DER Reference Model Version 1.0.0
ecqm.dataelement

Medical Or Other Reason Not Done Negation Rationale

Description:
Clinical Focus: The intent of this value set is to specify a situation or finding was not done by indicating a medical reason a procedure or treatment is contraindicated, not tolerated, or not indicated.
Data Element Scope:
Inclusion Criteria:
Exclusion Criteria:
Based On: 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.

Used By: