Encounter Union
eCQM Union
Data Elements contained within the Union
["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, 0 to 17"]
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 ages 0-17, and that indicate initial comprehensive preventive medical evaluation, including regular preventive care or care of small problem or preexisting condition that requires no extra work, for a patient that has no prior outpatient professional services from the physician practice in the last 3 years. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes codes that are not for comprehensive preventive medical evaluations and codes that are for patients who have been seen in the last 3 years.
Constrained to codes in the Encounter, Performed: Preventive Care Services, Initial Office Visit, 0 to 17 value set (2.16.840.1.113883.3.464.1003.101.12.1022)
"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.
["Encounter, Performed": "Preventive Care, Established Office Visit, 0 to 17"]
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 ages 0-17, and indicating initial comprehensive preventive medical evaluation, including regular preventive care or care of small problem or preexisting condition that requires no extra work, for a patient that received prior outpatient professional services from the physician practice in the last 3 years. This is a grouping value set of CPT codes.
Exclusion Criteria: Excludes codes that are not for comprehensive preventive medical evaluations and codes that are for patients who have not been seen in the last 3 years.
Constrained to codes in the Encounter, Performed: Preventive Care, Established Office Visit, 0 to 17 value set (2.16.840.1.113883.3.464.1003.101.12.1024)
"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.