ecqm.unions

Denominator Exceptions Union

Description:

Based On: Union19

Used By:

• CMS105v7

QDM Attributes

NonElectiveInpatientEncounterPerformed

Clinical Focus: This set of values contains procedures that represent non-elective inpatient encounters.

Data Element Scope: The intent of this data element is to identify non-elective inpatient encounters. Using the Quality Data Model, this particular element will map to the 'Encounter' category.

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

Exclusion Criteria: None

Subject constrained to the Non-Elective Inpatient Encounter

EncounterPerformed: Data elements that meet criteria using this datatype should document that the encounter indicated by the QDM category and its corresponding value set is in progress or has been completed. Timing: The Relevant Period addresses: startTime – The time the encounter began (admission time) stopTime – The time the encounter ended (discharge time). The Author dateTime addresses when an Encounter is documented. Documentation can occur at the beginning, during, at the end or subsequent to the end of an Encounter. The Author dateTime should be used only if the Relevant Period cannot be obtained. The Location Period is an attribute of the attribute facility location addresses: startTime = the time the patient arrived at the location; stopTime = the time the patient departed from the location

DataType

Cardinality

NonElectiveInpatientEncounterPerformed

0..*

StatinAllergenAdverseEvent

Clinical Focus: Identifies patients with an allergy to statin medications.

Data Element Scope: Statin Allergens as structured in RXNORM

Inclusion Criteria: Only includes codes that use the IN term type for statins.

Exclusion Criteria: Does not include non-statin medications.

ResultValue constrained to codes in the Statin Allergen valueset (2.16.840.1.113883.3.117.1.7.1.423)

AdverseEvent: Adverse Event is used to define any untoward medical occurrence associated with the clinical care delivery, whether or not considered drug related.

DataType

Cardinality

StatinAllergenAdverseEvent

0..*

StatinAllergenAllergyIntolerance

Clinical Focus: Identifies patients with an allergy to statin medications.

Data Element Scope: Statin Allergens as structured in RXNORM

Inclusion Criteria: Only includes codes that use the IN term type for statins.

Exclusion Criteria: Does not include non-statin medications.

ResultValue constrained to codes in the Statin Allergen valueset (2.16.840.1.113883.3.117.1.7.1.423)

AllergyIntolerance: Allergy is used to address immune-mediated reactions to a substance such as type 1 hypersensitivity reactions, other allergy-like reactions, including pseudo-allergy. Intolerance is a record of a clinical assessment of a propensity, or a potential risk to an individual, to have a non-immune mediated adverse reaction on future exposure to the specified substance, or class of substance.

DataType

Cardinality

StatinAllergenAllergyIntolerance

0..*

StatinGrouperDischarge

Clinical Focus: This set of values contains statin medications that are prescribed for therapy at hospital discharge.

Data Element Scope: The intent of this data element is to identify patients who are prescribed statin medications at discharge. Using the Quality Data Model, this particular element would map to the Medication category.

Inclusion Criteria: Include single and multiple ingredient prescribable statin medications. Oral dose forms should be included. Generic only.

Exclusion Criteria: None.

Subject constrained to the Statin Grouper

MedicationDischarge: Data elements that meet criteria using this datatype should document that the medications indicated by the QDM category and its corresponding value set should be taken by or given to the patient after being discharged from an inpatient encounter. Timing: The time the discharge medication list on the discharge instruction form is authored.

DataType

Cardinality

StatinGrouperDischarge

0..*