History Of Bipolar Or Depression Diagnosis Before Qualifying Encounter Union
eCQM Union
Data Elements contained within the Union
["Diagnosis": "Bipolar Diagnosis"]
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of bipolar disorder.
Exclusion Criteria: No exclusions.
Constrained to codes in the Diagnosis: Bipolar Diagnosis value set (2.16.840.1.113883.3.600.450)
"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": "Depression Diagnosis"]
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent depression diagnoses as well as depression as indicated as depressed mood or features, a single episode, or type of psychosis, or a reaction as related to depression.
Exclusion Criteria: No exclusions.
Constrained to codes in the Diagnosis: Depression Diagnosis value set (2.16.840.1.113883.3.600.145)
"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 to Screen for Depression"]
Data Element Scope: This value set may use a model element related to Encounter.
Inclusion Criteria: Includes concepts that represent wellness visits, annual visits, therapy evaluations, or primary or specialist physician office visits where a depression screen could be conducted.
Exclusion Criteria: No exclusions.
Constrained to codes in the Encounter, Performed: Encounter to Screen for Depression value set (2.16.840.1.113883.3.600.1916)
"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.
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.
["Encounter, Performed": "Physical Therapy Evaluation"]
Data Element Scope: This value set may use a model element related to Encounter.
Inclusion Criteria: Includes concepts that represent an encounter for a physical therapy evaluation.
Exclusion Criteria: No exclusions.
Constrained to codes in the Encounter, Performed: Physical Therapy Evaluation value set (2.16.840.1.113883.3.526.3.1022)
"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.
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.