DER Reference Model Version 1.0.0
ecqm.dataelement

Patient Reason Refused Negation Rationale

Description:
Clinical Focus: This set of values contains situations in which a patient may refuse a treatment or service.
Data Element Scope:
Inclusion Criteria: Included are situations related to a treatment or procedure refused, or refusal due to religion or non-compliance.
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: