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["Encounter, Performed": "Contact or Office Visit"]
Performance/Reporting Period
2021
Value Set Description from VSAC
Clinical Focus: This value set contains concepts that represent contact and office visits for new and established patients, and includes in-person, telephone, online, and other visit types related to depression encounters.
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 outpatient contact and office visits in which a patient may be evaluated for depression. This groups CPT and HCPCS codes.
Exclusion Criteria: Excludes inpatients for purposes of the index event. The majority of CPT codes are specified for outpatient visit types; however psychiatry and psychotherapy visits can be used in the inpatient setting.
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 outpatient contact and office visits in which a patient may be evaluated for depression. This groups CPT and HCPCS codes.
Exclusion Criteria: Excludes inpatients for purposes of the index event. The majority of CPT codes are specified for outpatient visit types; however psychiatry and psychotherapy visits can be used in the inpatient setting.
Constrained to codes in the Encounter, Performed: Contact or Office Visit value set (2.16.840.1.113762.1.4.1080.5)
QDM Datatype and Definition
"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.
QDM Attributes
relevantPeriod
Relevant Period addresses the time between the start of an action to the end of an action. Each datatype using relevant period defines specific definitions for the start and stop time for the action listed.
Note: negation rationale indicates a one-time documentation of a reason an activity is not performed. Negation of QDM datatyperelated actions for a reason always use the author dateTime attribute to reference timing and must not use relevantPeriod