DER Reference Model Version 1.0.0
ecqm.dataelement

Office Visit

Description:
Clinical Focus: This value set indentifies patients who have had an office or other outpatient visit.
Data Element Scope: This value set was intended to map to the QDM data type of encounter.
Inclusion Criteria: Includes 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.
Exclusion Criteria: Excludes non-office visits, including telehealth services.
ActivityCode constrained to codes in the Office Visit valueset (2.16.840.1.113883.3.464.1003.101.11.1005).
QDM Datatype: Encounter

Encounter represents an identifiable grouping of healthcare-related activities characterized by the entity relationship between the subject of care and a healthcare provider; such a grouping is determined by the healthcare provider.13 A patient encounter represents interaction between a healthcare provider and a patient with a face-to-face patient visit to a clinician’s office, or any electronically remote interaction with a clinician for any form of diagnostic treatment or therapeutic event. Encounters can be billable events but are not limited to billable interactions. Each encounter has an associated location or modality within which it occurred (such as an office, home, electronic methods, phone encounter, or telemedicine methods). The encounter location is the patient’s location at the time of measurement. Different levels of interaction can be specified in the value associated with the element while modes of interaction (e.g., telephone) may be modeled using the data flow attribute.