eCQM Data Element
Constrained to codes in the Medication, Dispensed: ADHD Medications value set (2.16.840.1.113883.3.464.1003.196.12.1171)
(2.16.840.1.113883.3.464.1003.196.12.1171)
Data elements that meet criteria using this datatype should document that a prescription for the medication indicated by the QDM category and its corresponding value set has been dispensed and provided to the patient or patient proxy. In the ambulatory setting, medications are primarily taken directly by patients and not directly observed. Hence, dispensed or fulfillment information is the closest health provider documentation of medication compliance. In settings where patients attest to taking medications in electronic format (perhaps a Personal Health Record), patient attestation of medication taken may be available. The QDM datatype, "Medication, Administered" addresses medication taken; to address the source of the information, a measure addressing such patient attestation would require use of the entity fulfilling the role of the performer attribute for the administration event.
Timing:
Notes:
Refer to Special Cases in Appendix A (Section 5.7) for scenarios to consider in calculating cumulative medication duration.
Relevant Period addresses the time between the start of an action to the end of an action. Each datatype using relevant period defines specific definitions for the start and stop time for the action listed.
Note: negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatyperelated actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod