["Intervention, Performed": "Referral"]

Performance/Reporting Period

2021

Value Set Description from VSAC

Clinical Focus: This value set contains concepts that represent a referral for a patient to a practitioner for evaluation, treatment or co-management of a patient's condition.
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Intervention.
Inclusion Criteria: Includes only relevant concepts associated with referrals and consultations.
Exclusion Criteria: Excludes self referrals.

Constrained to codes in the Intervention, Performed: Referral value set (2.16.840.1.113883.3.464.1003.101.12.1046)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"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:

relevant dateTime references the time the intervention is performed when the intervention occurs at a single point in time.
relevantPeriod references a start and stop time for an intervention that occurs over a time interval. relevantPeriod addresses:
- startTime - The time the intervention begins.
- stopTime - The time the intervention ends.
author dateTime references the time the action was recorded.
Refer to the eCQM expression to determine allowable timings to meet measure criterion.

Notes:

Timing refers to a single instance of 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.
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.

id

The identifier of a specific instance of any QDM data element. CQL logic uses the id reference to specify that a query expects a specific instance of an element to be retrieved.

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.