{
  "description": "(Clinical Focus: This value set contains concepts that represent patients who have had an outpatient interaction at an office with a member of their medical care team.),(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 and SNOMED CT codes.),(Exclusion Criteria: Excludes non-office visits, including telehealth services.)",
  "compose": {
    "include": [ {
      "system": "http://snomed.info/sct",
      "concept": [ {
        "code": "281036007",
        "display": "Follow-up consultation (procedure)"
      }, {
        "code": "77406008",
        "display": "Confirmatory medical consultation (procedure)"
      } ],
      "version": "http://snomed.info/sct/731000124108/version/2019-09"
    }, {
      "system": "http://www.ama-assn.org/go/cpt",
      "concept": [ {
        "code": "99241",
        "display": "Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "99242",
        "display": "Office consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Typically, 30 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "99243",
        "display": "Office consultation for a new or established patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 40 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "99244",
        "display": "Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family."
      }, {
        "code": "99245",
        "display": "Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 80 minutes are spent face-to-face with the patient and/or family."
      } ],
      "version": "2020"
    } ]
  },
  "_filename": "ValueSet-2.16.840.1.113883.3.464.1003.101.12.1008.json",
  "package_name": "us.nlm.vsac",
  "date": "2018-03-10",
  "meta": {
    "source": "https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.101.12.1008/expansion"
  },
  "publisher": null,
  "name": "OutpatientConsultation",
  "type": null,
  "experimental": null,
  "resourceType": "ValueSet",
  "title": "Outpatient Consultation",
  "package_version": "0.1.0",
  "status": "active",
  "id": "6c6133fd-4414-4f3d-869e-bd4276e239bf",
  "kind": null,
  "url": "http://vsac.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.1008",
  "version": "eCQM Update 2020-05-07"
}