Encounter With Prior Or Present Diagnosis Of Atrial Fibrillation Or VTE Union
eCQM Union
Data Elements contained within the Union
["Diagnosis": "Atrial Fibrillation/Flutter"]
Data Element Scope: This value set may use the Quality Data Model (QDM) category or attribute related to Diagnosis. The intent of this data element is to identify patients with a diagnosis of atrial fibrillation or flutter.
Inclusion Criteria: Includes only relevant concepts associated with codes that identify patients with a history of atrial fibrillation/flutter or a current finding of atrial fibrillation/flutter. This is a grouping of ICD-10-CM, ICD-9-CM and SNOMED CT codes.
Exclusion Criteria: No exclusions.
Constrained to codes in the Diagnosis: Atrial Fibrillation/Flutter value set (2.16.840.1.113883.3.117.1.7.1.202)
"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.
["Encounter, Performed": "Encounter Inpatient"]
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 patients who have had an inpatient encounter.
Inclusion Criteria: Includes only relevant concepts associated with SNOMED CT codes representing inpatient encounter.
Exclusion Criteria: No exclusions.
Constrained to codes in the Encounter, Performed: Encounter Inpatient value set (2.16.840.1.113883.3.666.5.307)
"Encounter, Performed"
Data elements that meet criteria using this datatype should document that the encounter indicated by the QDM category and its corresponding value set is in progress or has been completed.
The "Encounter, Performed" participant references the primary participant.
Previous versions of QDM included an attribute principal diagnosis, defined as the condition that, after study, was determined to be the principal cause of the admission. QDM version 5.5 addresses that concept using the diagnosis rank=1.
A QDM Known Issue has been identified related to this datatype. To see this QDM known Issue, please click here.
Timing:
- The relevantPeriod addresses:
- startTime - The time the encounter began (admission time).
- stopTime - The time the encounter ended (discharge time).
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criteria.
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.
- The locationPeriod is an attribute of the attribute facility location that addresses:
- startTime - the time the patient arrived at the location. The time the encounter began (admission time).
- stopTime - the time the patient departed from the location.
["Diagnosis": "Venous Thromboembolism"]
Data Element Scope: This value set may use the Quality Data Model (QDM) category or attribute related to Diagnosis. The intent of this data element is to identify patients who have a venous thromboembolism, including those who have a pulmonary embolism.
Inclusion Criteria: Includes only relevant concepts associated with codes representing pulmonary embolism and proximal venous thromboembolisms, including specific proximal veins: popliteal vein, femoral/superficial femoral vein, deep femoral vein, ileofemoral vein, iliac vein and inferior vena cava.
Exclusion Criteria: No exclusions.
Constrained to codes in the Diagnosis: Venous Thromboembolism value set (2.16.840.1.113883.3.117.1.7.1.279)
"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.