ecqm.dataelement

Observation Services Order

Description:

Clinical Focus: This set of values identify the observation encounter types.

Data Element Scope: The intent of this data element is to identify patients who have had an observation encounter. Using the Quality Data Model, this particular element will map to the 'encounter' category.

Inclusion Criteria: Only SNOMED CT codes representing inpatient encounter should be included.

Exclusion Criteria: None.

Subject constrained to the Observation Services

QDM Datatype: EncounterOrder

Data elements that meet criteria using this datatype should document that an order for the encounter indicated by the QDM category and its corresponding value set has been recommended. Timing: The time the order is signed; Author dateTime.

Used By:

• CMS32v8

QDM Attributes

Subject.Statement

Defined in Activity

DataType

Constrained in ObservationServicesOrder

ObservationServices

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.