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Diagnosis: Intravenous or Intra arterial Thrombolytic (tPA) Therapy Prior to Arrival

eCQM Data Element

Performance/Reporting Period
2021
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent diagnosis codes for intravenous or intra-arterial thrombolytic (t-PA) therapy administered within 24 hours prior to admission.
Data Element Scope: This value set may use Quality Data Model (QDM) category related to Diagnosis. The intent of this data element is to identify administration intravenous or intra-arterial thrombolytic (t-PA) therapy within 24 hours prior to admission.
Inclusion Criteria: Includes only relevant concepts associated with administration of intravenous or intra-arterial thrombolytic (t-PA) therapy of within 24 hours prior to admission.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Intravenous or Intra arterial Thrombolytic (tPA) Therapy Prior to Arrival value set (2.16.840.1.113762.1.4.1110.21)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

Timing: The prevalencePeriod references the time from the onset date to the abatement date.

QDM Attributes

Author dateTime

The time the data element was entered into the clinical software. Note, some datatypes include both relevant dateTime and author dateTime attributes. When both are present, author dateTime is included to accommodate negation rationale.

The author dateTime addresses when an activity is documented. Documentation can occur at the beginning, during, at the end, or subsequent to the end of the activity. The author dateTime should be used only if the relevantPeriod cannot be obtained or to represent the time negation rationale is documented.

Note: negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatype related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod.

Last Updated: Jun 08, 2020