2col:}o- excessive anticoagulation ( INR > = 4; APTT > = 24){p_end}{p2col:}o- below median weight (< = 65 kg for women;{p_end}{p2col:}<= 80 kg for men){p_end}{p2col:}22. cardiogenic shock = sustained systolic BP < 90 mm Hg and evidence of end-organ hypoperfusion, such as cool extremities and urine output < 30 cc/hr) and CHF. Must be documented by a clinician.184thryesAacs_both acs_trc clntrial noami1 palcare specthth thromtx ththgvnthrombolytic type6 {space 1}{txt}{sf}{ul off} thrombolytic type{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} none{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}72,943{space 1} {space 1} 87.8{space 1} {space 1} 87.8{space 1} {break}{space 1}{txt} streptokinase{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 53{space 1} {space 1} 0.1{space 1} {space 1} 87.9{space 1} {break}{space 1}{txt} reteplase{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 115{space 1} {space 1} 0.1{space 1} {space 1} 88.0{space 1} {break}{space 1}{txt} tPA (Alteplase){space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 206{space 1} {space 1} 0.2{space 1} {space 1} 88.3{space 1} {break}{space 1}{txt} tenecteplase{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 672{space 1} {space 1} 0.8{space 1} {space 1} 89.1{space 1} {break}{space 1}{txt} unknown, at VA{space 1}{space 1}11{space 1}{txt:{c |}}{space 1}{res} 76{space 1} {space 1} 0.1{space 1} {space 1} 89.2{space 1} {break}{space 1}{txt} unknown, at non-VA{space 1}{space 1}12{space 1}{txt:{c |}}{space 1}{res} 243{space 1} {space 1} 0.3{space 1} {space 1} 89.5{space 1} {break}{space 1}{txt} other{space 1}{space 1}97{space 1}{txt:{c |}}{space 1}{res} 66{space 1} {space 1} 0.1{space 1} {space 1} 89.5{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 1,194{space 1} {space 1} 1.4{space 1} {space 1} 91.0{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 2,008{space 1} {space 1} 2.4{space 1} {space 1} 93.4{space 1} {break}{space 1}{txt} miss->noami1 noami2{space 1}{space 1}.n{space 1}{txt:{c |}}{space 1}{res} 1,358{space 1} {space 1} 1.6{space 1} {space 1} 95.0{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 32{space 1} {space 1} 0.0{space 1} {space 1} 95.1{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 3,293{space 1} {space 1} 4.0{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} !{stata docs @eprp (*) acs_trc specthth thromtx ththgvn, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_trc specthth thromtx ththgvn, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:specthth 101 QUESTION}{p_end}{p2col:}Indicate which of the following fibrinolytic agents were administered to the patient:{p_end}{p2col:}1. streptokinase{p_end}{p2col:}2. reteplase{p_end}{p2col:}3. tPA (Alteplase){p_end}{p2col:}4. tenecteplase{p_end}{p2col:}5. other agent administered{p_end}{p2col:}95. not applicable{p_end}{p2col:}{res:specthth 101 DEFINITION}{p_end}{p2col:}Streptokinase: 1.5 million units (MU) over 60 minutes{p_end}{p2col:}Reteplase (rPA): 10 U over 2 minutes followed by a second 10 U IV bolus 30 minutes later{p_end}{p2col:}Alteplase (tPA): (100 mg maximum), 15 mg IV bolus, then 0.75 mg/kg over 30 minutes, then 0.5 mg/kg over the next 60 minutes{p_end}{p2col:}Tenectaplase: IV bolus weight adjusted185thrfail9acs_both acs_trc clntrial noami1 palcare ththfail ththgvnthrombolysis failed"{space 1}{txt}{sf}{ul off} thrombolysis failed{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res} 776{space 1} {space 1} 0.9{space 1} {space 1} 0.9{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 124{space 1} {space 1} 0.1{space 1} {space 1} 1.1{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 696{space 1} {space 1} 0.8{space 1} {space 1} 1.9{space 1} {break}{space 1}{txt} miss->noami1 noami2{space 1}{space 1}.n{space 1}{txt:{c |}}{space 1}{res} 930{space 1} {space 1} 1.1{space 1} {space 1} 3.0{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}60,524{space 1} {space 1} 72.9{space 1} {space 1} 75.9{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res}10,695{space 1} {space 1} 12.9{space 1} {space 1} 88.8{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res} 8,514{space 1} {space 1} 10.3{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) ththfail, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) ththfail, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ththfail 101 QUESTION}{p_end}{p2col:}Is there documentation in the record that fibrinolytic therapy was unsuccessful?{p_end}{p2col:}1. yes{p_end}{p2col:}2. no{p_end}{p2col:}95. not applicable{p_end}{p2col:}{res:ththfail 101 DEFINITION}{p_end}{p2col:}To answer "yes," there must be specific documentation by a clinician (physician, APN, or PA) that reperfusion by fibrinolytic therapy was unsuccessful or ineffective.186thrdelay)acs_trc clntrial fibdelay palcare ththgvndoc'd reason for lytics delay{space 1}{txt}{sf}{ul off}doc'd reason for lytics delay{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res} 327{space 1} {space 1} 0.4{space 1} {space 1} 0.4{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 74{space 1} {space 1} 0.1{space 1} {space 1} 0.5{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}38,708{space 1} {space 1} 46.6{space 1} {space 1} 47.1{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 6,936{space 1} {space 1} 8.4{space 1} {space 1} 55.4{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}36,214{space 1} {space 1} 43.6{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) fibdelay, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) fibdelay, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:fibdelay 101 QUESTION}{p_end}{p2col:}Is there a reason documented by a physician, APN, or PA for a delay in initiating fibrinolytic therapy after hospital arrival?{p_end}{p2col:}1. Yes{p_end}{p2col:}2. No{p_end}{p2col:}95. Not applicable{p_end}{p2col:}{res:fibdelay 101 DEFINITION}{p_end}{p2col:}Physician/APN/PA documentation must be clear in the record that: {p_end}{p2col:}1) a "hold," "delay," or "wait" in initiating fibrinolysis/reperfusion actually occurred, AND {p_end}{p2col:}2) the underlying reason for that delay was non-system in nature. {p_end}{p2col:}Do NOT make inferences from documentation of a sequence of events alone. {p_end}{p2col:}Examples of acceptable physician/APN/PA documentation: "Hold on fibrinolytics. Will do CAT scan to r/o bleed." "Patient waiting for family to arrive-wants to consult with them before fibrinolysis." "Need to control BP before administering lytics."{p_end}{p2col:}System reasons for delay are NOT acceptable, regardless of any linkage to the delay in the fibrinolysis/reperfusion. Some examples: equipment-related problems, staff related issues (waiting for medication to be sent from pharmacy), consultation with other clinician.{p_end}{p2col:}EXCEPTIONS that do NOT require documentation that a delay in initiating fibrinolytic therapy occurred:{p_end}{p2col:}o- Physician/APN/PA documentation that cardiopulmonary arrest, balloon pump insertion, or intubation occurred within 30 minutes after arrival. In order to be acceptable, documentation must be CLEAR that the arrest, balloon pump insertion, or intubation occurred within 30 minutes after arrival (use the earliest time documented to confirm the cardiopulmonary arrest occurred within 30 minutes). {p_end}{p2col:}Include: {p_end}{p2col:}o- balloon pump, aortic balloon pump, intra-aortic balloon, intra-aortic balloon counterpulsation, intra-aortic balloon pump, intra-aortic counterpulsation, intra-aortic counterpulsation balloon pump{p_end}{p2col:}o- cardiopulmonary arrest, cardiac arrest, cardiopulmonary resuscitation (CPR), code, defibrillation, respiratory arrest, and ventricular fibrillation{p_end}{p2col:}o- endotracheal intubation, mechanical ventilation, nasotracheal intubation, orotracheal intubation{p_end}{p2col:}o- Physician/APN/PA documentation of initial patient/family refusal of fibrinolysis/reperfusion {p_end}{p2col:}If unable to determine whether a documented reason is system in nature, select "2."{p_end}{p2col:}Reason for Delay in Fibrinolytic Therapy cont'd{p_end}{p2col:}The following examples are NOT acceptable documentation of reasons for a delay in initiating fibrinolytic therapy:{p_end}{p2col:}"Patient is discussing PCI with family" (Not specific enough - no mention of reperfusion/fibrinolytic therapy.) "Fibrinolytics contraindicated-too high risk." (Effect on timing/delay of fibrinolysis not documented.) "ST-elevation on initial ECG resolved. Chest pain now recurring. Begin lytics." (Requires clinical judgment -linkage to delay in fibrinolysis not clear.) {p_end}{p2col:}"Patient presented to ED with non-cardiac symptoms. AMI confirmed later that morning. Fibrinolytic therapy started." (Requires clinical judgment -linkage to delay in fibrinolysis not documented.)187thr_dtaacs_both acs_trc clntrial cond hms m mi noami1 palcare thromdt thromtme ththdate ththgvn ththtimethrombolysis date/time{space 1}{txt}{sf}{ul off} thrombolysis date/time{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res} 1,110{space 1} {space 1} 1.3{space 1} {space 1} 1.3{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 1,194{space 1} {space 1} 1.4{space 1} {space 1} 2.8{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res} 2{space 1} {space 1} 0.0{space 1} {space 1} 2.8{space 1} {break}{space 1}{txt} miss->noami1 noami2{space 1}{space 1}.n{space 1}{txt:{c |}}{space 1}{res} 1,358{space 1} {space 1} 1.6{space 1} {space 1} 4.4{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}67,068{space 1} {space 1} 80.7{space 1} {space 1} 85.2{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res}11,527{space 1} {space 1} 13.9{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) cond hms mi ththdate ththtime, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) cond hms mi ththdate ththtime, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ththtime 101 QUESTION}{p_end}{p2col:}Enter the time primary fibrinolytic therapy was initiated during this hospital stay.{p_end}{p2col:}{res:ththtime 101 DEFINITION}{p_end}{p2col:}If fibrinolytic therapy was initiated in the ambulance and was infusing at the time of arrival, use the hospital arrival time. Do not use order sheets for this data element. {p_end}{p2col:}If there are two or more different fibrinolytic administration times (either different fibrinolytic episodes or corresponding with the same episode), enter the earliest time the fibrinolytic agent was initiated.{p_end}{p2col:}Time must be in Universal Military Time{p_end}{p2col:}If the time is in the a.m., conversion is not required.{p_end}{p2col:}If the time is in the p.m., add 12 to the clock time hour.{p_end}{p2col:}Exclude fibrinolytics given during or after a PCI.{p_end}{p2col:}If the time primary fibrinolytic therapy was initiated is unable to be determined from medical record documentation, enter 99:99.{p_end}{p2col:}If the time documented in the medical record is obviously in error (not valid, e.g. 33:00) and no other documentation is found, enter 99/99/9999.188thrdate'acs_trc clntrial dthrom palcare thromtx#thrombolysis date (trc has no time)Z{space 1}{txt}{sf}{ul off}thrombolysis date (trc has no time){space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 33:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res} 319{space 1} {space 1} 0.4{space 1} {space 1} 0.4{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 7,915{space 1} {space 1} 9.5{space 1} {space 1} 9.9{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res}46,797{space 1} {space 1} 56.3{space 1} {space 1} 66.3{space 1} {break}{space 1}{txt} miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}27,228{space 1} {space 1} 32.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 33:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) dthrom, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) dthrom, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:dthrom 101 QUESTION}{p_end}{p2col:}Enter the date primary fibrinolytic therapy was received during this episode of care.{p_end}{p2col:}{res:dthrom 101 DEFINITION}{p_end}{p2col:}Check emergency department notes, medication administration record, progress notes, nurses notes for specific date fibrinolytic therapy was given. {p_end}{p2col:}The question is applicable to primary fibrinolytic therapy given at the community hospital or at this VAMC.{p_end}{p2col:}If there were two different fibrinolytic administration episodes, enter the date (and time) the earliest fibrinolytic was initiated.{p_end}{p2col:}Enter exact date. Month = 01 or day = 01 is not acceptable.{p_end}{p2col:}Parameters allow for date prior to arrival date at this VAMC.189asa1conQacs_arr acs_both acs_inpt acs_trc asa24 asanone asanone1 clntrial ipasa24 palcareaspirin w/in 24 contra{space 1}{txt}{sf}{ul off} aspirin w/in 24 contra{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 22:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no reason{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}56,285{space 1} {space 1} 67.8{space 1} {space 1} 67.8{space 1} {break}{space 1}{txt} allergy{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 950{space 1} {space 1} 1.1{space 1} {space 1} 68.9{space 1} {break}{space 1}{txt} active bleeding{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 1,162{space 1} {space 1} 1.4{space 1} {space 1} 70.3{space 1} {break}{space 1}{txt}on Warfarin/Coumadin{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 1,298{space 1} {space 1} 1.6{space 1} {space 1} 71.9{space 1} {break}{space 1}{txt} other per MD/NP/PA{space 1}{space 1}97{space 1}{txt:{c |}}{space 1}{res} 3,122{space 1} {space 1} 3.8{space 1} {space 1} 75.6{space 1} {break}{space 1}{txt} patient refusal{space 1}{space 1}98{space 1}{txt:{c |}}{space 1}{res} 87{space 1} {space 1} 0.1{space 1} {space 1} 75.7{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 78.1{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 81.2{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 6,702{space 1} {space 1} 8.1{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 22:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} , {stata docs @eprp (*) acs_inpt asa24 asanone asanone1 ipasa24, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt asa24 asanone asanone1 ipasa24, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:asanone1 101 QUESTION}{p_end}{p2col:}Does the record document any of the following reasons for not administering aspirin on arrival?{p_end}{p2col:}1. Aspirin allergy{p_end}{p2col:}3. Warfarin/Coumadin as pre-arrival medication{p_end}{p2col:}95. Not applicable{p_end}{p2col:}97. Other reason documented by a physician/APN/ PA or pharmacist{p_end}{p2col:}98. Patient refusal of aspirin documented by physician/APN/PA or pharmacist{p_end}{p2col:}99. No documented reason{p_end}{p2col:}{res:asanone1 101 DEFINITION}{p_end}{p2col:}1. Aspirin "allergy" or "sensitivity" documented at anytime during the hospital stay counts as an allergy regardless of what type of reaction might be noted (e.g. "Allergies: ASA - Upsets stomach" - select "1.") {p_end}{p2col:}3. Warfarin/Coumadin as pre-arrival medication = refer to patient's medication regimen just prior to acute care treatment. Include warfarin/Coumadin the patient was on at home, the nursing home, a transferring psychiatric hospital, etc. {p_end}{p2col:}97. "Other reason" documented by a physician/APN/PA or pharmacist must explicitly link the noted reason with non-prescription of aspirin. If the patient is taking clopidogrel (Plavix) or ticlopidine hydrochloride (Ticlid), clinician documentation must specify the use of this drug is the reason aspirin was not given.{p_end}{p2col:}Physician/APN/PA or pharmacist documentation of a hold on aspirin or discontinuation of aspirin within the first 24 hours after ACS event constitutes a "clearly implied" reason for no aspirin within first 24 hours of evolving ACS. EXCEPTIONS: Physician/APN/PA or pharmacist documentation of a one time hold, dose adjustment, switch to a different aspirin medication, or conditional hold/discontinuation ("Hold ASA if fecal occult blood test is positive") should not be considered as a reason for not prescribing aspirin. Documentation must be clear that the given reason for not prescribing aspirin applies to the first 24-hour time period following onset of evolving ACS.{p_end}{p2col:}If there is documentation of a plan to initiate/restart aspirin and the reason/problem underlying the delay in starting/restarting aspirin is also noted, this constitutes a clearly implied reason for not prescribing aspirin within 24 hours following onset of evolving ACS. For example, "Stool positive for occult blood. Start aspirin in morning."{p_end}{p2col:}98. Documentation by a physician/APN/PA or pharmacist that the patient refused aspirin or refused all medications is acceptable.190asa1yesHacs_arr acs_both acs_inpt acs_trc asa24 asanone clntrial ipasa24 palcareaspirin w/in 244{space 1}{txt}{sf}{ul off} aspirin w/in 24{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res} 7,533{space 1} {space 1} 9.1{space 1} {space 1} 9.1{space 1} {break}{space 1}{txt} yes{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}59,771{space 1} {space 1} 72.0{space 1} {space 1} 81.0{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 83.4{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 86.5{space 1} {break}{space 1}{txt}miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 2,302{space 1} {space 1} 2.8{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 19:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt asa24 ipasa24, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt asa24 ipasa24, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:ipasa24 101 QUESTION}{p_end}{p2col:}Did the patient receive aspirin within 24 hours before or 24 hours after onset of the evolving ACS?{p_end}{p2col:}1. yes{p_end}{p2col:}2. no{p_end}{p2col:}{res:ipasa24 101 DEFINITION}{p_end}{p2col:}2 = patient did not receive aspirin within the time period or unable to determine from medical record documentation {p_end}{p2col:}If ASA was given at another level of care at this VAMC, answer "1." If the patient took ASA prior to hospital arrival, and the ACS occurred within the 24-hour time period, answer "1."{p_end}{p2col:}Documentation must indicate the patient actually received aspirin within the 24-hour time frame.191asa1_dtvacs_arr acs_both acs_inpt acs_trc asa24 asanone aspdate aspdate1 asptime asptime1 clntrial cond hms ipasa24 mi palcaredate/time of aspirin w/in 24{space 1}{txt}{sf}{ul off}date/time of aspirin w/in 24{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 26:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}59,771{space 1} {space 1} 72.0{space 1} {space 1} 72.0{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 74.3{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 77.4{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 9,835{space 1} {space 1} 11.8{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 26:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} ;{stata docs @eprp (*) acs_inpt aspdate aspdate1 asptime asptime1 cond hms mi, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt aspdate aspdate1 asptime asptime1 cond hms mi, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:asptime1 101 QUESTION}{p_end}{p2col:}Enter the time the patient received aspirin{p_end}{p2col:}{res:asptime1 101 DEFINITION}{p_end}{p2col:}If the patient did not receive aspirin within 24 hours following the ACS event, and whether the patient took aspirin within a 24 hour period prior to the event cannot be known, (Example: "patient's wife thinks he took aspirin during the night before he came to the hospital"), do not guess. Answer 2 to "asa24."192bb1conTacs_arr acs_both acs_inpt acs_trc beta24 betanon1 betanone clntrial ipbeta24 palcarebeta-blocker w/in 24 contra {space 1}{txt}{sf}{ul off} beta-blocker w/in 24 contra{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 32:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no reason{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}51,887{space 1} {space 1} 62.5{space 1} {space 1} 62.5{space 1} {break}{space 1}{txt} allergy{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 264{space 1} {space 1} 0.3{space 1} {space 1} 62.8{space 1} {break}{space 1}{txt} low heart rate{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 3,503{space 1} {space 1} 4.2{space 1} {space 1} 67.0{space 1} {break}{space 1}{txt}2nd/3rd deg heart block, no PM{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 164{space 1} {space 1} 0.2{space 1} {space 1} 67.2{space 1} {break}{space 1}{txt} systolic<90{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 974{space 1} {space 1} 1.2{space 1} {space 1} 68.4{space 1} {break}{space 1}{txt} heart failure w/in 24{space 1}{space 1} 7{space 1}{txt:{c |}}{space 1}{res} 612{space 1} {space 1} 0.7{space 1} {space 1} 69.1{space 1} {break}{space 1}{txt} shock w/in 24{space 1}{space 1} 8{space 1}{txt:{c |}}{space 1}{res} 370{space 1} {space 1} 0.4{space 1} {space 1} 69.6{space 1} {break}{space 1}{txt} heart transplant{space 1}{space 1} 9{space 1}{txt:{c |}}{space 1}{res} 29{space 1} {space 1} 0.0{space 1} {space 1} 69.6{space 1} {break}{space 1}{txt} severe heart failure{space 1}{space 1}10{space 1}{txt:{c |}}{space 1}{res} 84{space 1} {space 1} 0.1{space 1} {space 1} 69.7{space 1} {break}{space 1}{txt} other per MD, NP, PA{space 1}{space 1}97{space 1}{txt:{c |}}{space 1}{res} 5,774{space 1} {space 1} 7.0{space 1} {space 1} 76.6{space 1} {break}{space 1}{txt} pt refusal{space 1}{space 1}98{space 1}{txt:{c |}}{space 1}{res} 71{space 1} {space 1} 0.1{space 1} {space 1} 76.7{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 79.1{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 82.2{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 5,874{space 1} {space 1} 7.1{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 32:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} >{stata docs @eprp (*) acs_inpt beta24 betanon1 betanone ipbeta24, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt beta24 betanon1 betanone ipbeta24, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:betanon1 101 QUESTION}{p_end}{p2col:}Does the record document any of the following reasons for not prescribing a beta-blocker after onset of evolving ACS?{p_end}{p2col:}1. Beta-blocker allergy{p_end}{p2col:}2. Bradycardia (heart rate less than 60 bpm) while not on a beta blocker{p_end}{p2col:}3. Second or third degree heart block on ECG and does not have a pacemaker{p_end}{p2col:}7. Heart failure on admission or within 24 hours after event{p_end}{p2col:}8. Shock on admission or within 24 hours after event{p_end}{p2col:}9. Post-heart transplant patient{p_end}{p2col:}10. Documentation of severely decompensated{p_end}{p2col:}heart failure{p_end}{p2col:}95. Not applicable{p_end}{p2col:}97. Other reasons documented by a physician/APN/PA or pharmacist for not prescribing a beta blocker{p_end}{p2col:}98. Patient refusal of beta-blockers documented by physician/APN/PA or pharmacist{p_end}{p2col:}99. No documented reason{p_end}{p2col:}{res:betanon1 101 DEFINITION}{p_end}{p2col:}Beta-blocker allergy = Where there is documentation of a beta-blocker "allergy" or "sensitivity", regard this as documentation of a beta-blocker allergy regardless of what type of reaction might be noted. Documentation of an allergy/sensitivity to one particular beta-blocker is acceptable to take as an allergy to the entire class of beta-blockers (e.g., "allergic to Lopressor"). {p_end}{p2col:}Bradycardia = must be substantiated by documentation of a heart rate of less than 60 beats per minute at onset of ACS event or within 24 hours of onset of evolving ACS event. {p_end}{p2col:}Second or third degree heart block = when determining whether there is second or third degree heart block on ECG at onset of ACS event or within 24 hours of onset of evolving ACS event and does not have a pacemaker:{p_end}{p2col:}o- Consider this true if there are findings of second or third degree heart block on the ECG and this same ECG does not show pacemaker findings OR documentation of a finding of second or third-degree heart block without mention of pacemaker findings (e.g., "second-degree heart block" per ED report).{p_end}{p2col:}o- Disregard pacemaker findings if documentation suggests the patient had a non-functioning pacemaker.{p_end}{p2col:}o- Heart block or pacemaker findings do not have to be taken from ECG interpretations. Any notation of second or third degree heart block or pacemaker findings on an ECG report or other source is acceptable with or without MD/NP/PA signature. Do not include second or third degree heart block described using one of the following qualifiers: cannot exclude, cannot rule out, may have, may have had, may indicate, possible, suggestive of, suspect, or suspicious.{p_end}{p2col:}Heart failure = must be documented by a physician/APN/PA. Do not use chest x-ray reports unless physician/APN/PA references chest x-ray findings substantiating heart failure. {p_end}{p2col:}Shock = must be documented by a physician/APN/PA{p_end}{p2col:}Other reasons = Physician/APN/PA or pharmacist documentation must explicitly link the noted reason with non-prescription of a beta-blocker{p_end}{p2col:}For example: COPD listed as a diagnosis is not a specific contraindication to beta-blocker therapy. There must be clinician documentation that beta-blockers have not been prescribed for this patient due to his/her COPD or asthma.{p_end}{p2col:}Reasons for Not Prescribing Beta-Blocker cont'd:{p_end}{p2col:}Clinician documentation of a hold or discontinuation of a beta- blocker at onset of ACS event or within the first 24 hours following onset of evolving ACS constitutes a "clearly implied" reason for no beta-blocker within first 24 hours of evolving ACS. EXCEPTIONS: Clinician documentation of a temporary hold (one time, preop), dose adjustment, switch to a different beta-blocker, or conditional hold/discontinuation ("Hold metoprolol if pulse less than 60") should not be considered as contraindications. Documentation must be clear that the given reason for not prescribing a beta-blocker applies to the first 24 hour period following onset of evolving ACS.{p_end}{p2col:}98 = Documentation by a physician/APN/PA or pharmacist that the patient refused beta-blockers or refused all medications is acceptable. Documentation that the patient refused BP (or cardiac) medications is NOT acceptable.193bb1yesbacs_arr acs_both acs_inpt acs_trc beta24 betanone clntrial docid ipbeta24 palcare specbb1 specbetabeta-blocker w/in 24z{space 1}{txt}{sf}{ul off} beta-blocker w/in 24{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 49:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} none{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}11,803{space 1} {space 1} 14.2{space 1} {space 1} 14.2{space 1} {break}{space 1}{txt} metoprolol succinate (Toprol-XL){space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 6,809{space 1} {space 1} 8.2{space 1} {space 1} 22.4{space 1} {break}{space 1}{txt} metoprolol tartrate{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res}37,812{space 1} {space 1} 45.5{space 1} {space 1} 67.9{space 1} {break}{space 1}{txt} bisoprolol (Zebeta or Ziac){space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 15{space 1} {space 1} 0.0{space 1} {space 1} 68.0{space 1} {break}{space 1}{txt} carvedilol (Coreg){space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 2,123{space 1} {space 1} 2.6{space 1} {space 1} 70.5{space 1} {break}{space 1}{txt} atenolol (Tenoretic or Tenormin){space 1}{space 1} 5{space 1}{txt:{c |}}{space 1}{res} 3,405{space 1} {space 1} 4.1{space 1} {space 1} 74.6{space 1} {break}{space 1}{txt} acebutolol (Sectral){space 1}{space 1} 6{space 1}{txt:{c |}}{space 1}{res} 1{space 1} {space 1} 0.0{space 1} {space 1} 74.6{space 1} {break}{space 1}{txt} sotalol (Betapace){space 1}{space 1} 7{space 1}{txt:{c |}}{space 1}{res} 125{space 1} {space 1} 0.2{space 1} {space 1} 74.8{space 1} {break}{space 1}{txt} betaxolol (Kerlone){space 1}{space 1} 8{space 1}{txt:{c |}}{space 1}{res} 2{space 1} {space 1} 0.0{space 1} {space 1} 74.8{space 1} {break}{space 1}{txt} nadolol (Corgard){space 1}{space 1}10{space 1}{txt:{c |}}{space 1}{res} 7{space 1} {space 1} 0.0{space 1} {space 1} 74.8{space 1} {break}{space 1}{txt} nadolol/bendroflumethiazide (Corzide){space 1}{space 1}11{space 1}{txt:{c |}}{space 1}{res} 1{space 1} {space 1} 0.0{space 1} {space 1} 74.8{space 1} {break}{space 1}{txt} propranolol (Inderal){space 1}{space 1}12{space 1}{txt:{c |}}{space 1}{res} 116{space 1} {space 1} 0.1{space 1} {space 1} 74.9{space 1} {break}{space 1}{txt} propranolol hydrochloride (Inderide){space 1}{space 1}13{space 1}{txt:{c |}}{space 1}{res} 30{space 1} {space 1} 0.0{space 1} {space 1} 74.9{space 1} {break}{space 1}{txt} labetalol (Normodyne or Trandate){space 1}{space 1}14{space 1}{txt:{c |}}{space 1}{res} 578{space 1} {space 1} 0.7{space 1} {space 1} 75.6{space 1} {break}{space 1}{txt} penbutolol sulfate (Levatol){space 1}{space 1}15{space 1}{txt:{c |}}{space 1}{res} 2{space 1} {space 1} 0.0{space 1} {space 1} 75.6{space 1} {break}{space 1}{txt}metoprolol/hydrocholorthiazide (Lopressor HCT ){space 1}{space 1}16{space 1}{txt:{c |}}{space 1}{res} 2,713{space 1} {space 1} 3.3{space 1} {space 1} 78.9{space 1} {break}{space 1}{txt} pindolol (Visken){space 1}{space 1}17{space 1}{txt:{c |}}{space 1}{res} 3{space 1} {space 1} 0.0{space 1} {space 1} 78.9{space 1} {break}{space 1}{txt} timolol (Timolide or Blocadren){space 1}{space 1}18{space 1}{txt:{c |}}{space 1}{res} 6{space 1} {space 1} 0.0{space 1} {space 1} 78.9{space 1} {break}{space 1}{txt} brevibloc (Esmolol){space 1}{space 1}20{space 1}{txt:{c |}}{space 1}{res} 100{space 1} {space 1} 0.1{space 1} {space 1} 79.0{space 1} {break}{space 1}{txt} other{space 1}{space 1}97{space 1}{txt:{c |}}{space 1}{res} 67{space 1} {space 1} 0.1{space 1} {space 1} 79.1{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 81.5{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 84.6{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 3,888{space 1} {space 1} 4.7{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 49:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt beta24 docid ipbeta24 specbb1 specbeta, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt beta24 docid ipbeta24 specbb1 specbeta, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:specbb1 101 QUESTION}{p_end}{p2col:}Designate the beta-blocker the patient received within 24 hours after onset of the evolving ACS:{p_end}{p2col:}1. metoprolol succinate (Toprol-XL){p_end}{p2col:}2. metoprolol tartrate{p_end}{p2col:}3. bisoprolol (Zebeta or Ziac){p_end}{p2col:}4. carvedilol (Coreg){p_end}{p2col:}5. atenolol (Tenoretic or Tenormin){p_end}{p2col:}6. acebutolol (Sectral) {p_end}{p2col:}7. sotalol (Betapace) {p_end}{p2col:}8. betaxolol (Kerlone) {p_end}{p2col:}9. carteolol (Cartrol) {p_end}{p2col:}10. nadolol (Corgard) {p_end}{p2col:}11. nadolol/bendroflumethiazide (Corzide) {p_end}{p2col:}12. propranolol (Inderal) {p_end}{p2col:}13. propranolol hydrochloride (Inderide) {p_end}{p2col:}14. labetalol (Normodyne or Trandate) {p_end}{p2col:}15. penbutolol sulfate (Levatol) {p_end}{p2col:}16. metoprolol/hydrochlorothiazide (Lopressor HCT ) {p_end}{p2col:}17. pindolol (Visken) {p_end}{p2col:}18. timolol (Timolide or Blocadren) {p_end}{p2col:}19. timolol/hydrochlorothiazide{p_end}{p2col:}20. brevibloc (Esmolol){p_end}{p2col:}21. other{p_end}{p2col:}95. not applicable{p_end}{p2col:}{res:specbb1 101 DEFINITION}{p_end}{p2col:}Beta-blocker generic names are not capitalized. Brand names are capitalized.{p_end}{p2col:}Enter the number corresponding to the generic name documented in the medical record.{p_end}{p2col:}Question is applicable to the beta blocker administered to the patient within 24 hours after onset of the evolving ACS.{p_end}{p2col:}Beta-blocker the patient may have been taking prior to arrival at the hospital is not applicable to this question.{p_end}{p2col:}Source: medication administered in the ED, admitting note, admission orders, medications given194bb1_dtuacs_arr acs_both acs_inpt acs_trc bbdate bbdate1 bbtime bbtime1 beta24 betanone clntrial cond hms ipbeta24 mi palcare!date/time of beta-blocker w/in 24{space 1}{txt}{sf}{ul off}date/time of beta-blocker w/in 24{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 31:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}53,915{space 1} {space 1} 64.9{space 1} {space 1} 64.9{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 67.3{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 70.4{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}15,691{space 1} {space 1} 18.9{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 31:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt bbdate bbdate1 bbtime bbtime1 cond hms mi, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt bbdate bbdate1 bbtime bbtime1 cond hms mi, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:bbtime1 101 QUESTION}{p_end}{p2col:}Enter the time the patient received a beta-blocker{p_end}{p2col:}{res:bbtime1 101 DEFINITION}{p_end}{p2col:}To convert from am/pm time to military, add 12 to 1:00 pm and after. To convert from military to am/pm, subtract 12 after 1:00 p.m., i.e., 1842 hrs = 6:42 p.m.195plat1conVacs_arr acs_both acs_inpt acs_trc clntrial palcare platagg platagg1 platcont platcont1!platelet inhibitor w/in 24 contraJ{space 1}{txt}{sf}{ul off}platelet inhibitor w/in 24 contra{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 31:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} no reason{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}53,913{space 1} {space 1} 64.9{space 1} {space 1} 64.9{space 1} {break}{space 1}{txt} documented contra{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 5,256{space 1} {space 1} 6.3{space 1} {space 1} 71.2{space 1} {break}{space 1}{txt} pt refusal{space 1}{space 1}98{space 1}{txt:{c |}}{space 1}{res} 97{space 1} {space 1} 0.1{space 1} {space 1} 71.4{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 73.7{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 76.8{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}10,340{space 1} {space 1} 12.4{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 31:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt platagg platagg1 platcont platcont1, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt platagg platagg1 platcont platcont1, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:platcont1 101 QUESTION}{p_end}{p2col:}Is there physician/APN/PA or pharmacist documentation of a reason that a platelet aggregation inhibitor was not administered on arrival?{p_end}{p2col:}1. Yes{p_end}{p2col:}2. No{p_end}{p2col:}95. Not applicable{p_end}{p2col:}98. Patient refusal of platelet aggregation inhibitor documented by physician/APN/PA or pharmacist{p_end}{p2col:}{res:platcont1 101 DEFINITION}{p_end}{p2col:}There must be physician/APN/PA or pharmacist documentation of the reason a platelet aggregation inhibitor was not administered. Potential adverse effects of platelet aggregation inhibitors: nephrotic syndrome, hyponatremia, blood cell disorders, TTP (thrombotic thrombocytopenic purpura). The abstractor may not infer that a platelet aggregation inhibitor was not administered because one of these factors was present.196plat1yesIacs_arr acs_both acs_inpt acs_trc clntrial docid palcare platagg platagg1platelet inhibitor w/in 24{space 1}{txt}{sf}{ul off} platelet inhibitor w/in 24{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} none{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}15,604{space 1} {space 1} 18.8{space 1} {space 1} 18.8{space 1} {break}{space 1}{txt} clopidogrel{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}24,225{space 1} {space 1} 29.2{space 1} {space 1} 48.0{space 1} {break}{space 1}{txt} ticlopidine{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 87{space 1} {space 1} 0.1{space 1} {space 1} 48.1{space 1} {break}{space 1}{txt} dipyridamole{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 22{space 1} {space 1} 0.0{space 1} {space 1} 48.1{space 1} {break}{space 1}{txt} dipyridamole + aspirin{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 118{space 1} {space 1} 0.1{space 1} {space 1} 48.2{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 50.6{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 53.7{space 1} {break}{space 1}{txt}miss/not found by abstractor{space 1}{space 1}.m{space 1}{txt:{c |}}{space 1}{res}29,550{space 1} {space 1} 35.6{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 30:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt docid platagg platagg1, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt docid platagg platagg1, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:platagg1 101 QUESTION}{p_end}{p2col:}Did the patient receive a platelet aggregation inhibitor within the first 24 hours after onset of the evolving ACS? {p_end}{p2col:}1. clopidogrel (Plavix){p_end}{p2col:}2. ticlopidine (Ticlid){p_end}{p2col:}3. dipyridamole (Persantine){p_end}{p2col:}4. dipyridamole and aspirin (Aggrenox){p_end}{p2col:}99. not documented/unable to determine{p_end}{p2col:}{res:platagg1 101 DEFINITION}{p_end}{p2col:}Clopidogrel and ticlopidine are inhibitors of platelet aggregation. A variety of drugs that inhibit platelet function have been shown to decrease morbid events in patients with established athererosclerotic cardiovascular disease as evidenced by stroke, TIA, and AMI. Patients who have a true allergy to aspirin and no contraindication to antiplatelet therapy may be given clopidogrel, ticlopidine, or dypyridamole.197plat1_dtsacs_arr acs_both acs_inpt acs_trc clntrial cond hms mi palcare platagg platagg1 platdate platdate1 platime platime1'date/time of platelet inhibitor w/in 24&{space 1}{txt}{sf}{ul off}date/time of platelet inhibitor w/in 24{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 37:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}24,452{space 1} {space 1} 29.4{space 1} {space 1} 29.4{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 31.8{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 34.9{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}45,154{space 1} {space 1} 54.4{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 37:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt cond hms mi platdate platdate1 platime platime1, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt cond hms mi platdate platdate1 platime platime1, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:platime1 101 QUESTION}{p_end}{p2col:}Enter the time the patient received the platelet aggregation inhibitor.{p_end}{p2col:}{res:platime1 101 DEFINITION}{p_end}{p2col:}Enter the time of administration during the first 24 hours after onset of the evolving ACS, using military time.{p_end}{p2col:}Will auto-fill as 99:99 if PLATAGG = 98 or 99. Abstractor cannot enter default time 99:99 if PLATAGG = <> 98 or 99.198hep1conXacs_arr acs_both acs_inpt acs_trc clntrial docid hepin24 iphep24 nohep1 noheprin palcareheparin w/in 24 contra<{space 1}{txt}{sf}{ul off} heparin w/in 24 contra{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 71:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} none{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}36,929{space 1} {space 1} 44.5{space 1} {space 1} 44.5{space 1} {break}{space 1}{txt} active or recent bleeding{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 1,875{space 1} {space 1} 2.3{space 1} {space 1} 46.7{space 1} {break}{space 1}{txt} allergy, intolerance, or hypersensitivity to heparin{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 333{space 1} {space 1} 0.4{space 1} {space 1} 47.1{space 1} {break}{space 1}{txt} Platelet count < 100,000/mm3{space 1}{space 1} 3{space 1}{txt:{c |}}{space 1}{res} 72{space 1} {space 1} 0.1{space 1} {space 1} 47.2{space 1} {break}{space 1}{txt} ulcer or serious GI/GU bleeding{space 1}{space 1} 4{space 1}{txt:{c |}}{space 1}{res} 124{space 1} {space 1} 0.1{space 1} {space 1} 47.4{space 1} {break}{space 1}{txt} history of thrombocytopenia{space 1}{space 1} 5{space 1}{txt:{c |}}{space 1}{res} 113{space 1} {space 1} 0.1{space 1} {space 1} 47.5{space 1} {break}{space 1}{txt} decision not to treat{space 1}{space 1} 6{space 1}{txt:{c |}}{space 1}{res} 95{space 1} {space 1} 0.1{space 1} {space 1} 47.6{space 1} {break}{space 1}{txt} Do Not Resuscitate status{space 1}{space 1} 7{space 1}{txt:{c |}}{space 1}{res} 377{space 1} {space 1} 0.5{space 1} {space 1} 48.1{space 1} {break}{space 1}{txt}Patient in a clinical trial testing anticoagulants other than heparin{space 1}{space 1} 8{space 1}{txt:{c |}}{space 1}{res} 22{space 1} {space 1} 0.0{space 1} {space 1} 48.1{space 1} {break}{space 1}{txt} other reasons documented by MD, NP, or PA{space 1}{space 1}97{space 1}{txt:{c |}}{space 1}{res} 2,730{space 1} {space 1} 3.3{space 1} {space 1} 51.4{space 1} {break}{space 1}{txt} pt refusal{space 1}{space 1}98{space 1}{txt:{c |}}{space 1}{res} 137{space 1} {space 1} 0.2{space 1} {space 1} 51.5{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 53.9{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 1,374{space 1} {space 1} 1.7{space 1} {space 1} 55.6{space 1} {break}{space 1}{txt} miss/hole in data{space 1}{space 1}.h{space 1}{txt:{c |}}{space 1}{res}18,797{space 1} {space 1} 22.6{space 1} {space 1} 78.2{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}11,047{space 1} {space 1} 13.3{space 1} {space 1} 91.5{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 6,262{space 1} {space 1} 7.5{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 71:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} x{stata docs @eprp (*) acs_inpt docid hepin24 iphep24 nohep1 noheprin, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt docid hepin24 iphep24 nohep1 noheprin, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:nohep1 101 QUESTION}{p_end}{p2col:}Does the record document any of the following reasons for not prescribing heparin?{p_end}{p2col:}1. active or recent bleeding{p_end}{p2col:}2. allergy, intolerance, or hypersensitivity to heparin{p_end}{p2col:}3. Platelet count < 100,000/mm3{p_end}{p2col:}4. ulcer or serious GI/GU bleeding{p_end}{p2col:}5. history of thrombocytopenia{p_end}{p2col:}6. decision not to treat{p_end}{p2col:}7. Do Not Resuscitate status{p_end}{p2col:}8. Patient in a clinical trial testing anticoagulants other than heparin{p_end}{p2col:}95. Not applicable{p_end}{p2col:}97. other reason documented by a physician/APN/ PA or pharmacist {p_end}{p2col:}98. Patient refusal of heparin documented by physician/APN/PA or pharmacist{p_end}{p2col:}99. No documented reason{p_end}{p2col:}{res:nohep1 101 DEFINITION}{p_end}{p2col:}Abstractor may accept the following without specific physician/APN/PA or pharmacist documentation:{p_end}{p2col:}o- allergy to heparin clearly noted in the record as patient drug allergy or intolerance{p_end}{p2col:}o- current diagnosis or history of thrombocytopenia, documented in the record or on a problem list{p_end}{p2col:}o- platelet count, as specified, on admission or at the time of onset of ACS if veteran was already an inpatient{p_end}{p2col:}o- DNR status in physician orders for this episode of care{p_end}{p2col:}o- Notation in record that patient is in an anticoagulant clinical trial{p_end}{p2col:}The severity of active or recent bleeding, ulcer or serious GI/GU bleeding, decision not to treat, or "other" must be documented by a physician/APN/PA or pharmacist and linked to the non-prescription of heparin. The abstractor may not use his/her judgment in determining whether the severity of a bleed, co-morbid illness, etc. precludes use of heparin.199hep1yesBacs_arr acs_both acs_inpt acs_trc clntrial hepin24 iphep24 palcareheparin w/in 24"{space 1}{txt}{sf}{ul off} heparin w/in 24{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 17:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} none{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res}17,620{space 1} {space 1} 21.2{space 1} {space 1} 21.2{space 1} {break}{space 1}{txt}nonfractionated{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}31,259{space 1} {space 1} 37.6{space 1} {space 1} 58.8{space 1} {break}{space 1}{txt} low MW{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res}20,727{space 1} {space 1} 25.0{space 1} {space 1} 83.8{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 86.2{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 17:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt hepin24 iphep24, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt hepin24 iphep24, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:iphep24 101 QUESTION}{p_end}{p2col:}Did the patient receive heparin within 24 hours after onset of evolving ACS?{p_end}{p2col:}1. received nonfractionated heparin{p_end}{p2col:}2. received low molecular weight heparin{p_end}{p2col:}99.did not receive heparin within 24 hours{p_end}{p2col:}{res:iphep24 101 DEFINITION}{p_end}{p2col:}Nonfractionated heparin= heparin sodium (Heparin){p_end}{p2col:}Low molecular weight heparin= enoxaparin (Lovenox), dalteparin (Fragmin), tinzaparin (Innohep), nadroparin (Fraxiparine), reviparin (Clivarin), certoparin (Sandoparin), and fondaparinux (Arixtra).{p_end}{p2col:}99 = patient did not receive heparin or did not receive initial dose within the 24 hour period following onset of evolving ACS.200hep1_dtjacs_arr acs_both acs_inpt acs_trc clntrial cond hepdt hepdt1 hepin24 heptme heptme1 hms iphep24 mi palcaredate/time of heparin w/in 24{space 1}{txt}{sf}{ul off}date/time of heparin w/in 24{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 26:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}51,986{space 1} {space 1} 62.6{space 1} {space 1} 62.6{space 1} {break}{space 1}{txt} miss->acs_arr{space 1}{space 1}.a{space 1}{txt:{c |}}{space 1}{res} 1,972{space 1} {space 1} 2.4{space 1} {space 1} 65.0{space 1} {break}{space 1}{txt} miss->acs_both{space 1}{space 1}.b{space 1}{txt:{c |}}{space 1}{res} 2,568{space 1} {space 1} 3.1{space 1} {space 1} 68.1{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res}17,620{space 1} {space 1} 21.2{space 1} {space 1} 89.3{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 8,113{space 1} {space 1} 9.8{space 1} {space 1} 99.0{space 1} {break}{space 1}{txt} miss->excluded{space 1}{space 1}.x{space 1}{txt:{c |}}{space 1}{res} 800{space 1} {space 1} 1.0{space 1} {space 1}100.0{space 1} {break}{txt:{dup 26:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) acs_inpt cond hepdt hepdt1 heptme heptme1 hms mi, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) acs_inpt cond hepdt hepdt1 heptme heptme1 hms mi, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:heptme1 101 QUESTION}{p_end}{p2col:}Enter the time the patient received heparin{p_end}{p2col:}{res:heptme1 101 DEFINITION}{p_end}{p2col:}Enter the time of initial administration during the first 24 hours after hospital arrival or ECG if the veteran was already an inpatient, using military time.201hgbacs_trc hgbdone hgbone1st hemoglobin lab{space 1}{txt}{sf}{ul off} 1st hemoglobin lab{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}17,895{space 1} {space 1} 21.5{space 1} {space 1} 21.5{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 99{space 1} {space 1} 0.1{space 1} {space 1} 21.7{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 832{space 1} {space 1} 1.0{space 1} {space 1} 22.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}64,233{space 1} {space 1} 77.3{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) hgbone, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) hgbone, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:hgbone 52 QUESTION}{p_end}{p2col:}Enter the value of the first hemoglobin obtained following arrival at a VHA acute care hospital, or abnormal ECG if ACS occurred as inpatient.{p_end}{p2col:}{res:hgbone 52 DEFINITION}{p_end}{p2col:}The hemoglobin concentration is a measure of the total amount of hgb in the peripheral blood. Hgb serves as a vehicle for oxygen and carbon dioxide transport{p_end}{p2col:}Normal: Male: 14-18 g/dl or 8.7 -11.2 mmol/L. Female: 12-16 g/dl or 7.4-9.9 mmol/L202hgbunitacs_trc hgbdone hgbunit1st hemoglobin unit0{space 1}{txt}{sf}{ul off} 1st hemoglobin unit{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} g/dl{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res}17,391{space 1} {space 1} 20.9{space 1} {space 1} 20.9{space 1} {break}{space 1}{txt} mmol/L{space 1}{space 1} 2{space 1}{txt:{c |}}{space 1}{res} 504{space 1} {space 1} 0.6{space 1} {space 1} 21.5{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 99{space 1} {space 1} 0.1{space 1} {space 1} 21.7{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 832{space 1} {space 1} 1.0{space 1} {space 1} 22.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}64,233{space 1} {space 1} 77.3{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) hgbunit, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) hgbunit, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:hgbunit 52 QUESTION}{p_end}{p2col:}Enter the unit.{p_end}{p2col:}1. 1. g/dl{p_end}{p2col:}2. 2. mmol/L{p_end}{p2col:}{res:hgbunit 52 DEFINITION}{p_end}{p2col:}Normal: Male: 14-18 g/dl or 8.7 -11.2 mmol/L. Female: 12-16 g/dl or 7.4-9.9 mmol/L203hgboutacs_trc hgbdone hgbref1st hemoglobin outcome{space 1}{txt}{sf}{ul off} 1st hemoglobin outcome{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} below normal{space 1}{space 1}-1{space 1}{txt:{c |}}{space 1}{res} 9,017{space 1} {space 1} 10.9{space 1} {space 1} 10.9{space 1} {break}{space 1}{txt} normal range{space 1}{space 1} 0{space 1}{txt:{c |}}{space 1}{res} 8,492{space 1} {space 1} 10.2{space 1} {space 1} 21.1{space 1} {break}{space 1}{txt} above normal{space 1}{space 1} 1{space 1}{txt:{c |}}{space 1}{res} 386{space 1} {space 1} 0.5{space 1} {space 1} 21.5{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 99{space 1} {space 1} 0.1{space 1} {space 1} 21.7{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 832{space 1} {space 1} 1.0{space 1} {space 1} 22.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}64,233{space 1} {space 1} 77.3{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} i{stata docs @eprp (*) hgbref, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) hgbref, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:hgbref 52 QUESTION}{p_end}{p2col:}Is this hemoglobin value within the laboratory normal reference range?{p_end}{p2col:}1. within normal reference range{p_end}{p2col:}2. lower than the normal reference range{p_end}{p2col:}3. higher than the normal reference range{p_end}{p2col:}{res:hgbref 52 DEFINITION}{p_end}{p2col:}The reference range may vary for each VAMC laboratory, so the question must be answered in accordance with the reference range for the facility in which the abstractor is working. Be certain the reference range is expressed in the same units in which the value was measured.204hgbdateacs_trc hgbdone hgbdtdate of 1st hemoglobin{space 1}{txt}{sf}{ul off} date of 1st hemoglobin{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}17,895{space 1} {space 1} 21.5{space 1} {space 1} 21.5{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 99{space 1} {space 1} 0.1{space 1} {space 1} 21.7{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 832{space 1} {space 1} 1.0{space 1} {space 1} 22.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}64,233{space 1} {space 1} 77.3{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) hgbdt, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) hgbdt, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:hgbdt 52 QUESTION}{p_end}{p2col:}Enter the date this hemoglobin was obtained.{p_end}{p2col:}{res:hgbdt 52 DEFINITION}{p_end}{p2col:}Enter the date the blood sample was drawn. Enter the exact date. The use of 01 to indicate unknown month or day is not acceptable.205plcacs_trc platdone platone1st platelet count{space 1}{txt}{sf}{ul off} 1st platelet count{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} Not missing{space 1}{space 1} -{space 1}{txt:{c |}}{space 1}{res}17,875{space 1} {space 1} 21.5{space 1} {space 1} 21.5{space 1} {break}{space 1}{txt} miss/prerequisite{space 1}{space 1}.p{space 1}{txt:{c |}}{space 1}{res} 119{space 1} {space 1} 0.1{space 1} {space 1} 21.7{space 1} {break}{space 1}{txt} miss->acs_trc{space 1}{space 1}.t{space 1}{txt:{c |}}{space 1}{res} 832{space 1} {space 1} 1.0{space 1} {space 1} 22.7{space 1} {break}{space 1}{txt}miss->docid (when abst'd){space 1}{space 1}.w{space 1}{txt:{c |}}{space 1}{res}64,233{space 1} {space 1} 77.3{space 1} {space 1}100.0{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1}{txt} Total{space 1}{txt:{c |}}{space 1}{res}83,059{space 1} {space 1} 100.0{space 1} {space 1} {space 1} {break}{txt} {stata docs @eprp (*) platone, c nomem:Source fields over time (click)}{p_end}{p2col:}{stata docs @eprp (*) platone, s nomem:Skip conditions over time (click)}{p_end}{p2col:}Below is an {err:INSTANCE} of the abstraction instructions from {err:ONE} recent quarter.{p_end}{p2col:}{res:platone 52 QUESTION}{p_end}{p2col:}Enter the first platelet count obtained following arrival at a VHA acute care hospital, or abnormal ECG if ACS occurred as inpatient.{p_end}{p2col:}{res:platone 52 DEFINITION}{p_end}{p2col:}The platelet count is an actual count of the number of platelets (thrombocytes) per cubic milliliter of blood. Normal values for adults/elderly: 150,000-400,000/mm^3206plcoutacs_trc platdone platlab1st platelet count outcome{space 1}{txt}{sf}{ul off} 1st platelet count outcome{space 1}{txt:{c |}}{space 1} Freq{space 1} {space 1}Percent{space 1} {space 1}Cum %{space 1} {break}{txt:{dup 27:{c -}}{dup 4:{c -}}{c +}{dup 8:{c -}}{c -}{dup 9:{c -}}{c -}{dup 7:{c -}} }{break}{space 1} below normal{space 1}{space 1}-1{space 1}{txt:{c |}}{space 1}{res} 1,916{space 1} {space 1} 2.3{space 1} {space 1} 2.3{s