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Participation (QDM)

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

QDM defines Participation as a patient’s coverage by a program such as an insurance or medical plan or a payment agreement. Such programs can include patient-centered medical home, disease-specific programs, etc. Definitions modeled similar to HL7 FHIR STU 3.0 -



QDM Attribute QI Core Metadata Element Comment
Participation Coverage (the .status metadata allows conformance to the specific QDM datatype context) QDM matched to FHIR / QI Core
Code Coverage.type Modeled with FHIR Resource Coverage - may not apply to non-financial program participation but there is no other clear option identified. Not in QI Core
Participation Period Coverage.period QDM matched to FHIR / QI Core
id QDM matched to FHIR / QI Core