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Remove all [bracketed] and/or red text before publishing! And also the purple note panels!
[Bracketed] text should be replaced with actual content.
Red text is instructional.
Header Case
Title of page and response option headers should be sentence case (to match how they display in the online system).
Other headers in page that aren’t response options should be title case (Description, On-Screen Instructions, etc.).
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Labels
Use form_field and any relevant segment labels (asc, hospital, nursingfacility, pharmacy)
Use the relevant section label (e.g., surgical_event, event_information)
Note: event-specific fields should be tagged with the associated event type (e.g., surgical_event, fall_event) and NOT with overarching header “event_information”)
Use required if the field is required to submit for all reports.
For example, “it is required if it appears” should not be labeled “required.”
Use essential if the field is a top priority for transferring the data dictionary.
Note: if the field is required, it will already be considered “essential” and doesn’t need a second label.
All “essential” labels will need to be removed before the data dictionary goes live.
Description
[Brief description of what this field is collecting]
On-Screen Instructions
[Prompt text as it appears in the user interface.]
Prompt Text
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Description
Determination if documentation of an independent double-check for the blood product involved was done.
On-Screen Instructions
Please only include independent double-checks that were documented, performed by two providers or staff immediately before administration of the blood or blood product, and included verification of the patient’s identity, type of product, and expiration date of the product.
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Field Type
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Field Type
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Use standard language below and delete the others. Use include page macro where possible (see examples, below).
Checkbox (multiselect)
Date (mm/dd/yyyy)
Number (minimum value: x; maximum value: x) [Delete min &/or max values if irrelevant]
Text (maximum length: x) [Delete maximum length if irrelevant]
Time (hh:mm)
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Responses
OPTION ONE: Answer options with content (definition and/or inclusions, exclusions)
Add an anchor in front of the H1 “Responses” heading and name the anchor “Top.”
Include a table of contents, which should be limited to the answer option headers and displayed as a list.
Add a dividing line macro below the table of contents.
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Answer Option Anchors and Headings
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Definition
Copy/paste the “description” text from the data dictionary.
Includes
Excludes
Inclusions and Exclusions
Add a page layout of two equal columns below the definition. Inclusions go in the left column, exclusions in the right.
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Event-Type Specific Questions
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Additional Support
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Event-Type Specific Questions
If the answer option triggers additional question, add a content by label macro to display all pages that share the form_field label plus the relevant answer option label, possibly plus the relevant segment label, depending on the situation. The macro goes in a single cell table with a light gray fill. The title above the macro should just be table text, bold (no header level), that reads: Event-Type Specific Questions.
Additional Support
If the answer option is associated with an “faq” item, add a second row to the table and paste in a content by label macro to display all pages that share the faq label plus the relevant answer option label, possibly plus the relevant segment label, depending on the situation. Macro should have title “Additional Support” in the table cell, above it, as with the “Event specific questions” macro.
Return to Top Links
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Dividing Line
Add a dividing line after the “return to top” link and before the next answer option, or the next section (probably “Guide for Use”).
OPTION TWO: Answer options without content
Just list the available answer options without the answerID and answerCode.
[Answer option 1]
[Answer option 2]
[Answer option 3]
Guide for Use
[If there is a adequate information about each answer option, this section may not be necessary. But if there is guidance that isn’t about the specific responses, then this is where you would put it, including instructions for how to use this field. If there is no guidance, you can use the “No additional guidance” excerpt: ]
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In Option 2, this is where one would put an “Additional Support” or “Event-type Specific Questions” Content by Label macro in a single-cell table with light gray fill.
If the page should include “additional support” content that is is only relevant to this one question, move the content into the guide for use. If there are multiple pages for the question because of differences between segments, leave the content in a separate page and use the “include page” macro to include it (so we only have to edit in one place but it will still appear in multiple places).
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Additional Support
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Yes
No
Unknown
Guide for Use
In order to meet AHRQ Common Formats specifications for a “two-person three-way check procedure,” the independent double-check must be specified in writing by the facility and must include, at a minimum, the following elements:
A. The check must be performed by two persons, either jointly or one right after the other, immediately before the blood product is administered to the patient. Each of the two must be either a healthcare professional or healthcare worker and be employed by, or on the staff of, the facility. Each must be familiar with the elements of the two-person three-way procedure.
B. The information checked must include 1) The patient's identity, including full name, sex, date of birth and medical record number; 2) the type of product ordered and the blood type and cross-match information, if relevant; and 3) the expiration date of the product.
C. The documentation checked for such information must include 1) the patient's identity band, 2) the label on the product, and 3) the requisition tag.
History
Start Date | Spring 2012 |
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End Date | n/a |
Change History | n/a |
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