Many measures use the datatype Procedure, Performed. Does this datatype require that a record of the actual procedure being done by users of the EHR be available in the record, with all its associated metadata (What was done, when, by whom, by what technique, etc)? Or does it also include some indication that a similar procedure was done elsewhere, but without all of its metadata (I don't know who did it, exactly when, or how, but I know it was done)?

Example:

In CMS 124, we have Procedure, Performed: Hysterectomy with No Residual Cervix" ends before end of "Measurement Period". Does that imply that I need to find the actual performance of the hysterectomy in the record, or is the fact that I know the patient had a hysterectomy 20 years ago enough to meet this criterion?

How do we know by looking at the QDM which is correct?

CMS 147 actually handles this question by specifying the following:
"Communication: From Patient to Provider: Previous Receipt of Influenza Vaccine"
This explicitly says that a record of a procedure counts (there is also a Procedure, Performed statement) but that just attesting to the performance of a procedure also counts. But no other measure does this. So should we infer that this counts for no other measure? And therefore, it does not matter if we know the patient had a hysterectomy, if we don't have a record of it actually being done in the chart, we can't count it?