[CQM-890] Within emeasure 131 ‘Physical Exam’ (i.e. retinal exam) is supported by a SNOMED value set. All the codes within the value set are procedures. What is the rationale for identifying the procedures as physical exams Created: 10/29/13 Updated: 01/24/14 Resolved: 01/24/14 |
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| Status: | Closed |
| Project: | eCQM Issue Tracker |
| Component/s: | Measure, ValueSet |
| Type: | Value Sets | Priority: | Minor |
| Reporter: | Harika Prabhakar (Inactive) | Assignee: | Rob McClure |
| Resolution: | Answered | Votes: | 0 |
| Labels: | None | ||
| Contact Name: | Harika Prabhakar |
| Contact Email: | hprabhakar@srssoft.com |
| Solution: | eCQMs use the Quality Data Model (QDM) to define the EMR elements needed in a patient record. The QDM (as well as many other HIT standards) defines a physical examination of the patient as a "Procedure". In this measure (CMS 131) the examination of the retina is considered a type of physical examination therefore the concepts expected to be recorded in a patient record will be procedures. In essence this means all the many examinations that a clinician may make during the course of a standard or extended physical examination, can each be individually identified as a particular procedure. An electronic patient record will then have a record of those examination procedures that were completed for the patient during a particular visit, either by just noting that the "procedure" was done (and no result - not a preferred approach), or by noting the result (or something like "not done"). It is worth noting that changes to the data model could potentially change how the physical exam is captured; however, at the current time, no such changes are anticipated. In CMS 131, the value set has multiple procedures codes because the quality measure assumes if any of those specific retinal exam procedures was done, then the patient has had an acceptable exam. |
| Solution Posted On: | |
| Tracker Notification: |
Ramya Tallapragada (Inactive)
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| Comment Posted On: |
| Description |
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Within emeasure 131 ‘Physical Exam’ (i.e. retinal exam) is supported by a SNOMED value set. All the codes within the value set are procedures. What is the rationale for identifying the procedures as physical exams |
| Comments |
| Comment by Rob McClure [ 01/02/14 ] |
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I'm not sure I understand the question. Are you asking how to structure a QRDA to support these measures? You should always submit QRDA data in a matter consistent with the HQMF expectations. While is usually works out in an easy to understand way, the SNOMED CT Semantic Types (http://www.nlm.nih.gov/research/umls/sourcereleasedocs/current/SNOMEDCT/semtypes.html) for a concept may seem to use a different phrase than the QDM "category" and the QRDA model element name. Just remember that these are different things - SNOMED CT concepts and the model elements. The "type" associated with each may not use the same phrase (and they may overlap). Again - follow the expectations as defined for the HQMF. |
| Comment by Harika Prabhakar (Inactive) [ 01/02/14 ] |
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Based on the solution review can physical exams in general be considered procedures and transmitted as such consistently since there are other emeasures which also use the physical exam data type with a procedure code value set. |