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["Diagnostic Study, Performed": "Bone Scan"]

Performance/Reporting Period
2022
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent bone scan diagnostic imaging.
Data Element Scope: This value set may use Quality Data Model (QDM) category related to Diagnostic Study.
Inclusion Criteria: Includes only relevant concepts associated with conventional technetium-99m-MDP bone scan as well as 18F-NaF PET (or PET/CT) scan.
Exclusion Criteria: No exclusions.

Constrained to codes in the Diagnostic Study, Performed: Bone Scan value set (2.16.840.1.113883.3.526.3.320)

QDM Datatype and Definition

"Diagnostic Study, Performed"

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

Timing:

  • relevant dateTime references the time the diagnostic study is performed if it occurs at a single point in time.
  • relevantPeriod references a start and stop time for an assessment that occurs over a time interval:
    • startTime - when the diagnostic study is initiated.
    • stopTime - when the diagnostic study is completed.
  • author dateTime references the time the action was recorded.
  • Refer to the eCQM expression to determine allowable timings to meet measure criterion.

Examples using relevantPeriod:

  • Initiation of a treadmill stress test to the time the treadmill stress test has completed
  • Initiation of the ultrasound study until completion of the ultrasound study

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.

 

eCQMs using this data element:
CMS129v11 - Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients
QDM Attributes

reason

The thought process or justification for the datatype. In some measures, specific treatments are acceptable inclusion criteria only if a justified reason is present. Each of these measures uses a value set (often, but not exclusively, using SNOMED CT) to express acceptable justification reasons. Other measures specify reasons as justification for exclusions. Examples include patient, system, or medical-related reasons for declining to perform specific actions. Each of these measures also uses a value set to express acceptable justification reasons for declining to perform expected actions.

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.

relevantPeriod

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

Last Updated: Jul 08, 2021

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