["Medication, Active": "Glucocorticoids (oral only)"]

Performance/Reporting Period

2021

Value Set Description from VSAC

Clinical Focus: This value set contains concepts that represent glucocorticoid medications.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Medication, Active.
Inclusion Criteria: Includes only relevant concepts associated with semantic clinical drugs (concepts associated with component, form and strength); generic; prescribable; cortisone, dexamethasone, hydrocortisone, prednisone, methyprednisone, triamcinolone, betamethasone, dexamethasone, fludrocortisone and triamcinolone. Includes only relevant concepts associated with only glucocorticoids taken orally, i.e., through an tablet, capsule, or oral solution.
Exclusion Criteria: Excludes branded drugs; components or ingredients only; non-prescribable; glucorticoids in combination with other drugs. Excludes all glucocorticoids taken non-orally, i.e., as a nasal inhalant or injectable solution.

Constrained to codes in the Medication, Active: Glucocorticoids (oral only) value set (2.16.840.1.113883.3.464.1003.196.12.1266)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Medication, Active"

Data elements that meet criteria using this datatype should document that the medication indicated by the QDM category and its corresponding value set is being taken by the patient. Keep in mind that when this datatype is used with timing relationships, the criterion is looking for a medication being taken for the time frame indicated by the timing relationships.

A QDM Known Issue has been identified related to this datatype. To see this QDM known Issue, please click here.

Timing:

relevant dateTime references the time the medication is active on the medication record if it was given or taken at a single point in time.
relevantPeriod references a start and stop time for an active medication on the medication record that is given or taken over a time interval:
The relevantPeriod addresses:
- startTime - when the medication is first known to be used (generally the time of entry on the medication list).
- stopTime - when the medication is no longer active.

In the original QDM 5.5 publication, stopTime stated: when the medication is discontinued (generally, the time discontinuation is recorded on the medication list). See Appendix 6.3 for clarification regarding definition of "Medication, Active" relevantPeriod stopTime.

QDM Attributes

dosage

Details of how much medication is taken or is to be taken, i.e., the quantity (mg, cc, tablets) to be taken at a single administration.

frequency

Indicates how frequently the medication or substance:

Is administered to a patient for an active medication (a).
Was administered to the patient (b).
Should be taken by the patient or administered to the patient (c).
Is recommended to be given to the patient (d).

relevantPeriod

Relevant Period addresses the time between the start of an action to the end of an action. Each datatype using relevant period defines specific definitions for the start and stop time for the action listed.

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