Low Risk Indicator For VTE Union
eCQM Union
Performance/Reporting Period
2021
Data Elements contained within the Union
["Medication, Administered": "Direct Thrombin Inhibitor"]
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent direct thrombin inhibitor medications.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Medication. The intent of this data element is to identify patients who are on a direct thrombin inhibitor.
Inclusion Criteria: Includes only relevant concepts associated with representing direct thrombin inhibitors. These are RxNorm codes.
Exclusion Criteria: No exclusions.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Medication. The intent of this data element is to identify patients who are on a direct thrombin inhibitor.
Inclusion Criteria: Includes only relevant concepts associated with representing direct thrombin inhibitors. These are RxNorm codes.
Exclusion Criteria: No exclusions.
Constrained to codes in the Medication, Administered: Direct Thrombin Inhibitor value set (2.16.840.1.113883.3.117.1.7.1.205)
QDM Datatype and Definition
"Medication, Administered"
Data elements that meet criteria using this datatype should document that the medication indicated by the QDM category and its corresponding value set was actually administered to the patient.
Timing:
- relevant dateTime references the time the medication is administered if it was given or taken at a single point in time.
- relevantPeriod references a start and stop time for medication administration if the administration event occurred over a time interval (e.g., an intravenous infusion). The relevantPeriod addresses:
- startTime - when a single medication administration event starts (e.g., the initiation of an intravenous infusion).
- stopTime - when a single medication administration event ends (e.g., the end time of the intravenous infusion).
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criterion.
Notes:
- Measure developers should address multiple administrations over a period of time using CQL logic.
- 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.
Refer to Special Cases in Appendix A (Section 5.7) for scenarios to consider in calculating cumulative medication duration.
["Medication, Administered": "Glycoprotein IIb/IIIa Inhibitors"]
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent codes that identify glycoprotein Iib/IIIa inhibitors.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Medication. The intent of this data element is to identify patients who are on a glycoprotein Iib/IIIa inhibitor.
Inclusion Criteria: Includes only relevant concepts associated with a glycoprotein Iib/IIIa inhibitor. These are RxNorm codes.
Exclusion Criteria: No exclusions.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Medication. The intent of this data element is to identify patients who are on a glycoprotein Iib/IIIa inhibitor.
Inclusion Criteria: Includes only relevant concepts associated with a glycoprotein Iib/IIIa inhibitor. These are RxNorm codes.
Exclusion Criteria: No exclusions.
Constrained to codes in the Medication, Administered: Glycoprotein IIb/IIIa Inhibitors value set (2.16.840.1.113762.1.4.1045.41)
QDM Datatype and Definition
"Medication, Administered"
Data elements that meet criteria using this datatype should document that the medication indicated by the QDM category and its corresponding value set was actually administered to the patient.
Timing:
- relevant dateTime references the time the medication is administered if it was given or taken at a single point in time.
- relevantPeriod references a start and stop time for medication administration if the administration event occurred over a time interval (e.g., an intravenous infusion). The relevantPeriod addresses:
- startTime - when a single medication administration event starts (e.g., the initiation of an intravenous infusion).
- stopTime - when a single medication administration event ends (e.g., the end time of the intravenous infusion).
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criterion.
Notes:
- Measure developers should address multiple administrations over a period of time using CQL logic.
- 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.
Refer to Special Cases in Appendix A (Section 5.7) for scenarios to consider in calculating cumulative medication duration.
["Laboratory Test, Performed": "INR"]
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent codes for laboratory test for INR, or international normalized ratio.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Laboratory Test. The intent of this data element is to identify INR laboratory tests.
Inclusion Criteria: Includes only relevant concepts associated with a laboratory test of INR (International Normalized Ratio). These are LOINC codes.
Exclusion Criteria: No exclusions.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Laboratory Test. The intent of this data element is to identify INR laboratory tests.
Inclusion Criteria: Includes only relevant concepts associated with a laboratory test of INR (International Normalized Ratio). These are LOINC codes.
Exclusion Criteria: No exclusions.
Constrained to codes in the Laboratory Test, Performed: INR value set (2.16.840.1.113883.3.117.1.7.1.213)
QDM Datatype and Definition
"Laboratory Test, Performed"
Data elements that meet criteria using this datatype should document the laboratory test indicated by the QDM category and its corresponding value set was performed.
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 laboratory test is performed when the laboratory test occurs at a single point in time.
- relevantPeriod references a start and stop time for a laboratory test that occurs over a time interval. relevantPeriod addresses:
- startTime - The time the laboratory test begins.
- stopTime - The time the laboratory test ends.
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criterion.
Examples:
- Initiation of a venipuncture for a fasting blood glucose to the time venipuncture for the fasting blood glucose is completed – use relevant dateTime to reference this single point in time for many specimen collections
- Initiation of a 24-hour urine collection for measured creatinine clearance until completion of the 24-hour urine collection – use relevantPeriod to reference the start to stop time for this event.
Notes:
- The time that the result report is available is a separate attribute than the time of the study (specimen collection).
- 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.
["Medication, Administered": "Unfractionated Heparin"]
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent heparin formulations that could reasonably be used to treat venous thromboembolism as a continuous infusion.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Medication. The intent of this data element is to identify patients who receive unfractionated heparin as an intravenous infusion.
Inclusion Criteria: Includes only relevant concepts associated with injectable products that could reasonably be used for continuous infusion of heparin and achieve therapeutic levels.
Exclusion Criteria: Excludes concentrations < 250 UNT/ML (except those representing premixed heparin infusion bags, per inclusion criteria).
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Medication. The intent of this data element is to identify patients who receive unfractionated heparin as an intravenous infusion.
Inclusion Criteria: Includes only relevant concepts associated with injectable products that could reasonably be used for continuous infusion of heparin and achieve therapeutic levels.
Exclusion Criteria: Excludes concentrations < 250 UNT/ML (except those representing premixed heparin infusion bags, per inclusion criteria).
Constrained to codes in the Medication, Administered: Unfractionated Heparin value set (2.16.840.1.113883.3.117.1.7.1.218)
QDM Datatype and Definition
"Medication, Administered"
Data elements that meet criteria using this datatype should document that the medication indicated by the QDM category and its corresponding value set was actually administered to the patient.
Timing:
- relevant dateTime references the time the medication is administered if it was given or taken at a single point in time.
- relevantPeriod references a start and stop time for medication administration if the administration event occurred over a time interval (e.g., an intravenous infusion). The relevantPeriod addresses:
- startTime - when a single medication administration event starts (e.g., the initiation of an intravenous infusion).
- stopTime - when a single medication administration event ends (e.g., the end time of the intravenous infusion).
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criterion.
Notes:
- Measure developers should address multiple administrations over a period of time using CQL logic.
- 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.
Refer to Special Cases in Appendix A (Section 5.7) for scenarios to consider in calculating cumulative medication duration.
Last Updated: Jun 08, 2020