Differences of Value sets Encounter Inpatient and Non-Elective Inpatient Encounter

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
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    • Lisenid De Jesus Oquendo
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      Hello and thank you for your inquiry. The “Encounter Inpatient” (OID: 2.16.840.1.113883.3.666.5.307) and "Non-Elective Inpatient Encounter” (OID: 2.16.840.1.113883.3.117.1.7.1.424) value sets contain overlapping clinical concepts but differentiate based on inclusion of elective procedures. As you noted, the “Non-Elective Inpatient Encounter” value set does not include code 8715000, Hospital admission, elective (procedure). This value set is used in hospital stroke measures (CMS71, CMS72, CMS104, and CMS105) where elective procedures would not be considered clinically appropriate for inclusion in the initial population. Other EH/CAH measures use the “Encounter Inpatient” value set to represent instances where elective procedures should be included.
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      Hello and thank you for your inquiry. The “Encounter Inpatient” (OID: 2.16.840.1.113883.3.666.5.307) and "Non-Elective Inpatient Encounter” (OID: 2.16.840.1.113883.3.117.1.7.1.424) value sets contain overlapping clinical concepts but differentiate based on inclusion of elective procedures. As you noted, the “Non-Elective Inpatient Encounter” value set does not include code 8715000, Hospital admission, elective (procedure). This value set is used in hospital stroke measures (CMS71, CMS72, CMS104, and CMS105) where elective procedures would not be considered clinically appropriate for inclusion in the initial population. Other EH/CAH measures use the “Encounter Inpatient” value set to represent instances where elective procedures should be included.

      I need to know how to difference an Encounter Inpatient and Non-Elective Inpatient Encounter.

       

      Guidance The "Non-elective Inpatient Encounter" value set intends to capture all non-scheduled hospitalizations. This value set is a subset of the "Inpatient Encounter" value set, excluding concepts that specifically refer to elective hospital admissions. Non-elective Inpatient Encounters include emergency, urgent, and unplanned admissions.
      • Value set: "Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient (2.16.840.1.113883.3.666.5.307)"

      Purpose: Clinical Focus: The purpose of this value set is to represent concepts of  inpatient hospitalization encounters.

      183452005 Emergency hospital admission (procedure) SNOMEDCT
      32485007 Hospital admission (procedure) SNOMEDCT
      8715000 Hospital admission, elective (procedure) SNOMEDCT
      • Value set: "Encounter, Performed: Non-Elective Inpatient Encounter" using "Non-Elective Inpatient Encounter (2.16.840.1.113883.3.117.1.7.1.424)"

      Purpose: Clinical Focus: The purpose of this value set is to represent concepts of  encounters for non-elective inpatient admission.

      183452005 Emergency hospital admission (procedure) SNOMEDCT
      32485007 Hospital admission (procedure) SNOMEDCT

       

      The VS Encounter Inpatient and Non-Elective Inpatient Encounter share these two codes: 

      183452005 Emergency hospital admission (procedure) SNOMEDCT
      32485007 Hospital admission (procedure) SNOMEDCT

       

      Why these Value sets have/share the same codes if they are for different purposes?

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            Assignee:
            Joelencia Leflore
            Reporter:
            Lisenid De Jesus (Inactive)
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