["Assessment, Performed": "Emergency Department Evaluation"]

Performance/Reporting Period

2021

Value Set Description from VSAC

Clinical Focus: This value set contains concepts that represent an assessment performed to determine the need for an inpatient admission.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Assessment. The intent of this data element is to identify evaluation notes from an emergency decision to admit a patient to an inpatient hospital setting.
Inclusion Criteria: Includes LOINC codes that represent an assessment performed to determine the need for an inpatient admission.
Exclusion Criteria: None.

Constrained to codes in the Assessment, Performed: Emergency Department Evaluation value set (2.16.840.1.113762.1.4.1111.163)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Assessment, Performed"

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

Timing:

relevant dateTime references timing for an assessment that occurs at a single point in time.
relevant Period references a start and stop time for an assessment that occurs over a time interval
author dateTime references the time the action was recorded.
Refer to the eCQM expression to determine allowable timings to meet measure criterion.

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.

eCQMs using this data element:

CMS111v9 - Median Admit Decision Time to ED Departure Time for Admitted Patients

QDM Attributes

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 Relevant Period.

result

The final consequences or data collected from the datatype. results can be used in four ways to express:

That a result is present in the electronic record but any entry is acceptable
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:
- 100mg/dL for a lab test
- 140 mmHg for blood pressure
- as a percentage (actually as a quantity with % as units)
- as a titer or ratio (e.g., 1:4, 1:80)
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
A result as a dateTime ("Assessment, Performed" and components)