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 and SNOMED CT codes.
Exclusion Criteria: Excludes non-office visits, including telehealth services.
Constrained to codes in the Encounter, Performed: Outpatient Consultation 1 value set
Timing: The Relevant Period addresses:
- startTime – the time the encounter began (admission time)
- stopTime – the time the encounter ended (discharge time)
The Author dateTime addresses when an Encounter is documented. Documentation can occur at the beginning, during, at the end or subsequent to the end of an Encounter. The Author dateTime should be used only if the Relevant Period cannot be obtained.
The Location Period is an attribute of the attribute facility location addresses:
- startTime -the time the patient arrived at the location;
- stopTime -the time the patient departed from the location