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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 updated 3 April 2018 based on discussion in the CQI WG on March 30, 2018. <br> | + | This QDM to QI Core Mapping for the QDM Datatype "Diagnosis" was updated 3 April 2018 based on discussion in the CQI WG on March 30, 2018. Posted 9 April 2018.<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 14:06, 9 April 2018
Back to Harmonization of Health Quality Information Models Page
This QDM to QI Core Mapping for the QDM Datatype "Diagnosis" was updated 3 April 2018 based on discussion in the CQI WG on March 30, 2018. Posted 9 April 2018.
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 |
