DER Reference Model Version 1.0.0
ecqm.dataelement

Unilateral Mastectomy

Description:
Clinical Focus: This value set contains codes to identify a unilateral mastectomy.
Data Element Scope: This value set was intended to identify patients who had a unilateral mastectomy.
Inclusion Criteria: Includes codes that indicate a unilateral mastectomy.
Exclusion Criteria: Excludes codes that indicate a left, right or bilateral mastectomy.
ObservableCode constrained to codes in the Unilateral Mastectomy valueset (2.16.840.1.113883.3.464.1003.198.12.1020).
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