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Difference between revisions of "Condition/Diagnosis/Problem (QDM)"
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[http://wiki.hl7.org/index.php?title=Harmonization_of_Health_Quality_Information_models Back to Harmonization of Health Quality Information Models Page] <br><br> | [http://wiki.hl7.org/index.php?title=Harmonization_of_Health_Quality_Information_models Back to Harmonization of Health Quality Information Models Page] <br><br> | ||
| − | This QDM to QI Core Mapping for the QDM Datatype "Diagnosis" was | + | This QDM to QI Core Mapping for the QDM Datatype "Diagnosis" was reviewed by the CQI WG on March 30, 2018 for QDM version 5.3. There are no changes in "Condition/Diagnosis/Problem" in QDM version 5.4.<br><br> |
QDM defines Condition/Diagnosis/Problem as a practitioner’s identification of a patient’s disease, illness, injury, or condition. This category contains a single datatype to represent all of these concepts: Diagnosis. A practitioner determines the diagnosis by means of examination, diagnostic test results, patient history, and/or family history. Diagnoses are usually considered unfavorable, but may also represent neutral or favorable conditions that affect a patient’s plan of care (e.g., pregnancy). | QDM defines Condition/Diagnosis/Problem as a practitioner’s identification of a patient’s disease, illness, injury, or condition. This category contains a single datatype to represent all of these concepts: Diagnosis. A practitioner determines the diagnosis by means of examination, diagnostic test results, patient history, and/or family history. Diagnoses are usually considered unfavorable, but may also represent neutral or favorable conditions that affect a patient’s plan of care (e.g., pregnancy). | ||
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Revision as of 19:06, 7 June 2018
Back to Harmonization of Health Quality Information Models Page
This QDM to QI Core Mapping for the QDM Datatype "Diagnosis" was reviewed by the CQI WG on March 30, 2018 for QDM version 5.3. There are no changes in "Condition/Diagnosis/Problem" in QDM version 5.4.
QDM defines Condition/Diagnosis/Problem as a practitioner’s identification of a patient’s disease, illness, injury, or condition. This category contains a single datatype to represent all of these concepts: Diagnosis. A practitioner determines the diagnosis by means of examination, diagnostic test results, patient history, and/or family history. Diagnoses are usually considered unfavorable, but may also represent neutral or favorable conditions that affect a patient’s plan of care (e.g., pregnancy).
Contents
Condition/Diagnosis/Problem
| QDM Attribute | QI Core Metadata Element | Comment |
| Diagnosis | Condition (the .clinicalstatus metadata allows conformance to the specific QDM datatype context) | QDM defaults the status to active and prevalence period provides the evidence of activity. |
| Prevalence Period | Condition.onset[x], OR Condition.asserted | Use whichever is the earlier date. QDM matched to QI Core / FHIR for start of Prevalence Period |
| Condition.abatement[x] | QDM matched to QI Core / FHIR for end of Prevalence Period | |
| Anatomical Location Site | Condition.bodySite | QDM matched to QI Core / FHIR |
| Severity | Condition.severity | QDM matched to QI Core / FHIR |
| Code | Condition.code | QDM matched to QI Core / FHIR |
| Author dateTime | FHIR Provenance.recorded | FHIR provenance addressed author time, Condition.assertedDate may be closer to the onset of the QDM Prevalence Period. Consider - the software may default assertedDate to the date entered requiring manual editing to enter a different date. Further, does it reflect the date the assertion is made or the date the patient asserted that the condition began? Seeking guidance - due to potential ambiguity, should QDM map to FHIR provenance? |
| id | Condition.id | QDM matched to QI Core / FHIR |
| Source | Condition.asserter | QDM matched to QI Core / FHIR |
