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Denominator Exceptions Union

eCQM Union

Performance/Reporting Period
2020

Data Elements contained within the Union

["Encounter, Performed": "Non-Elective Inpatient Encounter"]

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent procedures for non-elective inpatient encounters.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter. The intent of this data element is to identify non-elective inpatient encounters.
Inclusion Criteria: Includes only relevant concepts associated with SNOMED CT codes representing non-elective inpatient encounters.
Exclusion Criteria: No exclusions.

Constrained to codes in the Encounter, Performed: Non-Elective Inpatient Encounter value set (2.16.840.1.113883.3.117.1.7.1.424)

QDM Datatype and Definition (QDM Version 5.4)

"Encounter, Performed"

Data elements that meet criteria using this datatype should document that the encounter indicated by the QDM category and its corresponding value set is in progress or has been completed.

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

Timing: The Relevant Period addresses:

  • startTime – the time the encounter began (admission time)
  • stopTime – the time the encounter ended (discharge time)

The Author dateTime addresses when an Encounter is documented. Documentation can occur at the beginning, during, at the end or subsequent to the end of an Encounter. The Author dateTime should be used only if the Relevant Period cannot be obtained.

The Location Period is an attribute of the attribute facility location addresses:

  • startTime -the time the patient arrived at the location;
  • stopTime -the time the patient departed from the location

["Adverse Event": "Statin Allergen"]

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent an allergy to statin medications.
Data Element Scope: This value set may use Quality Data Model (QDM) category related to Allergy/Intolerance.
Inclusion Criteria: Includes only relevant concepts associated with statins and statin allergens. This is a grouping value set of RXNORM and SNOMED codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Adverse Event: Statin Allergen value set (2.16.840.1.113762.1.4.1110.42)

QDM Datatype and Definition (QDM Version 5.4)

"Adverse Event"

Data elements that meet criteria using this datatype should document the Adverse Event and its corresponding value set.

["Allergy, Intolerance": "Statin Allergen"]

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent an allergy to statin medications.
Data Element Scope: This value set may use Quality Data Model (QDM) category related to Allergy/Intolerance.
Inclusion Criteria: Includes only relevant concepts associated with statins and statin allergens. This is a grouping value set of RXNORM and SNOMED codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Allergy, Intolerance: Statin Allergen value set (2.16.840.1.113762.1.4.1110.42)

QDM Datatype and Definition (QDM Version 5.4)

"Allergy Intolerance"

Data elements that meet criteria using this datatype should document the Allergy or intolerance and its corresponding value set.

Timing: The Prevalence Period references the time from the onset date to the abatement date.

["Medication, Discharge": "Statin Grouper"]

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent statin medications that are prescribed for therapy at hospital discharge.
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 prescribed statin medications at discharge.
Inclusion Criteria: Includes only relevant concepts associated with single and multiple ingredient prescribable statin medications. Oral dose forms should be included. Generic only.
Exclusion Criteria: No exclusions.

Constrained to codes in the Medication, Discharge: Statin Grouper value set (2.16.840.1.113762.1.4.1110.19)

QDM Datatype and Definition (QDM Version 5.4)

"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.

Timing: The time the discharge medication list on the discharge instruction form is authored.

Last Updated: Oct 21, 2019