DER Reference Model Version 1.0.0
ecqm.dataelement

General Or Neuraxial Anesthesia

Description:
Clinical Focus: This group of value sets identifies patients who have a surgical procedure where a general and/or neuraxial anesthesia is used.
Data Element Scope: The intent of this data element is to identify patients who have a surgical procedure where general and/or neuraxial anesthesia is used. Using the Quality Data Model, this particular element will map to the Procedure category.
Inclusion Criteria: Only use codes which represent general and/or neuraxial anesthesia. Codes used are to be ICD10PCS, ICD9 or SNOMED-CT codes only.
Exclusion Criteria: None.
ObservableCode constrained to codes in the General or Neuraxial Anesthesia valueset (2.16.840.1.113883.3.666.5.1743).
QDM Datatype: Procedure

Procedure is derived directly from HL7 and Canada Health Infoway: “An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject. ... Procedure is but one among several types of clinical activities such as observation, substance- administrations, and communicative interactions ... Procedure does not comprise all acts of [sic] whose intent is intervention or treatment.”17 A procedure may be a surgery or other type of physical manipulation of a person’s body in whole or in part for purposes of making observations and diagnoses or providing treatment