eCQM Data Element Performance/Reporting Period 2019 Value Set Description from VSAC Clinical Focus: This value set contains concepts that represent follow-up care after discharge or follow-up care planned and scheduled. Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Communication. The intent of this data element is to identify patients who receive instructions for follow up after discharge or have follow-up plans scheduled. Inclusion Criteria: Includes only relevant concepts associated with SNOMED CT codes representing instructions for follow up after discharge or follow-up care planned and scheduled. Exclusion Criteria: Excludes codes that do not meet the inclusion criteria. Constrained to codes in the Communication From Provider To Patient: Instructions for Follow Up After Discharge value set (2.16.840.1.1138188.8.131.52.7.1.378) QDM Datatype and Definition (QDM Version 5.3) Communication From Provider To Patient To meet criteria using this datatype, the communication indicated by the Communication QDM category and its corresponding value set must be communicated from a provider to a patient. Timing: The time the communication occurs, or is sent; Author dateTime. eCQMs using this data element: CMS107v7 - Stroke Education QDM Attributes Author dateTime The time the data element was entered into the clinical software. Note, some datatypes include both Relevant Time and Author dateTime attributes. The purpose is to accommodate Author dateTime if the actual start and stop times are not available when evaluating for feasibility, and also to allow specification of a time for Negation Rationale.