NQF 0441 - Procedure, Order Not Done: Medical Reason

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Minor
    • Component/s: ValueSet
    • Beth Dibbert
    • 608-644-3258
    • Rural Wisconsin Health Cooperative
    • Hi - the context of this question is why a stroke patient would not have rehabilitation services ordered. The SNOMED-CT Value set for Medical Reasons includes attributes addressing medications (drug intolerance, drug resistance, etc) that don't make sens
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      Thank you for your question. Currently, a general medical reason value set is defined and the same medical reason value set is used across all measures as reasons for “not done”. That is why you see drug intolerance, drug resistance, etc. in the value set, since they may be applicable to logics such as "Medication, Administered not done: Medical Reason" for "Parenteral Anticoagulant RxNorm Value Set." If future modifications are determined to be necessary, they will be included in the next regularly-scheduled measure update.
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      Thank you for your question. Currently, a general medical reason value set is defined and the same medical reason value set is used across all measures as reasons for “not done”. That is why you see drug intolerance, drug resistance, etc. in the value set, since they may be applicable to logics such as "Medication, Administered not done: Medical Reason" for "Parenteral Anticoagulant RxNorm Value Set." If future modifications are determined to be necessary, they will be included in the next regularly-scheduled measure update.
    • CMS102v1/NQF441

      Sorry - the entire text of my issue did not fit in the field above. Anyway, the context of this question is why a stroke patient would not have rehabilitation services ordered. The SNOMED-CT Value set for Medical Reasons includes attributes addressing medications (drug intolerance, drug resistance, etc) that don't make sense for this measure. Possible that in future iterations the table will be edited to include only attributes germane to the measure?

            Assignee:
            Abt Associate (Inactive)
            Reporter:
            Beth Dibbert (Inactive)
            Deborah Krauss (Inactive), Rob McClure, Saul Kravitz (Inactive)
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              Created:
              Updated:
              Resolved: