Encounter

encounter #

AlcoholAndDrugDependenceTreatment #

value_set.v2021.encounter.AlcoholAndDrugDependenceTreatment

class AlcoholAndDrugDependenceTreatment(ValueSet)

Clinical Focus: This value set contains concepts that represent treatment for alcohol and drug dependence.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with assessment, management, and both psychosocial and pharmacological treatment of alcohol and drug dependence. This is a grouping of SNOMED CT codes.

Exclusion Criteria: No exclusions.

Ambulatory #

value_set.v2021.encounter.Ambulatory

class Ambulatory(ValueSet)

Clinical Focus: This value set contains concepts that represent encounters in an ambulatory setting.

Data Element Scope: This value set may use the Quality Data Model (QDM) category or attribute related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with care in an ambulatory setting.

Exclusion Criteria: Excludes patients who had ambulatory hospice care.

AnnualWellnessVisit #

value_set.v2021.encounter.AnnualWellnessVisit

class AnnualWellnessVisit(ValueSet)

Clinical Focus: This value set grouping contains concepts that represent annual wellness visits.

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.

AudiologyVisit #

value_set.v2021.encounter.AudiologyVisit

class AudiologyVisit(ValueSet)

Clinical Focus: This value set contains concepts that represent assessment tools or instruments used to quantify hearing.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with hearing assessment tools and instruments used to quantify hearing such as basic vestibular evaluation, spontaneous and positional nystagmus testing, and computerized dynamic posturography. This is a grouping of CPT codes.

Exclusion Criteria: No exclusions.

BehavioralHealthFollowUpVisit #

value_set.v2021.encounter.BehavioralHealthFollowUpVisit

class BehavioralHealthFollowUpVisit(ValueSet)

Clinical Focus: This value set contains concepts that represent patients who have had a behavioral health follow-up visit.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with health and behavior assessment or intervention, or education and training for patient self-management by a physician or other qualified health care professional.

Exclusion Criteria: No exclusions.

BehavioralneuropsychAssessment #

value_set.v2021.encounter.BehavioralneuropsychAssessment

class BehavioralneuropsychAssessment(ValueSet)

Clinical Focus: This value set contains concepts that represent visits for assessments for neuropsychological assessments.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with applicable neuropsychological assessments for behavioral health.

Exclusion Criteria: No exclusions.

EncounterInfluenza #

value_set.v2021.encounter.EncounterInfluenza

class EncounterInfluenza(ValueSet)

Clinical Focus: This value set contains concepts that represent visits during which an influenza vaccine may be administered.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with face-to-face encounters during which an influenza vaccine may be administered.

Exclusion Criteria: Excludes telehealth encounters.

EncounterInpatient #

value_set.v2021.encounter.EncounterInpatient

class EncounterInpatient(ValueSet)

Clinical Focus: This value set contains concepts that represent the most common inpatient encounter types.

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 inpatient encounter.

Inclusion Criteria: Includes only relevant concepts associated with SNOMED CT codes representing inpatient encounter.

Exclusion Criteria: No exclusions.

EncounterToDocumentMedications #

value_set.v2021.encounter.EncounterToDocumentMedications

class EncounterToDocumentMedications(ValueSet)

Clinical Focus: This value set contains concepts that represent multiple types of encounters that include documentation of current medications.

Data Element Scope: This value set may use the Quality Data Model (QDM) category or attribute related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with identifying types of encounters associated with documentation of medications reviewed, updated or transcribed as the current medication list.

Exclusion Criteria: No exclusions.

EncounterToEvaluateBmi #

value_set.v2021.encounter.EncounterToEvaluateBmi

class EncounterToEvaluateBmi(ValueSet)

Clinical Focus: This value set contains concepts that represent multiple types of encounters for body mass index (BMI) assessment.

Data Element Scope: This value set may use the Quality Data Model (QDM) category or attribute related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with multiple types of encounters that enable BMI measurement.

Exclusion Criteria: No exclusions.

EncounterToScreenForBloodPressure #

value_set.v2021.encounter.EncounterToScreenForBloodPressure

class EncounterToScreenForBloodPressure(ValueSet)

Clinical Focus: This value set contains concepts that represent multiple types of encounters where blood pressure measurement screening can be performed.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with encounters where the actual procedure of taking a blood pressure is performed.

Exclusion Criteria: No exclusions.

EncounterToScreenForDepression #

value_set.v2021.encounter.EncounterToScreenForDepression

class EncounterToScreenForDepression(ValueSet)

Clinical Focus: This value set contains concepts in which a depression screen could be assessed and documented through an exam, assessment, interview or evaluation.

Data Element Scope: This value set may use the Quality Data Model (QDM) category or attribute related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with wellness visits, annual visits, therapy evaluations, or primary or specialist physician office visits where a depression screen could be conducted.

Exclusion Criteria: No exclusions.

EsrdMonthlyOutpatientServices #

value_set.v2021.encounter.EsrdMonthlyOutpatientServices

class EsrdMonthlyOutpatientServices(ValueSet)

Clinical Focus: This value set contains concepts that represent patients who had ESRD monthly outpatient services.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with identifying patients who had ESRD monthly outpatients services.

Exclusion Criteria: No exclusions.

FollowUpWithin4Weeks #

value_set.v2021.encounter.FollowUpWithin4Weeks

class FollowUpWithin4Weeks(ValueSet)

Clinical Focus: This value set contains concepts that represent capturing the follow-up encounter within four weeks of the initial encounter.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter. Intention to represent follow-up visits within a 4-week period.

Inclusion Criteria: Includes only relevant concepts associated with capturing the follow-up between 1 day to 1 month of the initial finding.

Exclusion Criteria: No exclusions.

FollowUpWithinOneYear #

value_set.v2021.encounter.FollowUpWithinOneYear

class FollowUpWithinOneYear(ValueSet)

Clinical Focus: This value set contains concepts that represent capturing the follow-up encounter within one year of the initial encounter.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter. Intention to represent follow-up visits within a one-year period.

Inclusion Criteria: Includes only relevant concepts associated with capturing the follow-up between 1 day to 12 month of the initial finding.

Exclusion Criteria: No exclusions.

GroupPsychotherapy #

value_set.v2021.encounter.GroupPsychotherapy

class GroupPsychotherapy(ValueSet)

Clinical Focus: This value set contains concepts that represent visits during which group psychotherapy is performed.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with group psychotherapy.

Exclusion Criteria: Excludes family psychotherapy or individual psychotherapy.

OccupationalTherapyEvaluation #

value_set.v2021.encounter.OccupationalTherapyEvaluation

class OccupationalTherapyEvaluation(ValueSet)

Clinical Focus: This value set contains concepts that represent visits for evaluations for occupational therapy services.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with applicable codes for occupational therapy evaluations.

Exclusion Criteria: No exclusions.

OphthalmologicServices #

value_set.v2021.encounter.OphthalmologicServices

class OphthalmologicServices(ValueSet)

Clinical Focus: This value set contains concepts that represent ophthalmological visits.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with relevant encounters during which the patient sees an eye care professional.

Exclusion Criteria: No exclusions.

OphthalmologicalServices #

value_set.v2021.encounter.OphthalmologicalServices

class OphthalmologicalServices(ValueSet)

Clinical Focus: This value set contains concepts that represent ophthalmological visits.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with encounters during which the patient sees an eye care professional.

Exclusion Criteria: No exclusions.

OutpatientEncountersForPreventiveCare #

value_set.v2021.encounter.OutpatientEncountersForPreventiveCare

class OutpatientEncountersForPreventiveCare(ValueSet)

Clinical Focus: This value set contains concepts that represent outpatient encounters.

Data Element Scope: This value set may use the Quality Data Model (QDM) category or attribute related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with evaluation and management of a new or established patient through an encounter for annual visit, preventive evaluation, follow-up, or periodic re-evaluations that would occur in the outpatient setting.

Exclusion Criteria: No exclusions.

PalliativeCareEncounter #

value_set.v2021.encounter.PalliativeCareEncounter

class PalliativeCareEncounter(ValueSet)

Clinical Focus: This value set contains concepts that represent identifying patients receiving palliative, comfort or hospice care.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with identifying patients receiving palliative, comfort or hospice care.

Exclusion Criteria: No exclusions.

PatientProviderInteraction #

value_set.v2021.encounter.PatientProviderInteraction

class PatientProviderInteraction(ValueSet)

Clinical Focus: This value set contains concepts that represent provider interactions with patients that include both face-to-face and virtual types of encounters.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with provider interactions with patients that are conducted in an office or care setting, as well as interactions which may occur via virtual methods, such as telephone calls, emails, and letters.

Exclusion Criteria: No exclusions.

PhysicalTherapyEvaluation #

value_set.v2021.encounter.PhysicalTherapyEvaluation

class PhysicalTherapyEvaluation(ValueSet)

Clinical Focus: This value set contains concepts that represent visits for evaluations for physical therapy services.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with applicable codes for physical therapy evaluations.

Exclusion Criteria: No exclusions.

PsychVisitDiagnosticEvaluation #

value_set.v2021.encounter.PsychVisitDiagnosticEvaluation

class PsychVisitDiagnosticEvaluation(ValueSet)

Clinical Focus: This value set contains concepts that represent visits during which a psychiatric diagnostic evaluation is completed.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with visits with the completion of psychiatric diagnostic evaluations.

Exclusion Criteria: Excludes group psychotherapy or family psychotherapy.

PsychVisitFamilyPsychotherapy #

value_set.v2021.encounter.PsychVisitFamilyPsychotherapy

class PsychVisitFamilyPsychotherapy(ValueSet)

Clinical Focus: This value set contains concepts that represent visits during which family psychotherapy is performed.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with family psychotherapy.

Exclusion Criteria: Excludes group psychotherapy or individual psychotherapy visits.

PsychVisitPsychotherapy #

value_set.v2021.encounter.PsychVisitPsychotherapy

class PsychVisitPsychotherapy(ValueSet)

Clinical Focus: This value set contains concepts that represent visits for psychotherapy.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with visits for individual psychotherapy services.

Exclusion Criteria: Excludes group psychotherapy or family psychotherapy.

Psychoanalysis #

value_set.v2021.encounter.Psychoanalysis

class Psychoanalysis(ValueSet)

Clinical Focus: This value set contains concepts that represent visits for psychoanalysis.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with psychoanalysis.

Exclusion Criteria: No exclusions.

SpeechAndHearingEvaluation #

value_set.v2021.encounter.SpeechAndHearingEvaluation

class SpeechAndHearingEvaluation(ValueSet)

Clinical Focus: This value set contains concepts that represent visits for speech and hearing evaluation.

Data Element Scope: This value set may use the Quality Data Model (QDM) category related to Encounter.

Inclusion Criteria: Includes only relevant concepts associated with evaluation of speech and/or hearing related abilities.

Exclusion Criteria: No exclusions.