This wiki has undergone a migration to Confluence found Here

Individual Characteristic (QDM)

From HL7Wiki
Jump to navigation Jump to search

Back to Harmonization of Health Quality Information Models Page

The CQI Workgroup reviewed this content based on QDM version 5.3 in April 2018. There are no changes to the content for QDM version 5.4.


QDM defines Individual Characteristic as specific factors about a patient, clinician, provider, or facility. Included are demographics, behavioral factors, social or cultural factors, available resources, and preferences. Behaviors reference responses or actions that affect (either positively or negatively) health or healthcare. Included in this category are mental health issues, adherence issues unrelated to other factors or resources, coping ability, grief issues, and substance use/abuse. Social/cultural factors are characteristics of an individual related to family/caregiver support, education, and literacy (including health literacy), primary language, cultural beliefs (including health beliefs), persistent life stressors, spiritual and religious beliefs, immigration status, and history of abuse or neglect. Resources are means available to a patient to meet health and healthcare needs, which might include caregiver support, insurance coverage, financial resources, and community resources to which the patient is already connected and from which the patient is receiving benefit. Preferences are choices made by patients and their caregivers relative to options for care or treatment (including scheduling, care experience, and meeting of personal health goals) and the sharing and disclosure of their health information. QDM defines nine individual characteristics: Patient Characteristic; Patient Characteristic, Birthdate; Patient Characteristic, Clinical Trial Participant; Patient Characteristic, Ethnicity; Patient Characteristic, Expired; Patient Characteristic, Payer; Patient Characteristic, Race; Patient Characteristic, Sex; Provider Characteristic.

Patient Characteristic (Generic)

QDM Attribute QI Core Metadata Element Comment
Author dateTime FHIR Provenance.recorded FHIR references authorDatetime as part of the provenance resource for all resources.
Code Not sufficiently specific to address with FHIR
id patient.id QDM matched to FHIR / QI Core
Source Not sufficiently specific to address with FHIR
Recorder FHIR Provenance.recorder QDM matched to FHIR / QI Core

Patient Characteristic: Birthdate

QDM Attribute QI Core Metadata Element Comment
Birth dateTime Patient.birthDate

Patient.extension.birthTime

Patient.extension.birthTime used for birthTime for newborns.
Code Not addressed in QI Core / FHIR
id patient.id QDM matched to QI Core / FHIR

Patient Characteristic: Clinical Trial Participant

QDM Attribute QI Core Metadata Element Comment
Reason Patient.extension.clinicalTrial.reason QDM matched to QI Core / FHIR
Relevant Period Patient.extension.clinicalTrial.period QDM matched to QI Core / FHIR
Code Patient.extension.clinicalTrial.NCT QDM matched to QI Core / FHIR
id Patient.id QDM matched to QI Core / FHIR

Patient Characteristic: Ethnicity

QDM Attribute QI Core Metadata Element Comment
Code Patient.extension (http://hl7.org/fhir/us/core/StructureDefinition-us-core-ethnicity) .ombCategory QDM matched to QI Core / FHIR
id Patient.id QDM matched to QI Core / FHIR

Patient Characteristic: Expired

QDM Attribute QI Core Metadata Element Comment
Cause Not addressed in QI Core / FHIR
Expiration dateTime Patient.deceasedDateTime QDM matched to QI Core / FHIR
Code deceasedBoolean If the code exisits in QDM the deceasedBoolean is true. Uses a direct referenced code (SNOMED CT 419099009 2016-03).
id Patient.id QDM matched to QI Core / FHIR

Patient Characteristic: Payer

QDM Attribute QI Core Metadata Element Comment
Relevant Period Not addressed in QI Core / FHIR
Code Not addressed in QI Core / FHIR
id Patient.id QDM matched to QI Core / FHIR

Patient Characteristic: Race

QDM Attribute QI Core Metadata Element Comment
Code Patient.extension (http://hl7.org/fhir/us/core/StructureDefinition-us-core-race.html) .ombCategory QDM matched to QI Core / FHIR
id Patient.id QDM matched to QI Core / FHIR

Patient Characteristic: Sex

QDM Attribute QI Core Metadata Element Comment
Code Patient.gender QDM matched to QI Core / FHIR
id Patient.id QDM matched to QI Core / FHIR

Provider Characteristic

QDM Attribute QI Core Metadata Element Comment
Author dateTime FHIR Provenance.recorded FHIR references authorDatetime as part of the provenance resource for all resources. Note - FHIR includes a concept Practitioner.qualification.period (period during which the qualification is valid). The qualification period may be useful in defining CDS or eCQMs.
Code Practitioner.qualification.code QDM matched to QI Core / FHIR
id Practitioner.identifier.id QDM matched to QI Core / FHIR