Uploaded image for project: 'QDM Issue Tracker'
  1. QDM Issue Tracker
  2. QDM-46

Many QDM attributes require clarification or removal

XMLWordPrintable

    • Device Applied, Diagnosis, Active, Diagnosis, Inactive, Diagnosis, Resolved, Intervention, Order, Intervention, Performed, Intervention, Recommended, Medication, Active, Medication, Administered, Medication, Adverse Effects, Medication, Allergy, Medication, Discharge, Medication, Dispensed, Medication, Intolerance, Medication, Order, Patient Characteristic, Patient Characteristic Birth Date, Patient Characteristic, Expired, Patient Characteristic, Race, Patient Characteristic, Sex, Provider Characteristic, Substance, Administered, Substance, Adverse Event, Substance, Allergy, Substance, Intolerance, Substance, Order, Substance, Recommended, Symptom, Active, Symptom, Assessed, Symptom, Inactive, Symptom, Resolved, System Characteristic
    • The QDM-based HQMF IG cannot create templates for poorly defined attributes. The MAT cannot generate HQMF for these attributes if they are not in the templates.

      The QDM-based HQMF Implementation Guide was not able to define templates for a number of attributes because their definitions were ambiguous or marked "TBD" in the QDM December 2013 specification.

      The attachments on this issue contain a more detailed breakout of the reasons for our removal/clarification recommendations. The following section describes the current state as determined in the April 16, 2014 QDM User Group Meeting (with a minor update in early June).

      Attributes To Be Clarified/Defined

      The following attributes will be clarified or defined. The definitions will be brought before the User Group in a future meeting.

      1) The QDM User Group did not reach consensus to remove the following attributes, therefore we will keep them and redefine them.

      Medication, Dispensed (dose, route)

      • Intended to represent the dose and route instructions provided at the dispense
      • May need to initially map it to the Medication, Order (if possible)
      • There was about a 50/50 split on whether to keep it or remove it

      2) The QDM User Group did reach consensus to confirm the recommendation that the following attribute be defined:

      Device, Applied (removal datetime)


      Datatypes To Be Clarified/Defined

      The following datatypes will be clarified or defined. The definitions will be brought before the User Group in a future meeting.

      Patient Characteristic
      Patient Characteristic Birth Date
      Patient Characteristic Expired
      Patient Characteristic Race
      Provider Characteristic


      Attributes To Be Removed

      The following attributes were recommended to be removed and confirmed by consensus of the QDM User Group:


      The following attributes are redundant since their values are reflected in the Datatype itself. None are currently used in MU2 measures.

      Attribute Datatypes
      status Diagnosis (Active | Inactive | Resolved), Symptom (Active, Assessed, Inactive, Resolved)


      The following attributes are redundant since other datetime attributes already exist. None are currently used in MU2 measures.

      Attribute Datatypes
      date Medication (Administered), Substance (Administered)
      time Medication (Administered), Substance (Administered)


      The following attributes are too ambiguous or have no clear meaning. None are currently used in MU2 measures.

      Attribute Datatypes
      environment Symptom, Active
      number Medication (Active | Administered | Adverse Effects | Allergy | Discharge | Dispensed | Intolerance | Order), Substance (Administered, Adverse Event, Allergy, Intolerance, Order, Recommended)
      reason Patient Characteristic Sex


      The following attributes do not make sense in the context of their datatype. None are currently used in MU2 measures.

      Attribute Datatypes
      anatomical approach site Intervention (Order | Performed | Recommended)
      anatomical location site Intervention (Order | Performed | Recommended)
      dose Medication (Adverse Effects | Allergy | Intolerance), Substance (Adverse Event | Allergy | Intolerance)
      frequency Medication (Adverse Effects | Allergy | Intolerance), Substance (Adverse Event | Allergy | Intolerance)
      method Intervention (Order | Performed | Recommended)
      refills Medication (Active | Administered | Adverse Effects | Allergy | Intolerance), Substance (Administered | Adverse Event | Allergy | Intolerance)
      route Medication (Adverse Effects | Allergy | Intolerance), Substance (Adverse Event | Allergy | Intolerance)


      Categories To Be Removed

      The following category was confirmed to be removed by QDM User Group consensus. The datatype is too broad to be defined and mapped to an HQMF pattern.

      System Characteristic


      Attributes To Be Renamed

      The QDM User Group reached consensus to rename Patient Characteristic Expired's reason attribute to cause since it is likely intended to represent the cause of death.

      Attribute Datatypes New Attribute
      reason Patient Characteristic Expired cause


      Attributes to Be Further Researched

      The QDM User Group felt that further research should be done before taking action on these attributes.

      1) The following attributes are too ambiguous or have no clear meaning. None are currently used in MU2 measures.

      Attribute Datatypes
      patient preference all applicable
      provider preference all applicable
      related to Care Goal

      The QDM User Group suggested contacting MU3 developers who may be planning to use these in patient-based measures.

        1. QDM_HQMF_IG_Missing_Patterns_04092014.pdf
          56 kB
          Chris Moesel
        2. QDM_Other_TBD_Attributes.pdf
          89 kB
          Chris Moesel
        3. QDM-46_Summary.pdf
          590 kB
          Chris Moesel

            chris.moesel Chris Moesel (Inactive)
            chris.moesel Chris Moesel (Inactive)
            Votes:
            0 Vote for this issue
            Watchers:
            8 Start watching this issue

              Created:
              Updated:
              Resolved: