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["Encounter, Order": "Decision to Admit to Hospital Inpatient"]

Performance/Reporting Period
2021
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent procedures that are commonly used for capturing an emergency decision to admit a patient to an inpatient hospital setting.
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 an emergency decision to admit a patient to an inpatient hospital setting.
Inclusion Criteria: Includes only relevant concepts associated with codes representing an emergency decision to admit a patient to an inpatient hospital setting using the SNOMED CT system.
Exclusion Criteria: No exclusions.

Constrained to codes in the Encounter, Order: Decision to Admit to Hospital Inpatient value set (2.16.840.1.113883.3.117.1.7.1.295)

QDM Datatype and Definition

"Encounter, Order"

Data elements that meet criteria using this datatype should document that an order for the encounter indicated by the QDM category and its corresponding value set has been ordered.

Timing: The time the order is signed; author dateTime.

Notes: 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.

QDM Attributes

authorDateTime

The time the data element was entered into the clinical software. Note, some datatypes include both relevant dateTime and author dateTime attributes. When both are present, author dateTime is included to accommodate negation rationale.

The author dateTime addresses when an activity is documented. Documentation can occur at the beginning, during, at the end, or subsequent to the end of the activity. The author dateTime should be used only if the relevantPeriod cannot be obtained or to represent the time negation rationale is documented.

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.