CMS, ONC release Quality Data Model 4.1
The Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health Information Technology (ONC) announced the release of the Quality Data Model (QDM) 4.1.
The model describes clinical concepts in a standardized format to enable electronic clinical quality measurement, and “is the backbone for representing criteria used in quality measures that are currently used by stakeholders involved in electronic quality measurement development and reporting,” according to ONC.
The QDM 4.1 adds the following new operators and attributes, listed below:
- Union and Intersection operators
- Fulfills general relationship operator
- Ends Concurrent With Start and Starts Concurrent With End timing operators
- Medication, Order attributes: signed datetime and active datetime
- Care Goal attribute: target outcome
It also includes the following modifications to the previous version of the specification:
- Starts Before Or During renamed to Starts Before End
- Ends Before Or During renamed to Ends Before End
- Patient Characteristic Expired attribute reason renamed to cause
- Measurement Start Date and Measurement End Date removed in favor of Measurement Period
- Ambiguous and/or undefined datatypes/attributes clarified or removed (see QDM-46)
- QDM data elements restricted to only one attribute at a time
- Guidance provided regarding the topic of cumulative medication duration
Go here for more information.