{
  "description": null,
  "compose": {
    "include": [ {
      "system": "http://www.ama-assn.org/go/cpt",
      "concept": [ {
        "code": "99217",
        "display": "Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital \"observation status\" if the discharge is on other than the initial date of \"observation status.\" To report services to a patient designated as \"observation status\" or \"inpatient status\" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.])"
      }, {
        "code": "99218",
        "display": "Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or 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 problem(s) requiring admission to outpatient hospital \"observation status\" are of low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit."
      }, {
        "code": "99219",
        "display": "Initial observation care, per day, for the evaluation and management of a 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 problem(s) requiring admission to outpatient hospital \"observation status\" are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit."
      }, {
        "code": "99220",
        "display": "Initial observation care, per day, for the evaluation and management of a 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 problem(s) requiring admission to outpatient hospital \"observation status\" are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit."
      } ]
    } ]
  },
  "_filename": "ValueSet-2.16.840.1.113883.3.464.1003.101.11.1275.json",
  "package_name": "us.nlm.vsac",
  "date": "2021-02-20T01:00:45-05:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm" ],
    "versionId": "10",
    "lastUpdated": "2021-02-20T01:00:45.000-05:00"
  },
  "publisher": "NCQA PHEMUR",
  "jurisdiction": [ {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
      "valueString": "UNKNOWN"
    } ]
  } ],
  "purpose": "(Clinical Focus: The purpose of this value set is to represent concepts for encounters for observation stays.),(Data Element Scope: This value set may use a model element related to Encounter.),(Inclusion Criteria: Includes concepts that represent an encounter for comprehensive history, evaluation, and management of a patient in an observation care setting.),(Exclusion Criteria: Excludes concepts that represent an encounter not representative of observation care, including critical care and ED visits.)",
  "name": "Observation",
  "type": null,
  "experimental": "false",
  "resourceType": "ValueSet",
  "expansion": {
    "total": 0,
    "offset": 0,
    "parameter": [ {
      "name": "count",
      "valueInteger": 1000
    }, {
      "name": "offset",
      "valueInteger": 0
    } ],
    "timestamp": "2023-06-29T18:59:15-04:00",
    "identifier": "urn:uuid:23433fe5-e6b3-48ac-b124-ed2451bbb91e"
  },
  "title": "Observation",
  "package_version": "0.11.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/valueset-author",
    "valueString": "NCQA PHEMUR Author"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
    "valueDate": "2022-12-15"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
    "valueDate": "2021-02-20"
  } ],
  "status": "active",
  "id": "df9cf173-8cff-4250-83ac-b8ecab1059ae",
  "kind": null,
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.11.1275",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.3.464.1003.101.11.1275",
    "system": "urn:ietf:rfc:3986"
  } ],
  "version": "20210220"
}