ecqm.unions

Medication Oral Factor Xa Inhibitor Administeredon Dayofor Day After First Icu Stayor Procedure Union

Description:

Based On: Union82

Used By:

• CMS190v7

QDM Attributes

GeneralOrNeuraxialAnesthesiaPerformed

Clinical Focus: This group of value sets identifies patients who have a surgical procedure where a general and/or neuraxial anesthesia is used.

Data Element Scope: The intent of this data element is to identify patients who have a surgical procedure where general and/or neuraxial anesthesia is used. Using the Quality Data Model, this particular element will map to the Procedure category.

Inclusion Criteria: Only use codes which represent general and/or neuraxial anesthesia. Codes used are to be ICD10PCS, ICD9 or SNOMED-CT codes only.

Exclusion Criteria: None.

Subject constrained to the General or Neuraxial Anesthesia

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

GeneralOrNeuraxialAnesthesiaPerformed

0..*

OralFactorXaInhibitorForVteProphylaxisOrVteTreatmentAdministered

Clinical Focus: This set of values identifies oral Factor Xa inhibitors indicated for VTE prophylaxis and treatment.

Data Element Scope: The intent of this data element is to identify patients who receive oral factor Xa inhibitors for VTE prophylaxis. Using the Quality Data Model, this particular element will map to the Medication category.

Inclusion Criteria: Oral forms of factor Xa inhibitors.

Exclusion Criteria: Other dose forms of factor Xa inhibitors.

Subject constrained to the Oral Factor Xa Inhibitor for VTE Prophylaxis or VTE Treatment

MedicationAdministered: Data elements that meet criteria using this datatype should document that the medication indicated by the QDM category and its corresponding value set was actually administered to the patient. Timing: The Relevant Period addresses: startTime = when a single medication administration event starts (e.g., the initiation of an intravenous infusion, or administering a pill or IM injection to a patient); stopTime = when a single medication administration event ends (e.g., the end time of the intravenous infusion, or the administration of a pill or IM injection is completed - for pills and IM injections, the start and stop times are the same) NOTE – Measure developers should address multiple administrations over a period of time using CQL logic. Refer to Special Cases in Appendix A (Section A.3) for scenarios to consider in calculating cumulative medication duration.

DataType

Cardinality

OralFactorXaInhibitorForVteProphylaxisOrVteTreatmentAdministered

0..*