The Public Comment is now open through March 25, 2026 on the Draft 2027 CMS QRDA I Implementation Guide, Schematron, and Sample File for Hospital Quality Reporting
Constrained to codes in the Communication, Performed: Consultant Report value set (2.16.840.1.113883.3.464.1003.121.12.1006)
Data elements that meet criteria using this datatype reference conveyance of information from one entity (e.g., person, organization, or device) to another.
The "Communication, Performed" code attribute represents the reason for the communication (i.e., the subject). The category attribute allows reference to the type, or category, of communication (e.g., notification, request). In many cases, the eCQM developer may not know the local workflow to address the type of communication; hence, it is listed as an attribute to be used as feasibility allows.
Timing:
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.
An attribute that indicates one QDM data element fulfills the expectations of another QDM data element.
See Section 5.8 for examples for using relatedTo.
Note: QDM 5.6 relatedTo attribute is consistent with the FHIR element basedOn which is available for many FHIR resources addressed by the QDM datatypes added in the QDM 5.6 version. These QDM additions allow evaluation and testing during a period of FHIR transition specifically to relate actions with orders that generate them. However, measure developers should carefully determine feasibility for each use case when using the relatedTo attribute.