Thrombolytic Therapy Medication Or Procedures Union

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.

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.

Data elements that meet criteria using this datatype should document that the medication indicated by the QDM category and its corresponding value set was actually administered to the patient.

Timing:

• relevant dateTime references the time the medication is administered if it was given or taken at a single point in time.
• relevantPeriod references a start and stop time for medication administration if the administration event occurred over a time interval (e.g., an intravenous infusion). The relevantPeriod addresses:
  • startTime - when a single medication administration event starts (e.g., the initiation of an intravenous infusion).
  • stopTime - when a single medication administration event ends (e.g., the end time of the intravenous infusion).
• author dateTime references the time the action was recorded.
• Refer to the eCQM expression to determine allowable timings to meet measure criterion.

Notes:

• Measure developers should address multiple administrations over a period of time using CQL logic.
• 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.

Refer to Special Cases in Appendix A (Section 5.7) for scenarios to consider in calculating cumulative medication duration.