["Medication, Discharge": "Pharmacological Contraindications For Antithrombotic Therapy"]
Data Element Scope: This value set may use Quality Data Model (QDM) category related to represents pharmacological contraindications for antithrombotic therapy.
Inclusion Criteria: This is a grouping value set of RXNORM codes.
Exclusion Criteria: n/a
Constrained to codes in the Medication, Discharge: Pharmacological Contraindications For Antithrombotic Therapy value set (2.16.840.1.113762.1.4.1110.52)
"Medication, Discharge"
Data elements that meet criteria using this datatype should document that the medications indicated by the QDM category and its corresponding value set should be taken by or given to the patient after being discharged from an inpatient encounter.
Note: the QDM "Medication, Discharge" datatype includes the supply attribute since some EHRs populate some medications on the medications discharge list provided to the patient from prescriptions written at discharge. Therefore, such newly prescribed medications may include the supply prescribed. Other medications on the discharge medication list will not have supply information since they represent medications for which the patient already has a supply at home or those the patient may purchase without prescription (i.e., over-the-counter). Thus, measure developers need to address data availability and feasibility when using the supply attribute with "Medication, Discharge".
Timing: The time the discharge medication list on the discharge instruction form is authored.
The "Medication, Discharge" QDM datatype includes two performers or actors - prescriber and recorder. The list of medications a patient should take after hospital discharge may come from two sources. The first source originates from medications ordered from a community pharmacy directly from the clinical software (e.g., eprescribing). That source will include the prescriber. The second method of providing content for the discharge medication list is via entry of medications known to be present in the home or over-the-counter substances, neither of which result in a prescription. The individual entering these latter medications is the recorder. Hence, content in the discharge medication list may include both performers.
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.
authorDateTime
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.