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["Physical Exam, Performed": "Body temperature"]

Performance/Reporting Period
2021
Value Set Description from VSAC
Clinical Focus: This value set contains codes which represent the observation or measurement of a patient's body temperature.
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype Physical exam, finding. The intent of this data element is to identify an observation or measurement of a patient's body temperature using LOINC code system.
Inclusion Criteria: Includes only those LOINC codes which represent an observation or measurement of a body temperature.
Exclusion Criteria: Excludes any codes which do not represent an observation or measurement of a body temperature in LOINC code system.

Constrained to codes in the Physical Exam, Performed: Body temperature value set (2.16.840.1.113762.1.4.1045.152)

QDM Datatype and Definition (QDM Version 5.5 Guidance Update)

"Physical Exam, Performed"

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

Timing:

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

Notes:

  • Timing refers to a single instance of a physical examination activity. If a measure seeks to evaluate multiple physical examination activities 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.
Last Updated: Jul 08, 2021