ecqm.unions

Index Behavioral Health Outpatient Encounter Before Treatmentor Psychotherapy Union

Description:

Based On: Union60

Used By:

• CMS169v7

QDM Attributes

BhOutpatientPsychotherapyPerformed

Clinical Focus: Under development

Data Element Scope: Under development

Inclusion Criteria: Under development

Exclusion Criteria: Under development

Subject constrained to the BH Outpatient Psychotherapy

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

BhOutpatientPsychotherapyPerformed

0..*

BhOutpatientEncounterPerformed

Clinical Focus:

Data Element Scope:

Inclusion Criteria:

Exclusion Criteria:

Subject constrained to the BH Outpatient 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

BhOutpatientEncounterPerformed

0..*

BhElectroconvulsiveTherapyOrder

Clinical Focus: Under development

Data Element Scope: Under development

Inclusion Criteria: Under development

Exclusion Criteria: Under development

Subject constrained to the BH Electroconvulsive Therapy

ProcedureOrder: Data elements that meet criteria using this datatype should document a request for the procedure indicated by the QDM category and its corresponding value set. Timing: The time the order is signed; Author dateTime.

DataType

Cardinality

BhElectroconvulsiveTherapyOrder

0..*

BhElectroconvulsiveTherapyPerformed

Clinical Focus: Under development

Data Element Scope: Under development

Inclusion Criteria: Under development

Exclusion Criteria: Under development

Subject constrained to the BH Electroconvulsive Therapy

ProcedurePerformed: Data elements that meet criteria using this datatype should document the completion of the procedure indicated by the QDM category and its corresponding value set. Timing: The Relevant Period addresses: StartTime = the time the procedure begins; StopTime = the time the procedure is completed NOTE: 1) Timing refers to a single instance of a procedure. If a measure seeks to evaluate multiple procedures over a period of time, the measure developer should use CQL logic to represent the query request. 2) The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.

DataType

Cardinality

BhElectroconvulsiveTherapyPerformed

0..*

BhCounselingForDepressionOrder

Clinical Focus: Under development

Data Element Scope: Under development

Inclusion Criteria: Under development

Exclusion Criteria: Under development

Subject constrained to the BH Counseling for Depression

ProcedureOrder: Data elements that meet criteria using this datatype should document a request for the procedure indicated by the QDM category and its corresponding value set. Timing: The time the order is signed; Author dateTime.

DataType

Cardinality

BhCounselingForDepressionOrder

0..*

BhCounselingForDepressionPerformed

Clinical Focus: Under development

Data Element Scope: Under development

Inclusion Criteria: Under development

Exclusion Criteria: Under development

Subject constrained to the BH Counseling for Depression

ProcedurePerformed: Data elements that meet criteria using this datatype should document the completion of the procedure indicated by the QDM category and its corresponding value set. Timing: The Relevant Period addresses: StartTime = the time the procedure begins; StopTime = the time the procedure is completed NOTE: 1) Timing refers to a single instance of a procedure. If a measure seeks to evaluate multiple procedures over a period of time, the measure developer should use CQL logic to represent the query request. 2) The Incision dateTime is a single point in time available from the Operating Room and/or Anesthesia Record.

DataType

Cardinality

BhCounselingForDepressionPerformed

0..*

BhAntidepressantMedicationActive

Clinical Focus: Under development

Data Element Scope: Under development

Inclusion Criteria: Under development

Exclusion Criteria: Under development

Subject constrained to the BH Antidepressant Medication

MedicationActive: Data elements that meet criteria using this datatype should document that the medication indicated by the QDM category and its corresponding value set is being taken by the patient. Keep in mind that when this datatype is used with timing relationships, the criterion is looking for a medication being taken for the time frame indicated by the timing relationships. Timing: The Relevant Period addresses: StartTime = when the medication is first known to be used (generally the time of entry on the medication list); StopTime = when the medication is discontinued (generally, the time discontinuation is recorded on the medication list)

DataType

Cardinality

BhAntidepressantMedicationActive

0..*

BhAntidepressantMedicationOrder

Clinical Focus: Under development

Data Element Scope: Under development

Inclusion Criteria: Under development

Exclusion Criteria: Under development

Subject constrained to the BH Antidepressant Medication

MedicationOrder: Data elements that meet criteria using this datatype should document a request to a pharmacy to provide the medication indicated by the QDM category and its corresponding value set. Timing: The Author dateTime is the time the order is signed. Timing: The Relevant Period addresses: startTime = when the first administration of the medication is expected. The first administration may be expected at the time of the order or at a specified future date (i.e., the active time for the order); such information should be identified in the medication order. If the startTime is not specified in the order, the startTime defaults to the Author dateTime (the time the order is signed). stopTime = when the medication supply provided by the medication order is expected to be completed, including all fulfillments covered by the number of refills. Note that when calculating cumulative medication duration, the stopTime may be present directly in the medication order. If the stopTime is not available, the duration in days is the difference between the Relevant Period start and stop times multiplied by (1 + the number of refills). Refer to Special Cases in Appendix A (Section A.3) for scenarios to consider in calculating cumulative medication duration.

DataType

Cardinality

BhAntidepressantMedicationOrder

0..*

BhMoodStabilizerMedicationActive

Clinical Focus: Under development

Data Element Scope: Under development

Inclusion Criteria: Under development

Exclusion Criteria: Under development

Subject constrained to the BH Mood Stabilizer Medication

MedicationActive: Data elements that meet criteria using this datatype should document that the medication indicated by the QDM category and its corresponding value set is being taken by the patient. Keep in mind that when this datatype is used with timing relationships, the criterion is looking for a medication being taken for the time frame indicated by the timing relationships. Timing: The Relevant Period addresses: StartTime = when the medication is first known to be used (generally the time of entry on the medication list); StopTime = when the medication is discontinued (generally, the time discontinuation is recorded on the medication list)

DataType

Cardinality

BhMoodStabilizerMedicationActive

0..*

BhMoodStabilizerMedicationOrder

Clinical Focus: Under development

Data Element Scope: Under development

Inclusion Criteria: Under development

Exclusion Criteria: Under development

Subject constrained to the BH Mood Stabilizer Medication

MedicationOrder: Data elements that meet criteria using this datatype should document a request to a pharmacy to provide the medication indicated by the QDM category and its corresponding value set. Timing: The Author dateTime is the time the order is signed. Timing: The Relevant Period addresses: startTime = when the first administration of the medication is expected. The first administration may be expected at the time of the order or at a specified future date (i.e., the active time for the order); such information should be identified in the medication order. If the startTime is not specified in the order, the startTime defaults to the Author dateTime (the time the order is signed). stopTime = when the medication supply provided by the medication order is expected to be completed, including all fulfillments covered by the number of refills. Note that when calculating cumulative medication duration, the stopTime may be present directly in the medication order. If the stopTime is not available, the duration in days is the difference between the Relevant Period start and stop times multiplied by (1 + the number of refills). Refer to Special Cases in Appendix A (Section A.3) for scenarios to consider in calculating cumulative medication duration.

DataType

Cardinality

BhMoodStabilizerMedicationOrder

0..*