Clinical Focus: This value set contains codes to identify a unilateral mastectomy where the side was not specified.
Data Element Scope: This value set was intended to identify patients who had a unilateral mastectomy where the side was unspecified.
Inclusion Criteria: Includes codes that for a unilateral mastectomy where the side was unspecified.
Exclusion Criteria: Excludes codes that indicate a bilateral mastectomy or a unilateral mastectomy where the side is specified.
ResultValue constrained to codes in the Unilateral Mastectomy, Unspecified Laterality valueset (2.16.840.1.113883.3.464.1003.198.12.1071)
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).