ASCVD Diagnosis Or Procedure Before End Of Measurement Period Union
eCQM Union
Data Elements contained within the Union
["Diagnosis": "Atherosclerosis and Peripheral Arterial Disease"]
Data Element Scope: This value set may use the Quality Data Model (QDM) category or attribute related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with conditions that indicate arterial blood flow is restricted putting patients at higher risk for heart disease.
Exclusion Criteria: No exclusions.
Constrained to codes in the Diagnosis: Atherosclerosis and Peripheral Arterial Disease value set (2.16.840.1.113762.1.4.1047.21)
"Diagnosis"
Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.
Timing: The prevalencePeriod references the time from the onset date to the abatement date.
["Procedure, Performed": "CABG Surgeries"]
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Procedure. The intent of this data element is to identify patients who have a CABG surgical procedure.
Inclusion Criteria: Includes only relevant concepts associated with CABG surgical procedures. This is a grouping of SNOMED CT, ICD-9-CM, and ICD-10-CM codes.
Exclusion Criteria: Excludes codes that represent a CABG performed using a scope.
Constrained to codes in the Procedure, Performed: CABG Surgeries value set (2.16.840.1.113883.3.666.5.694)
"Procedure, Performed"
Data elements that meet criteria using this datatype should document the completion of the procedure indicated by the QDM category and its corresponding value set.
Two QDM Known Issues has been identified related to this datatype.
- To see the QDM Known Issue related to QDM Procedure, Performed completion time, please click here.
- To see the QDM Known Issue related to Differentiating Elective Vs Emergent or Urgent Procedures, please click here.
Timing:
- relevant dateTime references the time the procedure is performed when the procedure occurs at a single point in time.
- relevantPeriod references a start and stop time for a procedure that occurs over a time interval. relevantPeriod addresses:
- startTime - The time the procedure begins.
- stopTime - The time the procedure 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 a procedure. If a measure seeks to evaluate multiple procedures over a period of time, the measure developer should use CQL logic to represent the query request.
- The incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
- 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.
- For clarification, see Appendix 6.6 with 2020 guidance about differentiating between successful and unsuccessful procedures.
["Procedure, Performed": "CABG, PCI Procedure"]
Data Element Scope: CABG and PCI procedures
Inclusion Criteria: Codes from 2018_Registry_SingleSource_v2.2
Exclusion Criteria: None
Constrained to codes in the Procedure, Performed: CABG, PCI Procedure value set (2.16.840.1.113762.1.4.1138.566)
"Procedure, Performed"
Data elements that meet criteria using this datatype should document the completion of the procedure indicated by the QDM category and its corresponding value set.
Two QDM Known Issues has been identified related to this datatype.
- To see the QDM Known Issue related to QDM Procedure, Performed completion time, please click here.
- To see the QDM Known Issue related to Differentiating Elective Vs Emergent or Urgent Procedures, please click here.
Timing:
- relevant dateTime references the time the procedure is performed when the procedure occurs at a single point in time.
- relevantPeriod references a start and stop time for a procedure that occurs over a time interval. relevantPeriod addresses:
- startTime - The time the procedure begins.
- stopTime - The time the procedure 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 a procedure. If a measure seeks to evaluate multiple procedures over a period of time, the measure developer should use CQL logic to represent the query request.
- The incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
- 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.
- For clarification, see Appendix 6.6 with 2020 guidance about differentiating between successful and unsuccessful procedures.
["Procedure, Performed": "Carotid Intervention"]
Data Element Scope: This value set may use the Quality Data Model (QDM) category or attribute related to Procedure.
Inclusion Criteria: Includes only relevant concepts associated with representing carotid intervention surgical procedures.
Exclusion Criteria: No exclusions.
Constrained to codes in the Procedure, Performed: Carotid Intervention value set (2.16.840.1.113883.3.117.1.7.1.204)
"Procedure, Performed"
Data elements that meet criteria using this datatype should document the completion of the procedure indicated by the QDM category and its corresponding value set.
Two QDM Known Issues has been identified related to this datatype.
- To see the QDM Known Issue related to QDM Procedure, Performed completion time, please click here.
- To see the QDM Known Issue related to Differentiating Elective Vs Emergent or Urgent Procedures, please click here.
Timing:
- relevant dateTime references the time the procedure is performed when the procedure occurs at a single point in time.
- relevantPeriod references a start and stop time for a procedure that occurs over a time interval. relevantPeriod addresses:
- startTime - The time the procedure begins.
- stopTime - The time the procedure 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 a procedure. If a measure seeks to evaluate multiple procedures over a period of time, the measure developer should use CQL logic to represent the query request.
- The incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
- 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.
- For clarification, see Appendix 6.6 with 2020 guidance about differentiating between successful and unsuccessful procedures.
["Diagnosis": "Cerebrovascular Disease, Stroke, TIA"]
Data Element Scope: This value set may use the Quality Data Model (QDM) category or attribute related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with ASCVD diagnoses of cerebrovascular origin.
Exclusion Criteria: No exclusions.
Constrained to codes in the Diagnosis: Cerebrovascular Disease, Stroke, TIA value set (2.16.840.1.113762.1.4.1047.44)
"Diagnosis"
Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.
Timing: The prevalencePeriod references the time from the onset date to the abatement date.
["Diagnosis": "Ischemic Heart Disease or Other Related Diagnoses"]
Data Element Scope: This value set may use the Quality Data Model (QDM) category or attribute related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with acute and chronic forms of ischemic heart disease as well as coronary occlusion, thrombosis, or rupture that can be related to ASCVD.
Exclusion Criteria: No exclusions.
Constrained to codes in the Diagnosis: Ischemic Heart Disease or Other Related Diagnoses value set (2.16.840.1.113762.1.4.1047.46)
"Diagnosis"
Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.
Timing: The prevalencePeriod references the time from the onset date to the abatement date.
["Diagnosis": "Myocardial Infarction"]
Data Element Scope: This value set may use Quality Data Model (QDM) category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with a diagnosis of myocardial infarction.
Exclusion Criteria: No exclusions.
Constrained to codes in the Diagnosis: Myocardial Infarction value set (2.16.840.1.113883.3.526.3.403)
"Diagnosis"
Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.
Timing: The prevalencePeriod references the time from the onset date to the abatement date.
["Procedure, Performed": "PCI"]
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Procedure, Performed. The intent of this data element is to identify patients who had percutaneous coronary intervention (PCI) during an episode of acute myocardial infarction.
Inclusion Criteria: Includes only relevant concepts associated with identifying patients receiving percutaneous coronary intervention (PCI). This is a grouping of ICD-10-PCS and SNOMED CT codes.
Exclusion Criteria: No exclusions.
Constrained to codes in the Procedure, Performed: PCI value set (2.16.840.1.113762.1.4.1045.67)
"Procedure, Performed"
Data elements that meet criteria using this datatype should document the completion of the procedure indicated by the QDM category and its corresponding value set.
Two QDM Known Issues has been identified related to this datatype.
- To see the QDM Known Issue related to QDM Procedure, Performed completion time, please click here.
- To see the QDM Known Issue related to Differentiating Elective Vs Emergent or Urgent Procedures, please click here.
Timing:
- relevant dateTime references the time the procedure is performed when the procedure occurs at a single point in time.
- relevantPeriod references a start and stop time for a procedure that occurs over a time interval. relevantPeriod addresses:
- startTime - The time the procedure begins.
- stopTime - The time the procedure 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 a procedure. If a measure seeks to evaluate multiple procedures over a period of time, the measure developer should use CQL logic to represent the query request.
- The incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.
- 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.
- For clarification, see Appendix 6.6 with 2020 guidance about differentiating between successful and unsuccessful procedures.
["Diagnosis": "Stable and Unstable Angina"]
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Diagnosis.
Inclusion Criteria: Includes only relevant concepts associated with stable and unstable angina, pre and post infarction angina, angina decubitus, intermediate coronary syndrome, other unspecified angina or sequelae of myocardial infarction, and other forms of angina pectoris.
Exclusion Criteria: No exclusions.
Constrained to codes in the Diagnosis: Stable and Unstable Angina value set (2.16.840.1.113762.1.4.1047.47)
"Diagnosis"
Data elements that meet criteria using this datatype should document the Condition/Diagnosis/Problem and its corresponding value set. The onset dateTime corresponds to the implicit start dateTime of the datatype and the abatement dateTime corresponds to the implicit stop dateTime of the datatype. If the abatement dateTime is not present, then the diagnosis is considered to still be active. When this datatype is used with timing relationships, the criterion is looking for an active diagnosis for the time frame indicated by the timing relationships.
Timing: The prevalencePeriod references the time from the onset date to the abatement date.