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VTE type


Data Element ID: DE1003
Name: VTE type
Version: Hospital Version 1.2
Data Element ISO Name: VTE-type,CD
Definition: Determination of the type of venous thromboembolism.
Question: Which of the following occurred?
Multiple Choice: Yes
Form Name: Venous Thromboembolism
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Comments: None defined at this time
Description of Change: N/A
Go-To Logic: Refer to Common Formats Flow Charts
Guide For Use: This question and what follows are used to report a deep vein thrombosis (DVT) or a pulmonary embolism (PE) or both that (1) had onset during this stay; (2) was/were present on admission but occurred or developed within 30 days of a prior discharge from this facility; or (3) had onset within 30 days of discharge from this facility.
DVT and PE are two presentations of the same disease: venous thromboembolism (VTE). DVT refers to partial or total thrombotic occlusion of a deep vein of the lower extremity or pelvis (e.g., inferior vena cava, iliac, femoral, popliteal, tibial, gastrocnemial, soleal, or peroneal vein) or a deep vein of the upper extremity or upper thorax (e.g., internal jugular, brachiocephalic, superior vena cava, axillary, brachial, or subclavian). Symptomatic DVT is an objectively confirmed DVT that results in symptoms including pain and/or swelling of the affected limb.
PE refers to a partial or total thromboembolic occlusion of one or more pulmonary arteries that causes symptoms or death. Symptomatic PE is an objectively confirmed PE that results in symptoms or signs such as shortness of breath, pleuritic chest pain, hemoptysis, oxygen desaturation, or death.
"Onset of the VTE incident" refers to the time of the first sign(s) or symptom(s) that leads to the eventual diagnosis and confirmation of the DVT or PE. A VTE that develops between two separate hospital stays at the same facility should only be reported once.
Do not report the following:
-Asymptomatic VTE (i.e., DVT and/or PE identified on screening exam or incidentally);
-VTE occurring in a patient receiving palliative or comfort care;
-Thrombosis involving another venous system such as intracranial veins or sinuses, or splanchnic, portal or renal veins;
-VTE that develops within 48 hours of admission, except if the patient had been discharged from the reporting facility within the prior 30 days;
-VTE in a patient admitted to the hospital with a diagnosis of, or suspected diagnosis of, acute DVT or PE, except if discharged from the reporting facility within 30 days of being readmitted to that same facility;
-VTE in a patient with prior or chronic VTE who has leg swelling and no documentation of acute changes on ultrasound report;
-VTE diagnosed more than 30 days after hospital discharge;
-VTE diagnosed based on any one, or any combination of, (1) clinical criteria, (2) D-dimer test results, or (3) imaging test results that are "inconclusive" or are of "low probability";
-Superficial vein thrombosis and/or phlebitis that does not extend into a deep vein;
-Non-thrombotic emboli (e.g., air, fat, amniotic fluid, or foreign body or material)
Format: N/A
HL7 Data Type: Concept Descriptor (CD)
Data Type: Character
Maximum Length: 5
Answer Code Answer ID Answer Value Code System Code System Name
A2601 a Deep Vein Thrombosis (DVT) 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A2604 b Pulmonary Embolism (PE) 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
Effective Date: 04/03/2012
Until Date: - -
Update Date: - -
Source: Agency for Healthcare Research and Quality
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: - -
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: Amy Helwig, MD, MS
Data Steward: Agency for Healthcare Research and Quality (AHRQ)
References: No specific reference at this time
Rationale for Change: N/A
Administrative Status: Final
Administrative Status Date: 04/03/2012
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