DER Reference Model Version 1.0.0
ecqm.dataelement

General Surgery

Description:
Clinical Focus: This grouping of value sets contains value sets which identify patients who have a general surgery procedure. These surgical procedures are thoracic and abdominal procedures, except for cardiac procedures.
Data Element Scope: The intent of this data element is to identify patients who have general surgery procedures. Using the Quality Data Model, this data element maps to the Procedure category.
Inclusion Criteria: Only include codes which represent general surgery. These surgical procedures are thoracic and abdominal procedures, except for cardiac procedures.
Exclusion Criteria: None.
ObservableCode constrained to codes in the General Surgery valueset (2.16.840.1.113883.3.117.1.7.1.255).
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