ecqm.dataelement

Anticoagulant Therapy Discharge

Description:

Clinical Focus: This set of values contains medications that are prescribed for anticoagulant therapy at hospital discharge for patients following acute ischemic stroke.

Data Element Scope: The intent of this data element is to identify patients who are prescribed anticoagulant therapy at discharge following acute ischemic stroke. Using the Quality Data Model, this particular element would map to the Medication category.

Inclusion Criteria: Include oral and injectable drug forms. Include Warfarin, heparins and direct thrombin inhibitors.

Exclusion Criteria: Exclude enoxaparin and heparin codes generally given for VTE prophylaxis.

Subject constrained to the Anticoagulant Therapy

QDM Datatype: MedicationDischarge

Data elements that meet criteria using this datatype should document that the medications indicated by the QDM category and its corresponding value set should be taken by or given to the patient after being discharged from an inpatient encounter. Timing: The time the discharge medication list on the discharge instruction form is authored.

Used By:

• CMS71v8

QDM Attributes

Subject.Statement

Defined in Activity

DataType

Constrained in AnticoagulantTherapyDischarge

AnticoagulantTherapy

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.