ecqm.dataelement

Above Normal Follow Up Order

Description:

Clinical Focus: The purpose of this value set is to indicate that an appropriate follow-up plan in relation to an elevated (high) BMI is documented by a provider; this value set specifies a follow-up plan that may include one of the following: lifestyle modification, dietary changes, exercise programs, education, or even surgical or procedural referral given to the patient for weight reduction, with an ultimate goal of the follow-up being to reduce BMI.

Data Element Scope:

Inclusion Criteria:

Exclusion Criteria:

Subject constrained to the Above Normal Follow-up

QDM Datatype: InterventionOrder

Data elements that meet criteria using this datatype should document a request to perform the intervention indicated by the QDM category and its corresponding value set. Timing: The time the order is signed; Author dateTime

Used By:

• CMS69v7

QDM Attributes

Subject.Statement

Defined in Activity

DataType

Constrained in AboveNormalFollowUpOrder

AboveNormalFollowUp

AuthorDatetime

The time the data element was entered into the clinical software. Note, some datatypes include both Relevant Time and Author dateTime attributes. The purpose is to accommodate Author dateTime if the actual start and stop times are not available when evaluating for feasibility, and also to allow specification of a time for Negation Rationale.

NegationRationale

Indicates the reason that an action was not performed. Only QDM datatypes that represent actions (e.g., performed, recommended, communication, order, dispensed) allow the “negation rationale” attribute. The intent is to indicate a justification that such action did not happen as expected. This attribute specifically does not address the presence or absence of information in a clinical record (e.g., documented absence of allergies Vs lack of documentation about allergies). The syntax in the human readable HQMF is address in CQL examples and in the MAT User Guide. Prior versions of QDM used the syntax, “Procedure, Performed not done.” QDM 5.0 DRAFT uses the syntax, “Procedure, not Performed.” Note: Some datatypes include both Relevant Time and Author dateTime attributes. The purpose is to accommodate Author dateTime if the actual start and stop times are not available when evaluating for feasibility, and also to allow specification of a time for Negation Rationale.