DER Reference Model Version 1.0.0
ecqm.dataelement

Rehabilitation Assessment

Description:
Clinical Focus: This set of values contains procedures that represent rehabilitation assessment of patients post stroke.
Data Element Scope: The intent of this data element is to identify assessments for rehabilitation assessment following a stroke. Using the Quality Data Model, this particular element will map to the 'Procedure' category.
Inclusion Criteria: Include SNOMED CT codes that identify a rehabilitation assessment procedures post stroke.
Exclusion Criteria: Exclude codes that do not meet the inclusion criteria.
ObservableCode constrained to codes in the Rehabilitation Assessment valueset (2.16.840.1.113762.1.4.1045.18).
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