How to send QDM negations

[anthonygalba]

I do not see any references in the IG to QDM negations. Several eCQMs use negations in their measure logic. How are we expected to send those over FHIR for UDS+? Can you provide some examples of how to send a negation on the appropriate resource pages of the IG?

Here are the UDS measures that use negations, as well as which QDM templates and FHIR resources are used: Table 6B Line 13

• Intervention, Order = Service Request
• Intervention, Performed = Procedure
• Medication, Order = Medication Request
• Physical Exam, Performed = Lab Observation Table 6B Line 17A
• Medication, Order = Medication Request Table 6B Line 21
• Assessment, Performed = Lab Observation

[nbashyam]

Anthony, there is a gap in the IG on some of the negations, this will be addressed in the next version.

[anthonygalba]

Great, thanks! I just want to document here that we can use the statusReason element on the Procedure resource for negations. The rest of the resources do not seem to have a way of documenting the negation, so I'll check back when the next version of the IG comes out.