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CMS Measure ID:
Version:
7
NQF Number:
38
Performance/Reporting Period
2019
Description:

Percentage of children 2 years of age who had four diphtheria, tetanus and acellular pertussis (DTaP); three polio (IPV), one measles, mumps and rubella (MMR); three H influenza type B (HiB); three hepatitis B (Hep B); one chicken pox (VZV); four pneumococcal conjugate (PCV); one hepatitis A (Hep A); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday

Data Elements contained within the eCQM + Expand all

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent a history of an anaphylactic (extreme allergy) reaction to baker's yeast.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with an anaphylactic reaction to baker's yeast.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Anaphylactic Reaction to Common Baker's Yeast value set (2.16.840.1.113883.3.464.1003.199.12.1032)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent a history of an anaphylactic (extreme allergy) reaction to DTaP (diphtheria, tetanus, and acellular pertussis) vaccine.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with an anaphylactic reaction to DTaP vaccine.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Anaphylactic Reaction to DTaP Vaccine value set (2.16.840.1.113883.3.464.1003.199.12.1031)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent a history of an anaphylactic (extreme allergy) reaction to hepatitis A vaccine.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with an anaphylactic reaction to hepatitis A vaccine.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Anaphylactic Reaction to Hepatitis A Vaccine value set (2.16.840.1.113883.3.464.1003.199.12.1026)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Direct Reference Code

Constrained to 'Anaphylaxis due to Haemophilus influenzae type b vaccine (disorder)' SNOMEDCT code

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Direct Reference Code

Constrained to 'Anaphylaxis due to Hepatitis B vaccine (disorder)' SNOMEDCT code

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Direct Reference Code

Constrained to 'Anaphylaxis due to rotavirus vaccine (disorder)' SNOMEDCT code

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent diagnoses affecting the working of the immune system, including disorders of the immunoglobulins and the complement system.
Data Element Scope: This value set may use the Quality Data Model (QDM)category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with diagnoses that indicate disorders of the immune system that can interfere with the bodies immune function.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Disorders of the Immune System value set (2.16.840.1.113883.3.464.1003.120.12.1001)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent a diagnosis of encephalopathy due to childhood vaccination.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with encephalopathy (a brain injury) due to childhood vaccination.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Encephalopathy due to Childhood Vaccination value set (2.16.840.1.113883.3.464.1003.114.12.1007)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent hepatitis A infections.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with hepatitis A infections. This is a grouping of ICD-10-CM and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Hepatitis A value set (2.16.840.1.113883.3.464.1003.110.12.1024)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent hepatitis B infections.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with hepatitis B infections. This is a grouping of ICD-10-CM and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Hepatitis B value set (2.16.840.1.113883.3.464.1003.110.12.1025)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent human immunodeficiency virus (HIV) disease.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with HIV and acquired immunodeficiency syndrome. This is a grouping of ICD-10-CM, ICD-9-CM and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: HIV value set (2.16.840.1.113883.3.464.1003.120.12.1003)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Direct Reference Code

Constrained to 'Influenza virus vaccine adverse reaction (disorder)' SNOMEDCT code

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent a diagnosis of intussusception.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with a diagnosis of intussusception (a condition of the intestines).
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Intussusception value set (2.16.840.1.113883.3.464.1003.199.12.1056)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent lymphoma, leukemia and other malignant cancers of the lymphatic and hematologic systems.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with diagnoses of lymphoma and other cancers of the lymph and hematologic systems.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Malignant Neoplasm of Lymphatic and Hematopoietic Tissue value set (2.16.840.1.113883.3.464.1003.108.12.1009)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent measles infections.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with measles infections. This is a grouping of ICD-10-CM and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Measles value set (2.16.840.1.113883.3.464.1003.110.12.1053)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent mumps infections.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with mumps infections. This is a grouping of ICD-10-CM and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Mumps value set (2.16.840.1.113883.3.464.1003.110.12.1032)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Direct Reference Code

Constrained to 'Neomycin adverse reaction (disorder)' SNOMEDCT code

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Direct Reference Code

Constrained to 'Pneumococcal vaccine adverse reaction (disorder)' SNOMEDCT code

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Direct Reference Code

Constrained to 'Poliomyelitis vaccine adverse reaction (disorder)' SNOMEDCT code

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Direct Reference Code

Constrained to 'Polymyxin B adverse reaction (disorder)' SNOMEDCT code

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent rubella infections.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with all associated rubella infections. This is a grouping of ICD-10-CM and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Rubella value set (2.16.840.1.113883.3.464.1003.110.12.1037)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent diagnoses that indicate a severe combined immunodeficiency including both genetic and other causes.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with diagnoses that indicate the presence of a severe combined immunodeficiency including genetic conditions.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Severe Combined Immunodeficiency value set (2.16.840.1.113883.3.464.1003.120.12.1007)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Direct Reference Code

Constrained to 'Streptomycin adverse reaction (disorder)' SNOMEDCT code

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent varicella zoster (i.e., chickenpox and shingles) infections.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with all varicella zoster infections. This is a grouping of ICD-10-CM and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnosis: Varicella Zoster value set (2.16.840.1.113883.3.464.1003.110.12.1039)

QDM Datatype and Definition (QDM Version 5.3)

Diagnosis

Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.

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

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent the most common inpatient encounter types.
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 patients who have had an inpatient encounter.
Inclusion Criteria: Includes only relevant concepts associated with SNOMED CT codes representing inpatient encounter.
Exclusion Criteria: No exclusions.

Constrained to codes in the Encounter, Performed: Encounter Inpatient value set (2.16.840.1.113883.3.666.5.307)

QDM Datatype and Definition (QDM Version 5.3)

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.

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

 

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent patients who have had a home health visit by a provider for the evaluation or management of a new or existing patient.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with home visits for the evaluation and management of a new or established patient. This is a grouping value set of CPT and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Encounter, Performed: Home Healthcare Services value set (2.16.840.1.113883.3.464.1003.101.12.1016)

QDM Datatype and Definition (QDM Version 5.3)

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.

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

 

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent patients who have had an office or other outpatient visit.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with comprehensive history, evaluation, and management of a patient in an office or outpatient facility. Patient can be presenting with problems that are minor to high severity. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes non-office visits, including telehealth services.

Constrained to codes in the Encounter, Performed: Office Visit 1 value set (2.16.840.1.113883.3.464.1003.101.12.1001)

QDM Datatype and Definition (QDM Version 5.3)

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.

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

 

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent initial comprehensive preventive medical evaluation, including regular preventive care or care of small problem or preexisting condition that requires no extra work, to be associated with patients 0-17 years of age, that have no prior outpatient professional services from the physician practice in the last 3 years.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with ages 0-17, and that indicate initial comprehensive preventive medical evaluation, including regular preventive care or care of small problem or preexisting condition that requires no extra work, for a patient that has no prior outpatient professional services from the physician practice in the last 3 years. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes codes that are not for comprehensive preventive medical evaluations and codes that are for patients who have been seen in the last 3 years.

Constrained to codes in the Encounter, Performed: Preventive Care Services, Initial Office Visit, 0 to 17 value set (2.16.840.1.113883.3.464.1003.101.12.1022)

QDM Datatype and Definition (QDM Version 5.3)

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.

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

 

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent initial comprehensive preventive medical evaluation, including regular preventive care or care of small problem or preexisting condition that requires no extra work, to be associated with patients 0-17 years of age, that received prior outpatient professional services from the physician practice in the last 3 years.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with ages 0-17, and indicating initial comprehensive preventive medical evaluation, including regular preventive care or care of small problem or preexisting condition that requires no extra work, for a patient that received prior outpatient professional services from the physician practice in the last 3 years. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes codes that are not for comprehensive preventive medical evaluations and codes that are for patients who have not been seen in the last 3 years.

Constrained to codes in the Encounter, Performed: Preventive Care, Established Office Visit, 0 to 17 value set (2.16.840.1.113883.3.464.1003.101.12.1024)

QDM Datatype and Definition (QDM Version 5.3)

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.

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

 

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent diphtheria, tetanus, and whooping cough (pertussis) (DTaP) vaccines.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Immunization, Administered.
Inclusion Criteria: Includes only relevant concepts associated with diphtheria, tetanus, and whooping cough (pertussis) (DTaP) vaccine codes. This is a grouping of CVX codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Immunization, Administered: DTaP Vaccine value set (2.16.840.1.113883.3.464.1003.196.12.1214)

QDM Datatype and Definition (QDM Version 5.3)

Immunization, Administered

Data elements that meet criteria using this datatype should document that the vaccine indicated by the QDM category and its corresponding value set was actually administered to the patient.

Timing: The time the immunization is administered, i.e., a single point in time, or Author dateTime.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent Haemophilus influenzae type B (Hib) vaccine codes.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Immunization, Administered.
Inclusion Criteria: Includes only relevant concepts associated with all Haemophilus influenzae type b (Hib) vaccine codes. This is a grouping of CVX codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Immunization, Administered: Haemophilus Influenzae Type B (HiB) Vaccine value set (2.16.840.1.113883.3.464.1003.196.12.1217)

QDM Datatype and Definition (QDM Version 5.3)

Immunization, Administered

Data elements that meet criteria using this datatype should document that the vaccine indicated by the QDM category and its corresponding value set was actually administered to the patient.

Timing: The time the immunization is administered, i.e., a single point in time, or Author dateTime.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent hepatitis A vaccines.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to related to Immunization, Administered.
Inclusion Criteria: Includes only relevant concepts associated with all relevant hepatitis A vaccine codes. This is a grouping of CVX codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Immunization, Administered: Hepatitis A Vaccine value set (2.16.840.1.113883.3.464.1003.196.12.1215)

QDM Datatype and Definition (QDM Version 5.3)

Immunization, Administered

Data elements that meet criteria using this datatype should document that the vaccine indicated by the QDM category and its corresponding value set was actually administered to the patient.

Timing: The time the immunization is administered, i.e., a single point in time, or Author dateTime.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent hepatitis B vaccines.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Immunization, Administered.
Inclusion Criteria: Includes only relevant concepts associated with all relevant hepatitis B vaccine codes. This is a grouping of CVX codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Immunization, Administered: Hepatitis B Vaccine value set (2.16.840.1.113883.3.464.1003.196.12.1216)

QDM Datatype and Definition (QDM Version 5.3)

Immunization, Administered

Data elements that meet criteria using this datatype should document that the vaccine indicated by the QDM category and its corresponding value set was actually administered to the patient.

Timing: The time the immunization is administered, i.e., a single point in time, or Author dateTime.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent inactivated polio vaccines (IPV).
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Immunization, Administered.
Inclusion Criteria: Includes only relevant concepts associated with all inactivated polio vaccine (IPV) codes. This is a grouping of CVX codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Immunization, Administered: Inactivated Polio Vaccine (IPV) value set (2.16.840.1.113883.3.464.1003.196.12.1219)

QDM Datatype and Definition (QDM Version 5.3)

Immunization, Administered

Data elements that meet criteria using this datatype should document that the vaccine indicated by the QDM category and its corresponding value set was actually administered to the patient.

Timing: The time the immunization is administered, i.e., a single point in time, or Author dateTime.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent influenza vaccine codes.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to related to Immunization, Administered.
Inclusion Criteria: Includes only relevant concepts associated with influenza vaccine codes. This is a grouping of CVX codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Immunization, Administered: Influenza Vaccine 1 value set (2.16.840.1.113883.3.464.1003.196.12.1218)

QDM Datatype and Definition (QDM Version 5.3)

Immunization, Administered

Data elements that meet criteria using this datatype should document that the vaccine indicated by the QDM category and its corresponding value set was actually administered to the patient.

Timing: The time the immunization is administered, i.e., a single point in time, or Author dateTime.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent measles, mumps and rubella (MMR) vaccines.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Immunization, Administered.
Inclusion Criteria: Includes only relevant concepts associated with all relevant measles, mumps and rubella (MMR) Vaccine codes. This is a grouping of CVX codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Immunization, Administered: Measles, Mumps and Rubella (MMR) Vaccine value set (2.16.840.1.113883.3.464.1003.196.12.1224)

QDM Datatype and Definition (QDM Version 5.3)

Immunization, Administered

Data elements that meet criteria using this datatype should document that the vaccine indicated by the QDM category and its corresponding value set was actually administered to the patient.

Timing: The time the immunization is administered, i.e., a single point in time, or Author dateTime.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent pneumococcal vaccines.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Immunization, Administered.
Inclusion Criteria: Includes only relevant concepts associated with all pneumococcal vaccine codes. This is a grouping of CVX codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Immunization, Administered: Pneumococcal Conjugate Vaccine value set (2.16.840.1.113883.3.464.1003.196.12.1221)

QDM Datatype and Definition (QDM Version 5.3)

Immunization, Administered

Data elements that meet criteria using this datatype should document that the vaccine indicated by the QDM category and its corresponding value set was actually administered to the patient.

Timing: The time the immunization is administered, i.e., a single point in time, or Author dateTime.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent rotavirus (3-dose schedule) vaccines.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Immunization, Administered.
Inclusion Criteria: Includes only relevant concepts associated with all rotavirus (3-dose schedule) vaccine codes. This is a grouping of CVX codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Immunization, Administered: Rotavirus Vaccine (3 dose schedule) value set (2.16.840.1.113883.3.464.1003.196.12.1223)

QDM Datatype and Definition (QDM Version 5.3)

Immunization, Administered

Data elements that meet criteria using this datatype should document that the vaccine indicated by the QDM category and its corresponding value set was actually administered to the patient.

Timing: The time the immunization is administered, i.e., a single point in time, or Author dateTime.

Direct Reference Code

Constrained to 'rotavirus, live, monovalent vaccine' CVX code

QDM Datatype and Definition (QDM Version 5.3)

Immunization, Administered

Data elements that meet criteria using this datatype should document that the vaccine indicated by the QDM category and its corresponding value set was actually administered to the patient.

Timing: The time the immunization is administered, i.e., a single point in time, or Author dateTime.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent varicella zoster vaccines.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Immunization, Administered.
Inclusion Criteria: Includes only relevant concepts associated with all relevant varicella zoster vaccine codes. This is a grouping of CVX codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Immunization, Administered: Varicella Zoster Vaccine (VZV) value set (2.16.840.1.113883.3.464.1003.196.12.1170)

QDM Datatype and Definition (QDM Version 5.3)

Immunization, Administered

Data elements that meet criteria using this datatype should document that the vaccine indicated by the QDM category and its corresponding value set was actually administered to the patient.

Timing: The time the immunization is administered, i.e., a single point in time, or Author dateTime.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent patients receiving hospice care outside of a hospital or long term care facility.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Procedure, Order or Intervention, Order. The intent of this value set is to identify all patients receiving hospice care outside of a hospital or long term care facility.
Inclusion Criteria: Includes only relevant concepts associated with hospice care concepts.
Exclusion Criteria: Excludes concepts for palliative care or comfort measures.

Constrained to codes in the Intervention, Order: Hospice care ambulatory value set (2.16.840.1.113762.1.4.1108.15)

QDM Datatype and Definition (QDM Version 5.3)

Intervention, Order

Data elements that meet criteria using this datatype should document a request to perform the intervention indicated by the QDM category and its corresponding value set.

Timing: The time the order is signed; Author dateTime

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent patients receiving hospice care outside of a hospital or long term care facility.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Procedure, Order or Intervention, Order. The intent of this value set is to identify all patients receiving hospice care outside of a hospital or long term care facility.
Inclusion Criteria: Includes only relevant concepts associated with hospice care concepts.
Exclusion Criteria: Excludes concepts for palliative care or comfort measures.

Constrained to codes in the Intervention, Performed: Hospice care ambulatory value set (2.16.840.1.113762.1.4.1108.15)

QDM Datatype and Definition (QDM Version 5.3)

Intervention, Performed

Data elements that meet criteria using this datatype should document the completion of the intervention indicated by the QDM category and its corresponding value set.

Timing: The Relevant Period addresses:

  • startTime – the time the intervention begins
  • stopTime – the time the intervention ends

NOTE - timing refers to a single instance of an intervention. If a measure seeks to evaluate multiple interventions over a period of time, the measure developer should use CQL logic to represent the query request.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent laboratory tests to detect anti hepatitis A immunoglobulin (IgG) antibodies.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Laboratory Test
Inclusion Criteria: Includes only relevant concepts associated with test codes for IgG antibody to hepatitis A.
Exclusion Criteria: No exclusions.

Constrained to codes in the Laboratory Test, Performed: Anti Hepatitis A IgG Antigen Test value set (2.16.840.1.113883.3.464.1003.198.12.1033)

QDM Datatype and Definition (QDM Version 5.3)

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.

Timing: The Relevant Period addresses:

  • startTime – when the laboratory test is initiated (i.e., the time the specimen collection begins)
  • stopTime – when the laboratory test is completed (i.e., the time the specimen collection ends)

Examples:

  • Initiation of a venipuncture for a fasting blood glucose to the time venipuncture for the fasting blood glucose is completed – basically a 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

Note – the time that the result report is available is a separate attribute than the time of the study (specimen collection).

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent laboratory tests to detect anti hepatitis B surface antigen in the blood.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Laboratory Test, Performed.
Inclusion Criteria: Includes only relevant concepts associated with test codes for anti-surface antibody in the blood related to hepatitis B virus. This sounds weird. Please re-read.
Exclusion Criteria: No exclusions.

Constrained to codes in the Laboratory Test, Performed: Anti Hepatitis B Virus Surface Ab value set (2.16.840.1.113883.3.464.1003.198.12.1073)

QDM Datatype and Definition (QDM Version 5.3)

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.

Timing: The Relevant Period addresses:

  • startTime – when the laboratory test is initiated (i.e., the time the specimen collection begins)
  • stopTime – when the laboratory test is completed (i.e., the time the specimen collection ends)

Examples:

  • Initiation of a venipuncture for a fasting blood glucose to the time venipuncture for the fasting blood glucose is completed – basically a 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

Note – the time that the result report is available is a separate attribute than the time of the study (specimen collection).

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent test results related to IgG antibodies and measles. A positive test conveys immunologic protection against measles.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Laboratory Test, Performed.
Inclusion Criteria: Includes only relevant concepts associated with identifying positive antibody tests for measles IgG In the serum, cerebrospinal fluid or body fluid.
Exclusion Criteria: No exclusions.

Constrained to codes in the Laboratory Test, Performed: Measles Antibody Test (IgG Antibody presence) value set (2.16.840.1.113883.3.464.1003.198.12.1060)

QDM Datatype and Definition (QDM Version 5.3)

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.

Timing: The Relevant Period addresses:

  • startTime – when the laboratory test is initiated (i.e., the time the specimen collection begins)
  • stopTime – when the laboratory test is completed (i.e., the time the specimen collection ends)

Examples:

  • Initiation of a venipuncture for a fasting blood glucose to the time venipuncture for the fasting blood glucose is completed – basically a 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

Note – the time that the result report is available is a separate attribute than the time of the study (specimen collection).

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent laboratory tests for the titre (or amount) of IgG antibodies to measles.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Laboratory Test, Performed.
Inclusion Criteria: Includes only relevant concepts associated with test codes for measles IgG antibody titres in the serum, or cerebrospinal fluid.
Exclusion Criteria: No exclusions.

Constrained to codes in the Laboratory Test, Performed: Measles Antibody Test (IgG Antibody Titer) value set (2.16.840.1.113883.3.464.1003.198.12.1059)

QDM Datatype and Definition (QDM Version 5.3)

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.

Timing: The Relevant Period addresses:

  • startTime – when the laboratory test is initiated (i.e., the time the specimen collection begins)
  • stopTime – when the laboratory test is completed (i.e., the time the specimen collection ends)

Examples:

  • Initiation of a venipuncture for a fasting blood glucose to the time venipuncture for the fasting blood glucose is completed – basically a 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

Note – the time that the result report is available is a separate attribute than the time of the study (specimen collection).

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent test results for presence of mumps IgG antibody.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Laboratory Test, Performed.
Inclusion Criteria: Includes only relevant concepts associated with identifying positive antibody tests for mumps IgG.
Exclusion Criteria: No exclusions.

Constrained to codes in the Laboratory Test, Performed: Mumps Antibody Test (IgG Antibody presence) value set (2.16.840.1.113883.3.464.1003.198.12.1062)

QDM Datatype and Definition (QDM Version 5.3)

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.

Timing: The Relevant Period addresses:

  • startTime – when the laboratory test is initiated (i.e., the time the specimen collection begins)
  • stopTime – when the laboratory test is completed (i.e., the time the specimen collection ends)

Examples:

  • Initiation of a venipuncture for a fasting blood glucose to the time venipuncture for the fasting blood glucose is completed – basically a 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

Note – the time that the result report is available is a separate attribute than the time of the study (specimen collection).

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent test results for titre (amount) of mumps IgG antibody.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Laboratory Test, Performed.
Inclusion Criteria: Includes only relevant concepts associated with identifying titres for mumps antibody IgG in serum and by immunofluorescence in cerebrospinal fluid or serum.
Exclusion Criteria: No exclusions.

Constrained to codes in the Laboratory Test, Performed: Mumps Antibody Test (IgG Antibody Titer) value set (2.16.840.1.113883.3.464.1003.198.12.1061)

QDM Datatype and Definition (QDM Version 5.3)

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.

Timing: The Relevant Period addresses:

  • startTime – when the laboratory test is initiated (i.e., the time the specimen collection begins)
  • stopTime – when the laboratory test is completed (i.e., the time the specimen collection ends)

Examples:

  • Initiation of a venipuncture for a fasting blood glucose to the time venipuncture for the fasting blood glucose is completed – basically a 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

Note – the time that the result report is available is a separate attribute than the time of the study (specimen collection).

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent laboratory tests for the presence of rubella IgG antibody in serum.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Laboratory Test, Performed.
Inclusion Criteria: Includes only relevant concepts associated with testing the presence of rubella IgG antibody.
Exclusion Criteria: No exclusions.

Constrained to codes in the Laboratory Test, Performed: Rubella Antibody Test (IgG Antibody presence) value set (2.16.840.1.113883.3.464.1003.198.12.1064)

QDM Datatype and Definition (QDM Version 5.3)

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.

Timing: The Relevant Period addresses:

  • startTime – when the laboratory test is initiated (i.e., the time the specimen collection begins)
  • stopTime – when the laboratory test is completed (i.e., the time the specimen collection ends)

Examples:

  • Initiation of a venipuncture for a fasting blood glucose to the time venipuncture for the fasting blood glucose is completed – basically a 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

Note – the time that the result report is available is a separate attribute than the time of the study (specimen collection).

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent laboratory tests for the titre (amount) of rubella IgG antibody in serum.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Laboratory Test, Performed.
Inclusion Criteria: Includes only relevant concepts associated with testing to identify titres for rubella IgG antibody.
Exclusion Criteria: No exclusions.

Constrained to codes in the Laboratory Test, Performed: Rubella Antibody Test (IgG Antibody Titer) value set (2.16.840.1.113883.3.464.1003.198.12.1063)

QDM Datatype and Definition (QDM Version 5.3)

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.

Timing: The Relevant Period addresses:

  • startTime – when the laboratory test is initiated (i.e., the time the specimen collection begins)
  • stopTime – when the laboratory test is completed (i.e., the time the specimen collection ends)

Examples:

  • Initiation of a venipuncture for a fasting blood glucose to the time venipuncture for the fasting blood glucose is completed – basically a 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

Note – the time that the result report is available is a separate attribute than the time of the study (specimen collection).

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent laboratory tests measuring the presence of IgG antibody to varicella zoster in serum, cerebrospinal fluid (CSF), and body fluids.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Laboratory Test, Performed.
Inclusion Criteria: Includes only relevant concepts associated with tests measuring the presence of IgG antibody to varicella zoster in serum, CSF and body fluids.
Exclusion Criteria: No exclusions.

Constrained to codes in the Laboratory Test, Performed: Varicella Zoster Antibody Test (IgG Antibody Presence) value set (2.16.840.1.113883.3.464.1003.198.12.1067)

QDM Datatype and Definition (QDM Version 5.3)

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.

Timing: The Relevant Period addresses:

  • startTime – when the laboratory test is initiated (i.e., the time the specimen collection begins)
  • stopTime – when the laboratory test is completed (i.e., the time the specimen collection ends)

Examples:

  • Initiation of a venipuncture for a fasting blood glucose to the time venipuncture for the fasting blood glucose is completed – basically a 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

Note – the time that the result report is available is a separate attribute than the time of the study (specimen collection).

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent laboratory tests measuring the titre of IgG antibody to varicella zoster in serum and cerebrospinal fluid (CSF).
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Laboratory Test, Performed.
Inclusion Criteria: Includes only relevant concepts associated with tests measuring the titre or amount of IgG antibody to varicella zoster in serum or CSF.
Exclusion Criteria: No exclusions.

Constrained to codes in the Laboratory Test, Performed: Varicella Zoster Antibody Test (IgG Antibody Titer) value set (2.16.840.1.113883.3.464.1003.198.12.1066)

QDM Datatype and Definition (QDM Version 5.3)

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.

Timing: The Relevant Period addresses:

  • startTime – when the laboratory test is initiated (i.e., the time the specimen collection begins)
  • stopTime – when the laboratory test is completed (i.e., the time the specimen collection ends)

Examples:

  • Initiation of a venipuncture for a fasting blood glucose to the time venipuncture for the fasting blood glucose is completed – basically a 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

Note – the time that the result report is available is a separate attribute than the time of the study (specimen collection).

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent whether the patient is Hispanic or not; ethnicity category defined by the Centers for Disease Control and Prevention and National Center for Health Statistics.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Patient Characteristic Ethnicity.
Inclusion Criteria: Includes only relevant concepts associated with ethnicity defined as Hispanic or Latino, or Not Hispanic or Latino.
Exclusion Criteria: No exclusions.

Constrained to codes in the Patient Characteristic Ethnicity: Ethnicity value set (2.16.840.1.114222.4.11.837)

QDM Datatype and Definition (QDM Version 5.3)

Patient Characteristic Ethnicity

Data elements that meet criteria using this datatype should document that the patient has one or more of the ethnicities indicated by the QDM category and its corresponding value set.

Timing: Ethnicity does not have a specific timing. Measures using Patient Characteristic, Ethnicity should address the most recent entry in the clinical record.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Patient Characteristic Payer.
Inclusion Criteria: Includes only relevant concepts associated with payer codes in the code system.
Exclusion Criteria: No exclusions.

Constrained to codes in the Patient Characteristic Payer: Payer value set (2.16.840.1.114222.4.11.3591)

QDM Datatype and Definition (QDM Version 5.3)

Patient Characteristic Payer

Data elements that meet criteria using this datatype should document that the patient has one or more of the payers indicated by the QDM category and its corresponding value set.

Timing: The Relevant Period addresses:

  • startTime – the first day of insurance coverage with the referenced payer
  • stopTime – the last day of insurance coverage with the referenced payer

 

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent the general race category reported by the patient - subject may have more than one; defined by the Centers for Disease Control and Prevention and National Center for Health Statistics.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Patient Characteristic Race.
Inclusion Criteria: Includes only relevant concepts associated with the following race categories: American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, Other Race, White.
Exclusion Criteria: No exclusions.

Constrained to codes in the Patient Characteristic Race: Race value set (2.16.840.1.114222.4.11.836)

QDM Datatype and Definition (QDM Version 5.3)

Patient Characteristic Race

Data elements that meet criteria using this datatype should document the patient’s race.

Timing: Race does not have a specific timing. Measures using Patient Characteristic, Race should address the most recent entry in the clinical record.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent gender identity restricted to only male and female used in administrative situations requiring a restriction to these two categories.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Patient Characteristic Sex.
Inclusion Criteria: Includes relevant concepts associated with gender concepts for male and female only.
Exclusion Criteria: Excludes any gender identity that is not male or female.

Constrained to codes in the Patient Characteristic Sex: ONC Administrative Sex value set (2.16.840.1.113762.1.4.1)

QDM Datatype and Definition (QDM Version 5.3)

Patient Characteristic Sex

Data elements that meet criteria using this datatype should document that the patient's sex matches the QDM category and its corresponding value set.

Timing: Birth (administrative) sex does not have a specific timing.

Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent procedures for diphtheria, tetanus, and whooping cough (pertussis) (DTaP) vaccine administration.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Procedure, Performed.
Inclusion Criteria: Includes only relevant concepts associated with diphtheria, tetanus, and whooping cough (pertussis) (DTaP) vaccine administration codes. This is a grouping of CPT and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Procedure, Performed: DTaP Vaccine Administered value set (2.16.840.1.113883.3.464.1003.110.12.1022)

QDM Datatype and Definition (QDM Version 5.3)

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.

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 procedure begins,
  • stopTime -the time the procedure is completed

NOTE:

  1. 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.
  2. The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent procedure codes for Haemophilus influenzae type B (Hib) vaccine administration.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Procedure, Performed.
Inclusion Criteria: Includes only relevant concepts associated with all Haemophilus influenzae type b (Hib) vaccine administration codes. This is a grouping of CPT and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Procedure, Performed: Haemophilus Influenzae Type B (HiB) Vaccine Administered value set (2.16.840.1.113883.3.464.1003.110.12.1043)

QDM Datatype and Definition (QDM Version 5.3)

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.

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 procedure begins,
  • stopTime -the time the procedure is completed

NOTE:

  1. 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.
  2. The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent procedure codes for hepatitis A vaccine administration.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Procedure, Performed.
Inclusion Criteria: Includes only relevant concepts associated with hepatitis A vaccine administration codes. This is a grouping of CPT and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Procedure, Performed: Hepatitis A Vaccine Administered value set (2.16.840.1.113883.3.464.1003.110.12.1041)

QDM Datatype and Definition (QDM Version 5.3)

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.

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 procedure begins,
  • stopTime -the time the procedure is completed

NOTE:

  1. 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.
  2. The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent procedures for hepatitis B vaccine administration.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to related to Procedure, Performed.
Inclusion Criteria: Includes only relevant concepts associated with all relevant hepatitis B vaccine administration codes. This is a grouping of CPT and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Procedure, Performed: Hepatitis B Vaccine Administered value set (2.16.840.1.113883.3.464.1003.110.12.1042)

QDM Datatype and Definition (QDM Version 5.3)

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.

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 procedure begins,
  • stopTime -the time the procedure is completed

NOTE:

  1. 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.
  2. The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent procedures for inactivated polio vaccine (IPV) administration.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to related to Procedure, Performed.
Inclusion Criteria: Includes only relevant concepts associated with all inactivated polio vaccine (IPV) administration codes. This is a grouping of CPT and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Procedure, Performed: Inactivated Polio Vaccine (IPV) Administered value set (2.16.840.1.113883.3.464.1003.110.12.1045)

QDM Datatype and Definition (QDM Version 5.3)

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.

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 procedure begins,
  • stopTime -the time the procedure is completed

NOTE:

  1. 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.
  2. The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent procedures for influenza vaccine administration.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to related to Procedure, Performed.
Inclusion Criteria: Includes only relevant concepts associated with all relevant influenza vaccine administration codes. This is a grouping of CPT and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Procedure, Performed: Influenza Vaccine Administered value set (2.16.840.1.113883.3.464.1003.110.12.1044)

QDM Datatype and Definition (QDM Version 5.3)

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.

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 procedure begins,
  • stopTime -the time the procedure is completed

NOTE:

  1. 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.
  2. The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent procedures for measles, mumps and rubella (MMR) vaccine administration.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Procedure, Performed.
Inclusion Criteria: Includes only relevant concepts associated with all relevant measles, mumps and rubella (MMR) vaccine administration codes. This is a grouping of CPT and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Procedure, Performed: Measles, Mumps and Rubella (MMR) Vaccine Administered value set (2.16.840.1.113883.3.464.1003.110.12.1031)

QDM Datatype and Definition (QDM Version 5.3)

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.

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 procedure begins,
  • stopTime -the time the procedure is completed

NOTE:

  1. 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.
  2. The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent procedure codes for pneumococcal vaccine administration.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Procedure, Performed.
Inclusion Criteria: Includes only relevant concepts associated with all pneumococcal vaccine administration codes. This is a grouping of CPT and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Procedure, Performed: Pneumococcal Conjugate Vaccine Administered value set (2.16.840.1.113883.3.464.1003.110.12.1046)

QDM Datatype and Definition (QDM Version 5.3)

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.

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 procedure begins,
  • stopTime -the time the procedure is completed

NOTE:

  1. 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.
  2. The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
Direct Reference Code

Constrained to 'Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use' CPT code

QDM Datatype and Definition (QDM Version 5.3)

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.

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 procedure begins,
  • stopTime -the time the procedure is completed

NOTE:

  1. 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.
  2. The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
Direct Reference Code

Constrained to 'Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use' CPT code

QDM Datatype and Definition (QDM Version 5.3)

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.

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 procedure begins,
  • stopTime -the time the procedure is completed

NOTE:

  1. 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.
  2. The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent procedure codes for varicella zoster vaccine administration.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Procedure, Performed.
Inclusion Criteria: Includes only relevant concepts associated with all varicella zoster vaccine administration codes. This is a grouping of CPT and SNOMED CT codes.
Exclusion Criteria: No exclusions.

Constrained to codes in the Procedure, Performed: Varicella Zoster Vaccine (VZV) Administered value set (2.16.840.1.113883.3.464.1003.110.12.1040)

QDM Datatype and Definition (QDM Version 5.3)

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.

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 procedure begins,
  • stopTime -the time the procedure is completed

NOTE:

  1. 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.
  2. The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent positive test results. This is intended to be paired with other concepts that identify specific medical tests.
Data Element Scope: This value set may use the Quality Data Model (QDM) attribute related to Result.
Inclusion Criteria: Includes only relevant concepts associated with identifying a positive test result.
Exclusion Criteria: Excludes concepts that identify a specific type of medical test.

Constrained to codes in the Result: Positive Finding value set (2.16.840.1.113883.3.464.1003.121.12.1016)

QDM Attribute and Definition (QDM Version 5.3)

Result

The final consequences or data collected from the datatype. Results can be used in four ways, to express: (1) That a result is present in the electronic record but any entry is acceptable. (2) A numerical result is reported directly as a value. Values may be integers or decimal numbers without units, or as a quantity with a value and units. Examples: 100 mg/dL for a lab test, 140 mmHg for blood pressure, as a percentage (actually a quantity with % as units), as a ratio (e.g., 1:4, 1:80). (3) A result that matches one of a specific set of coded concepts in a value set or a code that matches a direct reference code. (4) A result as a dateTime (Assessment, Performed and components). Note: Measures use Clinical Quality Language (CQL) logic to express the mathematical operators to constrain desired results to those above or below a certain threshold.