["Medication, Active": "ACE Inhibitor or ARB or ARNI"]

Performance/Reporting Period

2022

Value Set Description from VSAC

Clinical Focus: The purpose of this value set is to represent concepts of medications of angiotensin-converting enzyme (ACE) inhibitor, angiotensin-receptor blocker (ARB), and angiotensin receptor-neprilysin inhibitor (ARNI) therapies.
Data Element Scope: This value set may use a model element related to Medication.
Inclusion Criteria: Includes concepts that represent a medication for angiotensin-converting enzyme (ACE) inhibitor, angiotensin-receptor blocker (ARB), and angiotensin receptor-neprilysin inhibitor (ARNI) therapies.s diuretic, ACEI plus calcium channel blocker, ARB plus calcium channel blocker, or ARB plus calcium channel blocker plus diuretic.
Exclusion Criteria: Excludes concepts that represent non-prescribable branded drugs, components or ingredients.

Constrained to codes in the Medication, Active: ACE Inhibitor or ARB or ARNI value set (2.16.840.1.113883.3.526.3.1139)

QDM Datatype and Definition

"Medication, Active"

Data elements that meet criteria using this datatype should document that the medication indicated by the QDM category and its corresponding value set is being taken by the patient. Keep in mind that when this datatype is used with timing relationships, the criterion is looking for a medication being taken for the time frame indicated by the timing relationships.

Timing:

relevant dateTime references the time the medication is active on the medication record if it was given or taken at a single point in time.
relevantPeriod references a start and stop time for an active medication on the medication record that is given or taken over a time interval:
The relevantPeriod addresses:
- startTime - when the medication is first known to be used (generally the time of entry on the medication list).
- stopTime - when the medication is no longer active.

In the original QDM 5.5 publication, stopTime stated: when the medication is discontinued (generally, the time discontinuation is recorded on the medication list). See Appendix 6.3 for clarification regarding definition of "Medication, Active" relevantPeriod stopTime.

QDM Attributes

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