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Defect
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Resolution: Delivered
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Moderate
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None
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Improve the likelihood of reliable and feasible information retrieval from EHRs.
The QDM Assessment category includes Assessment, Recommended and Assessment, Performed. In a review of the QDM alignment with existing HL7 FHIR and QI Core resources, the Clinical Quality Information Work Group noticed that there is no QDM datatype for Assessment, Order. The Work Group suggested that an EHR is much more likely to recognize an order than a recommendation. Feedback indicated that providers do plan (or order) future assessments as part of interventions for health concerns included in a care plan. These future assessments have expected completion times and, thus, are consistent with orders.
The QDM User Group reviewed this subject during the March 21, 2018 meeting and agreed to add Assessment, Order to the QDM for the next version. The attributes are the same as Assessment, Recommended:
• Author dateTime
• Negation Rationale
• Reason
• Method
• Code
• Id