DER Reference Model Version 1.0.0
ecqm.dataelement

Liver Disease Diagnosis

Description:
Clinical Focus: The focus of this value set is to capture a diagnosis of liver disease. The original intent of this value set is to capture liver disease that would indicate that a statin medication may not be appropriate.
Data Element Scope: Appropriate for use with data elements in QDM Categories or Attributes represented by diagnosis codes.
Inclusion Criteria: This value set includes chronic and acute liver conditions that may represent the liver is failing. Examples of conditions include, but are not limited to the following: alcoholic liver damage, cirrhosis, hepatitis C and E, and liver necrosis.
Exclusion Criteria: This value set does not contain Hepatitis A and Hepatitis B.
ResultValue constrained to codes in the Liver Disease valueset (2.16.840.1.113762.1.4.1047.42)
QDM Datatype: Diagnosis

Condition/Diagnosis/Problem represents a practitioner’s identification of a patient’s disease, illness, injury, or condition. This category contains a single datatype to represent all of these concepts: Diagnosis. A practitioner determines the diagnosis by means of examination, diagnostic test results, patient history, and/or family history. Diagnoses are usually considered unfavorable, but may also represent neutral or favorable conditions that affect a patient’s plan of care (e.g., pregnancy). The QDM does not prescribe the source of diagnosis data in the EHR. Diagnoses may be found in a patient’s problem list, encounter diagnosis list, claims data, or other sources within the EHR. The preferred terminology for diagnoses is SNOMED-CT, but diagnoses may also be encoded using ICD-9/10. The Diagnosis datatype should not be used for differential diagnoses or rule-out diagnoses (neither of which are currently supported by the QDM).

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