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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 - https://www.hl7.org/fhir/coverage.html.
|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||Coverage.id||QDM matched to FHIR / QI Core|