Back to top
Top
U.S. flag

An official website of the United States government

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Https

Secure .gov websites use HTTPS
A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

["Diagnosis": "Advanced Illness"]

Performance/Reporting Period
2025
Value Set Description from VSAC
Clinical Focus: The purpose of this value set is to represent concepts for a diagnosis of advanced illnesses.
Data Element Scope: This value set may use a model element related to Diagnosis.
Inclusion Criteria: Includes concepts that represent a diagnosis of advanced illness when combined with older age and indications of frailty. Codes cover a wide range of conditions: heart failure, end stage renal disease, liver disease, emphysema, dementia and neurodegenerative disorders, metastatic and sever cancers, respiratory failure, and pulmonary fibrosis.
Exclusion Criteria: Exclude concepts that indicate pregnancy, fetal, juvenile, childhood or neonatal conditions, concepts that indicate acute, temporary, or procedure-related conditions.

Constrained to codes in the Advanced Illness value set (2.16.840.1.113883.3.464.1003.110.12.1082)

QDM Datatype and Definition

"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.

QDM Attributes

prevalencePeriod

prevalencePeriod is the time from onset dateTime to abatement dateTime.
Last Updated: Jun 26, 2024