Common Data Models Harmonization
1.0.0 - STU 1 Publication
Common Data Models Harmonization
1.0.0 - STU 1 Publication
This page is part of the Common Data Models Harmonization FHIR IG (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions 
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="pcornet-encounter-type-codes"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>This code system http://hl7.org/fhir/us/cdmh/CodeSystem/pcornet-encounter-type-codes defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">AV<a name="pcornet-encounter-type-codes-AV"> </a></td><td>Ambulatory Visit</td><td>Includes visits at outpatient clinics, physician offices, same day/ambulatory surgery centers, urgent care facilities, and other same-day ambulatory hospital encounters, but excludes emergency department encounters.</td></tr><tr><td style="white-space:nowrap">ED<a name="pcornet-encounter-type-codes-ED"> </a></td><td>Emergency Department</td><td>Includes ED encounters that become inpatient stays (in which case inpatient stays would be a separate encounter). Excludes urgent care facility visits. ED claims should be pulled before hospitalization claims to ensure that ED with subsequent admission won't be rolled up in the hospital event. Does not include observation stays, where known.</td></tr><tr><td style="white-space:nowrap">EI<a name="pcornet-encounter-type-codes-EI"> </a></td><td>Emergency Department Admit to Inpatient Hospital Stay (permissible substitution)</td><td>Permissible substitution for preferred state of separate ED and IP records. Only for use with data sources where the individual records for ED and IP cannot be distinguished.</td></tr><tr><td style="white-space:nowrap">IP<a name="pcornet-encounter-type-codes-IP"> </a></td><td>Inpatient Hospital Stay</td><td>Includes all inpatient stays, including: same-day hospital discharges, hospital transfers, and acute hospital care where the discharge is after the admission date. Does not include observation stays, where known.</td></tr><tr><td style="white-space:nowrap">IS<a name="pcornet-encounter-type-codes-IS"> </a></td><td>Non-Acute Institutional Stay</td><td>Includes hospice, skilled nursing facility (SNF), rehab center, nursing home, residential, overnight non-hospital dialysis, and other non-hospital stays.</td></tr><tr><td style="white-space:nowrap">OS<a name="pcornet-encounter-type-codes-OS"> </a></td><td>Observation Stay</td><td>Hospital outpatient services given to help the doctor decide if the patient needs to be admitted as an inpatient or can be discharged. Observations services may be given in the emergency department or another area of the hospital.” Definition from Medicare, CMS Product No. 11435, https://www.medicare.gov/Pubs/pdf/11435.pdf.</td></tr><tr><td style="white-space:nowrap">IC<a name="pcornet-encounter-type-codes-IC"> </a></td><td>Institutional Professional Consult (permissible substitution)</td><td>Permissible substitution when services provided by a medical professional cannot be combined with the given encounter record, such as a specialist consult in an inpatient setting; this situation can be common with claims data sources. This includes physician consults for patients during inpatient encounters that are not directly related to the cause of the admission (e.g. a ophthalmologist consult for a patient with diabetic ketoacidosis) (guidance updated in v4.0).</td></tr><tr><td style="white-space:nowrap">TH<a name="pcornet-encounter-type-codes-TH"> </a></td><td>Telehealth</td><td>Includes telemedicine or virtual visits, which can be conducted via video, phone or other means.</td></tr><tr><td style="white-space:nowrap">OA<a name="pcornet-encounter-type-codes-OA"> </a></td><td>Other Ambulatory Visit</td><td>PIncludes other non-overnight AV encounters such as hospice visits, home health visits, skilled nursing visits, other non-hospital visits, as well as telemedicine, telephone and email consultations. May also include 'lab only' visits (when a lab is ordered outside of a patient visit), 'pharmacy only' (e.g., when a patient has a refill ordered without a face-to-face visit), 'imaging only', etc.</td></tr><tr><td style="white-space:nowrap">NI<a name="pcornet-encounter-type-codes-NI"> </a></td><td>No information</td><td>Patient Encounter Type has No information.</td></tr><tr><td style="white-space:nowrap">UN<a name="pcornet-encounter-type-codes-UN"> </a></td><td>Unknown</td><td>Patient Encounter Type is Unknown.</td></tr><tr><td style="white-space:nowrap">OT<a name="pcornet-encounter-type-codes-OT"> </a></td><td>Other</td><td>Patient Encounter Type is Other.</td></tr></table></div>
</text>
<url
value="http://hl7.org/fhir/us/cdmh/CodeSystem/pcornet-encounter-type-codes"/>
<version value="1.0.0"/>
<name value="PCORNetEncounterTypeCodes"/>
<title value="PCORNet Encounter Type Codes"/>
<status value="active"/>
<date value="2021-09-06"/>
<publisher
value="HL7 International - Biomedical Research and Regulation Work Group"/>
<contact>
<telecom>
<system value="url"/>
<value value="http://hl7.org/Special/committees/rcrim"/>
</telecom>
</contact>
<description
value="The PCORNet Encounter Type Codes contains the concepts to be used by PCORNet data marts to classify the encounter."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<copyright
value="Used by permission of HL7, all rights reserved Creative Commons License"/>
<caseSensitive value="true"/>
<content value="complete"/>
<count value="12"/>
<concept>
<code value="AV"/>
<display value="Ambulatory Visit"/>
<definition
value="Includes visits at outpatient clinics, physician offices, same day/ambulatory surgery centers, urgent care facilities, and other same-day ambulatory hospital encounters, but excludes emergency department encounters."/>
</concept>
<concept>
<code value="ED"/>
<display value="Emergency Department"/>
<definition
value="Includes ED encounters that become inpatient stays (in which case inpatient stays would be a separate encounter). Excludes urgent care facility visits. ED claims should be pulled before hospitalization claims to ensure that ED with subsequent admission won't be rolled up in the hospital event. Does not include observation stays, where known."/>
</concept>
<concept>
<code value="EI"/>
<display
value="Emergency Department Admit to Inpatient Hospital Stay (permissible substitution)"/>
<definition
value="Permissible substitution for preferred state of separate ED and IP records. Only for use with data sources where the individual records for ED and IP cannot be distinguished."/>
</concept>
<concept>
<code value="IP"/>
<display value="Inpatient Hospital Stay"/>
<definition
value="Includes all inpatient stays, including: same-day hospital discharges, hospital transfers, and acute hospital care where the discharge is after the admission date. Does not include observation stays, where known."/>
</concept>
<concept>
<code value="IS"/>
<display value="Non-Acute Institutional Stay"/>
<definition
value="Includes hospice, skilled nursing facility (SNF), rehab center, nursing home, residential, overnight non-hospital dialysis, and other non-hospital stays."/>
</concept>
<concept>
<code value="OS"/>
<display value="Observation Stay"/>
<definition
value="Hospital outpatient services given to help the doctor decide if the patient needs to be admitted as an inpatient or can be discharged. Observations services may be given in the emergency department or another area of the hospital.” Definition from Medicare, CMS Product No. 11435, https://www.medicare.gov/Pubs/pdf/11435.pdf."/>
</concept>
<concept>
<code value="IC"/>
<display
value="Institutional Professional Consult (permissible substitution)"/>
<definition
value="Permissible substitution when services provided by a medical professional cannot be combined with the given encounter record, such as a specialist consult in an inpatient setting; this situation can be common with claims data sources. This includes physician consults for patients during inpatient encounters that are not directly related to the cause of the admission (e.g. a ophthalmologist consult for a patient with diabetic ketoacidosis) (guidance updated in v4.0)."/>
</concept>
<concept>
<code value="TH"/>
<display value="Telehealth"/>
<definition
value="Includes telemedicine or virtual visits, which can be conducted via video, phone or other means."/>
</concept>
<concept>
<code value="OA"/>
<display value="Other Ambulatory Visit"/>
<definition
value="PIncludes other non-overnight AV encounters such as hospice visits, home health visits, skilled nursing visits, other non-hospital visits, as well as telemedicine, telephone and email consultations. May also include 'lab only' visits (when a lab is ordered outside of a patient visit), 'pharmacy only' (e.g., when a patient has a refill ordered without a face-to-face visit), 'imaging only', etc."/>
</concept>
<concept>
<code value="NI"/>
<display value="No information"/>
<definition value="Patient Encounter Type has No information."/>
</concept>
<concept>
<code value="UN"/>
<display value="Unknown"/>
<definition value="Patient Encounter Type is Unknown."/>
</concept>
<concept>
<code value="OT"/>
<display value="Other"/>
<definition value="Patient Encounter Type is Other."/>
</concept>
</CodeSystem>
IG © 2019+ HL7 International - Biomedical Research and Regulation Work Group. Package hl7.fhir.us.cdmh#1.0.0 based on FHIR 4.0.1. Generated 2021-12-06
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