ecqm.dataelement

Outpatient Consultation Performed

Description:

Clinical Focus: This value set indentifies patients who have had an outpatient interaction at an office with a member of their medical care team.

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.

Subject constrained to the Outpatient Consultation

QDM Datatype: EncounterPerformed

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. 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

Used By:

• CMS135v7,
• CMS136v8,
• CMS142v7,
• CMS143v7,
• CMS144v7,
• CMS145v7,
• CMS147v8,
• CMS149v7,
• CMS161v7,
• CMS167v7,
• CMS177v7,
• CMS249v1,
• CMS52v7,
• CMS56v7,
• CMS66v7

Included in Unions:

• FaceToFaceEncounter0Union,
• FaceToFaceEncounter2Union,
• FacetoFaceEncounterDuringMeasurementPeriod0Union,
• FacetoFaceEncounterDuringMeasurementPeriod2Union,
• FacetoFaceEncounterDuringMeasurementPeriodUnion,
• FaceToFaceEncounterUnion,
• InitialQualifyingEncounterDuringMeasurementPeriodUnion,
• MajorDepressiveDisorderEncounter0Union,
• MajorDepressiveDisorderEncounterUnion,
• QualifyingCadEncounterUnion,
• QualifyingEncounter1Union,
• QualifyingEncounter3Union,
• QualifyingEncounter4Union,
• QualifyingEncounter5Union,
• QualifyingEncounters2Union,
• QualifyingEncounters8Union,
• QualifyingEncounterUnion,
• QualifyingNumeratorEncounterUnion,
• ValidEncounter0Union,
• ValidEncounter11Union,
• ValidEncounter12Union,
• ValidEncounter1Union,
• ValidEncounter4Union,
• ValidEncounter9Union

QDM Attributes

Subject.Statement

Defined in Activity

DataType

Constrained in OutpatientConsultationPerformed

OutpatientConsultation

AuthorDatetime

The time the data element was entered into the clinical software. Note, some datatypes include both Relevant Time and Author dateTime attributes. The purpose is to accommodate Author dateTime if the actual start and stop times are not available when evaluating for feasibility, and also to allow specification of a time for Negation Rationale.

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.

Diagnoses

Coded diagnoses/problems addressed during the encounter. The diagnoses attribute is intended to capture ALL diagnoses, including principal diagnosis. Use of the Encounter, Performed: diagnoses attribute and the Diagnosis datatype is redundant for relating the diagnosis to the Encounter, Performed. The Encounter, Performed: diagnoses syntax is preferred. Referencing the same diagnosis using Encounter, Performed (diagnoses attribute) and Diagnosis (datatype) should only occur if the measure must define a specified length of a prevalence period, e.g., The measure must assure that the diagnoseis have been present for at least some defined time period before the encounter, and were addressed during the Encounter