Qualifying Encounters 0 Union
eCQM Union
Data Elements contained within the Union
["Encounter, Performed": "Annual Wellness Visit"]
Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter. The intent of this data element is to identify patients who have had an annual wellness visit.
Inclusion Criteria: Includes only relevant concepts associated with encounters specific to annual wellness visits.
Exclusion Criteria: No exclusions.
Constrained to codes in the Encounter, Performed: Annual Wellness Visit value set (2.16.840.1.113883.3.526.3.1240)
"Encounter, Performed"
Data elements that meet criteria using this datatype should document that the encounter indicated by the QDM category and its corresponding value set is in progress or has been completed.
The "Encounter, Performed" participant references the primary participant.
Previous versions of QDM included an attribute principal diagnosis, defined as the condition that, after study, was determined to be the principal cause of the admission. QDM version 5.5 addresses that concept using the diagnosis rank=1.
A QDM Known Issue has been identified related to this datatype. To see this QDM known Issue, please click here.
Timing:
- The relevantPeriod addresses:
- startTime - The time the encounter began (admission time).
- stopTime - The time the encounter ended (discharge time).
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criteria.
Notes:
- negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatype-related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod.
- The locationPeriod is an attribute of the attribute facility location that addresses:
- startTime - the time the patient arrived at the location. The time the encounter began (admission time).
- stopTime - the time the patient departed from the location.
["Encounter, Performed": "Care Services in Long-Term Residential Facility"]
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with services provided to new and established patients living in assisted living, domiciliary care or rest home. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes visits in settings other than assisted living, domiciliary care or rest homes.
Constrained to codes in the Encounter, Performed: Care Services in Long-Term Residential Facility value set (2.16.840.1.113883.3.464.1003.101.12.1014)
"Encounter, Performed"
Data elements that meet criteria using this datatype should document that the encounter indicated by the QDM category and its corresponding value set is in progress or has been completed.
The "Encounter, Performed" participant references the primary participant.
Previous versions of QDM included an attribute principal diagnosis, defined as the condition that, after study, was determined to be the principal cause of the admission. QDM version 5.5 addresses that concept using the diagnosis rank=1.
A QDM Known Issue has been identified related to this datatype. To see this QDM known Issue, please click here.
Timing:
- The relevantPeriod addresses:
- startTime - The time the encounter began (admission time).
- stopTime - The time the encounter ended (discharge time).
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criteria.
Notes:
- negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatype-related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod.
- The locationPeriod is an attribute of the attribute facility location that addresses:
- startTime - the time the patient arrived at the location. The time the encounter began (admission time).
- stopTime - the time the patient departed from the location.
["Encounter, Performed": "Discharge Services - Nursing Facility"] (2.16.840.1.113883.3.464.1003.101.11.1065)
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with discharge from a nursing facility, including a final examination, instructions for continuing care and preparation of discharge records, prescriptions, and referral forms. Discharge services encounters can be less than or over 30 minutes. This is a grouping of CPT codes.
Exclusion Criteria: Excludes discharges from settings other than a nursing facility.
Constrained to codes in the Encounter, Performed: Discharge Services - Nursing Facility 1 value set (2.16.840.1.113883.3.464.1003.101.11.1065)
"Encounter, Performed"
Data elements that meet criteria using this datatype should document that the encounter indicated by the QDM category and its corresponding value set is in progress or has been completed.
The "Encounter, Performed" participant references the primary participant.
Previous versions of QDM included an attribute principal diagnosis, defined as the condition that, after study, was determined to be the principal cause of the admission. QDM version 5.5 addresses that concept using the diagnosis rank=1.
A QDM Known Issue has been identified related to this datatype. To see this QDM known Issue, please click here.
Timing:
- The relevantPeriod addresses:
- startTime - The time the encounter began (admission time).
- stopTime - The time the encounter ended (discharge time).
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criteria.
Notes:
- negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatype-related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod.
- The locationPeriod is an attribute of the attribute facility location that addresses:
- startTime - the time the patient arrived at the location. The time the encounter began (admission time).
- stopTime - the time the patient departed from the location.
["Encounter, Performed": "Home Healthcare Services"]
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with home visits for the evaluation and management of a new or established patient. This is a grouping value set of CPT and SNOMED CT codes.
Exclusion Criteria: No exclusions.
Constrained to codes in the Encounter, Performed: Home Healthcare Services value set (2.16.840.1.113883.3.464.1003.101.12.1016)
"Encounter, Performed"
Data elements that meet criteria using this datatype should document that the encounter indicated by the QDM category and its corresponding value set is in progress or has been completed.
The "Encounter, Performed" participant references the primary participant.
Previous versions of QDM included an attribute principal diagnosis, defined as the condition that, after study, was determined to be the principal cause of the admission. QDM version 5.5 addresses that concept using the diagnosis rank=1.
A QDM Known Issue has been identified related to this datatype. To see this QDM known Issue, please click here.
Timing:
- The relevantPeriod addresses:
- startTime - The time the encounter began (admission time).
- stopTime - The time the encounter ended (discharge time).
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criteria.
Notes:
- negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatype-related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod.
- The locationPeriod is an attribute of the attribute facility location that addresses:
- startTime - the time the patient arrived at the location. The time the encounter began (admission time).
- stopTime - the time the patient departed from the location.
["Encounter, Performed": "Nursing Facility Visit"]
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with services provided to new and established patients in a nursing facility (skilled, intermediate and long-term care facilities).
Exclusion Criteria: Excludes visits in settings other than a nursing facility.
Constrained to codes in the Encounter, Performed: Nursing Facility Visit value set (2.16.840.1.113883.3.464.1003.101.12.1012)
"Encounter, Performed"
Data elements that meet criteria using this datatype should document that the encounter indicated by the QDM category and its corresponding value set is in progress or has been completed.
The "Encounter, Performed" participant references the primary participant.
Previous versions of QDM included an attribute principal diagnosis, defined as the condition that, after study, was determined to be the principal cause of the admission. QDM version 5.5 addresses that concept using the diagnosis rank=1.
A QDM Known Issue has been identified related to this datatype. To see this QDM known Issue, please click here.
Timing:
- The relevantPeriod addresses:
- startTime - The time the encounter began (admission time).
- stopTime - The time the encounter ended (discharge time).
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criteria.
Notes:
- negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatype-related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod.
- The locationPeriod is an attribute of the attribute facility location that addresses:
- startTime - the time the patient arrived at the location. The time the encounter began (admission time).
- stopTime - the time the patient departed from the location.
["Encounter, Performed": "Office Visit"]
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with comprehensive history, evaluation, and management of a patient in an office or outpatient facility. Patient can be presenting with problems that are minor to high severity. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes non-office visits, including telehealth services.
Constrained to codes in the Encounter, Performed: Office Visit value set (2.16.840.1.113883.3.464.1003.101.12.1001)
"Encounter, Performed"
Data elements that meet criteria using this datatype should document that the encounter indicated by the QDM category and its corresponding value set is in progress or has been completed.
The "Encounter, Performed" participant references the primary participant.
Previous versions of QDM included an attribute principal diagnosis, defined as the condition that, after study, was determined to be the principal cause of the admission. QDM version 5.5 addresses that concept using the diagnosis rank=1.
A QDM Known Issue has been identified related to this datatype. To see this QDM known Issue, please click here.
Timing:
- The relevantPeriod addresses:
- startTime - The time the encounter began (admission time).
- stopTime - The time the encounter ended (discharge time).
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criteria.
Notes:
- negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatype-related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod.
- The locationPeriod is an attribute of the attribute facility location that addresses:
- startTime - the time the patient arrived at the location. The time the encounter began (admission time).
- stopTime - the time the patient departed from the location.
["Encounter, Performed": "Preventive Care Services - Established Office Visit, 18 and Up"]
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with comprehensive preventive medicine reevaluation and management of an individual the age of 18 years or over. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes non-office visits, including telehealth services.
Constrained to codes in the Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up value set (2.16.840.1.113883.3.464.1003.101.12.1025)
"Encounter, Performed"
Data elements that meet criteria using this datatype should document that the encounter indicated by the QDM category and its corresponding value set is in progress or has been completed.
The "Encounter, Performed" participant references the primary participant.
Previous versions of QDM included an attribute principal diagnosis, defined as the condition that, after study, was determined to be the principal cause of the admission. QDM version 5.5 addresses that concept using the diagnosis rank=1.
A QDM Known Issue has been identified related to this datatype. To see this QDM known Issue, please click here.
Timing:
- The relevantPeriod addresses:
- startTime - The time the encounter began (admission time).
- stopTime - The time the encounter ended (discharge time).
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criteria.
Notes:
- negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatype-related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod.
- The locationPeriod is an attribute of the attribute facility location that addresses:
- startTime - the time the patient arrived at the location. The time the encounter began (admission time).
- stopTime - the time the patient departed from the location.
["Encounter, Performed": "Preventive Care Services-Initial Office Visit, 18 and Up"]
Data Element Scope: This value set may use the Quality Data Model (QDM) datatype related to Encounter, Performed.
Inclusion Criteria: Includes only relevant concepts associated with comprehensive preventive medicine reevaluation and management of an individual the age of 18 years or over. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes non-office visits, including telehealth services.
Constrained to codes in the Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up value set (2.16.840.1.113883.3.464.1003.101.12.1023)
"Encounter, Performed"
Data elements that meet criteria using this datatype should document that the encounter indicated by the QDM category and its corresponding value set is in progress or has been completed.
The "Encounter, Performed" participant references the primary participant.
Previous versions of QDM included an attribute principal diagnosis, defined as the condition that, after study, was determined to be the principal cause of the admission. QDM version 5.5 addresses that concept using the diagnosis rank=1.
A QDM Known Issue has been identified related to this datatype. To see this QDM known Issue, please click here.
Timing:
- The relevantPeriod addresses:
- startTime - The time the encounter began (admission time).
- stopTime - The time the encounter ended (discharge time).
- author dateTime references the time the action was recorded.
- Refer to the eCQM expression to determine allowable timings to meet measure criteria.
Notes:
- negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatype-related actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod.
- The locationPeriod is an attribute of the attribute facility location that addresses:
- startTime - the time the patient arrived at the location. The time the encounter began (admission time).
- stopTime - the time the patient departed from the location.