The 2027 Annual Update draft measure specifications are now available. Question and comment on Eligible Clinician eCQMs, Hospital - Inpatient eCQMs, and Hospital - Outpatient eCQM until December 19, 2025.
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["Procedure, Performed": "Hip Replacement Surgery"]
Performance/Reporting Period
2023
Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts of procedures for total hip replacement procedures.
Data Element Scope: This value set may use a model element related to Procedure.
Inclusion Criteria: Includes concepts that represent a procedure for a total hip replacement.
Exclusion Criteria: No exclusions.
Data Element Scope: This value set may use a model element related to Procedure.
Inclusion Criteria: Includes concepts that represent a procedure for a total hip replacement.
Exclusion Criteria: No exclusions.
Constrained to codes in the Procedure, Performed: Hip Replacement Surgery value set (2.16.840.1.113883.3.117.1.7.1.259)
QDM Datatype and Definition
"Procedure, Performed"
Data elements that meet criteria using this datatype should document the completion of the procedure indicated by the QDM category and its corresponding value set.
Timing:
- relevant dateTime references the time the procedure is performed when the procedure occurs at a single point in time.
- relevantPeriod references a start and stop time for a procedure that occurs over a time interval. relevantPeriod addresses:
- startTime - The time the procedure begins.
- stopTime - The time the procedure ends.
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criterion.
Notes:
- Timing refers to a single instance of a procedure. If a measure seeks to evaluate multiple procedures over a period of time, the measure developer should use CQL logic to represent the query request.
- The incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
- 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.
- See section 6.4 for guidance about differentiating between successful and unsuccessful procedures.
eCQMs using this data element:
QDM Attributes
rank
rank defines a position in a hierarchy for diagnoses or procedures. It replaces ordinality previously assigned to "Procedure, Performed", "Procedure, Order", and "Procedure, Recommended". ordinality does not align with any FHIR resources; it does align with definitions for FHIR encounter.diagnosis. Thus, the concept fits best consistently across QDM for the concept of principal for encounter diagnosis and for procedure.
relevantDateTime
relevant dateTime addresses the time an activity occurs as a single point in time. If the activity occurs over a period of time, use relevantPeriod.
relevantPeriod
relevantPeriod addresses the time between the start of an action to the end of an action. Each QDM datatype using relevantPeriod 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 datatype-related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod
Last Updated: Jul 15, 2022