DER Reference Model Version 1.0.0
ecqm.dataelement

Outpatient Encounters For Preventive Care

Description:
Clinical Focus: The intent of this value set is to capture outpatient encounters.
Data Element Scope: Appropriate for use with data elements in QDM Categories or Attributes represented by encounter codes.
Inclusion Criteria: Included are evaluation and management of a new or established patient through an encounter for annual visit, preventative evaluation, follow-up, or periodic re-evaluations that would occur in the outpatient setting.
Exclusion Criteria: Any encounters that do not meet the inclusion criteria are excluded.
ActivityCode constrained to codes in the Outpatient Encounters for Preventive Care valueset (2.16.840.1.113762.1.4.1047.9).
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.