ecqm.unions

Disorder Diagnoses Union

Description:

Based On: Union28

Used By:

• CMS159v7,
• CMS160v7

QDM Attributes

BipolarDisorderDiagnosis

Clinical Focus: Under development

Data Element Scope: Under development

Inclusion Criteria: Under development

Exclusion Criteria: Under development

ResultValue constrained to codes in the Bipolar Disorder valueset (2.16.840.1.113883.3.67.1.101.1.128)

Diagnosis: Condition/Diagnosis/Problem represents a practitioner’s identification of a patient’s disease, illness, injury, or condition. This category contains a single datatype to represent all of these concepts: Diagnosis. A practitioner determines the diagnosis by means of examination, diagnostic test results, patient history, and/or family history. Diagnoses are usually considered unfavorable, but may also represent neutral or favorable conditions that affect a patient’s plan of care (e.g., pregnancy). The QDM does not prescribe the source of diagnosis data in the EHR. Diagnoses may be found in a patient’s problem list, encounter diagnosis list, claims data, or other sources within the EHR. The preferred terminology for diagnoses is SNOMED-CT, but diagnoses may also be encoded using ICD-9/10. The Diagnosis datatype should not be used for differential diagnoses or rule-out diagnoses (neither of which are currently supported by the QDM).

DataType

Cardinality

BipolarDisorderDiagnosis

0..*

PersonalityDisorderDiagnosis

Clinical Focus: Under development

Data Element Scope: Under development

Inclusion Criteria: Under development

Exclusion Criteria: Under development

ResultValue constrained to codes in the Personality Disorder valueset (2.16.840.1.113883.3.67.1.101.1.246)

Diagnosis: Condition/Diagnosis/Problem represents a practitioner’s identification of a patient’s disease, illness, injury, or condition. This category contains a single datatype to represent all of these concepts: Diagnosis. A practitioner determines the diagnosis by means of examination, diagnostic test results, patient history, and/or family history. Diagnoses are usually considered unfavorable, but may also represent neutral or favorable conditions that affect a patient’s plan of care (e.g., pregnancy). The QDM does not prescribe the source of diagnosis data in the EHR. Diagnoses may be found in a patient’s problem list, encounter diagnosis list, claims data, or other sources within the EHR. The preferred terminology for diagnoses is SNOMED-CT, but diagnoses may also be encoded using ICD-9/10. The Diagnosis datatype should not be used for differential diagnoses or rule-out diagnoses (neither of which are currently supported by the QDM).

DataType

Cardinality

PersonalityDisorderDiagnosis

0..*

PervasiveDevelopmentalDisorderDiagnosis

Clinical Focus:

Data Element Scope:

Inclusion Criteria:

Exclusion Criteria:

ResultValue constrained to codes in the Pervasive Developmental Disorder valueset (2.16.840.1.113883.3.464.1003.105.12.1152)

Diagnosis: Condition/Diagnosis/Problem represents a practitioner’s identification of a patient’s disease, illness, injury, or condition. This category contains a single datatype to represent all of these concepts: Diagnosis. A practitioner determines the diagnosis by means of examination, diagnostic test results, patient history, and/or family history. Diagnoses are usually considered unfavorable, but may also represent neutral or favorable conditions that affect a patient’s plan of care (e.g., pregnancy). The QDM does not prescribe the source of diagnosis data in the EHR. Diagnoses may be found in a patient’s problem list, encounter diagnosis list, claims data, or other sources within the EHR. The preferred terminology for diagnoses is SNOMED-CT, but diagnoses may also be encoded using ICD-9/10. The Diagnosis datatype should not be used for differential diagnoses or rule-out diagnoses (neither of which are currently supported by the QDM).

DataType

Cardinality

PervasiveDevelopmentalDisorderDiagnosis

0..*

SchizophreniaOrPsychoticDisorderDiagnosis

Clinical Focus: This value set identifies patients with all types of schizophrenia and schizoaffective disorders.

Data Element Scope: This value set was intended to map to the QDM data type of diagnosis.

Inclusion Criteria: Include codes that identify all types of schizophrenia and schizoaffective disorders.

Exclusion Criteria: None

ResultValue constrained to codes in the Schizophrenia or Psychotic Disorder valueset (2.16.840.1.113883.3.464.1003.105.12.1104)

Diagnosis: Condition/Diagnosis/Problem represents a practitioner’s identification of a patient’s disease, illness, injury, or condition. This category contains a single datatype to represent all of these concepts: Diagnosis. A practitioner determines the diagnosis by means of examination, diagnostic test results, patient history, and/or family history. Diagnoses are usually considered unfavorable, but may also represent neutral or favorable conditions that affect a patient’s plan of care (e.g., pregnancy). The QDM does not prescribe the source of diagnosis data in the EHR. Diagnoses may be found in a patient’s problem list, encounter diagnosis list, claims data, or other sources within the EHR. The preferred terminology for diagnoses is SNOMED-CT, but diagnoses may also be encoded using ICD-9/10. The Diagnosis datatype should not be used for differential diagnoses or rule-out diagnoses (neither of which are currently supported by the QDM).

DataType

Cardinality

SchizophreniaOrPsychoticDisorderDiagnosis

0..*