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  1. QRDA Issue Tracker
  2. QRDA-985

Ensuring Data Uniqueness - "Other Encounter"

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    • Question/Guidance
    • Status: Resolved
    • Moderate
    • Resolution: Resolved
    • QRDA-I Standard
    • None

    Description

      We'd like to request clarification of how to identify unique "Other Encounters."

      The CMS QRDA HQR 2021Implementation GuideVersion 1.1 (https://ecqi.healthit.gov/sites/default/files/QRDA-HQR-2021-CMS-IG-508.pdf) section 11 - "Ensuring Data Uniqueness" states

       

      Other Encounter (Encounter containing codes other than inpatient code)

      Precondition: same QRDA template

      • Encounter id element (encounter/id)—combination of @root and @extension (if @extension is present)
      • Encounter code (encounter/code)

       

      I think the encounter/id is clear, but our question is specifically on the second item - "Encounter code (encounter/code)". We'd like to request clarification of this and, if possible, an example of duplication that would need to be resolved.

       

      Is this implying that we would have a single encounter template with multiple duplicate coded values that would need to be de-duplicated? EX: a single encounter template on 1/1/2021 has two duplicate "wellness visit" codes? Or would this imply that we would need to de-duplicate encounters across multiple templates by using code (and other data elements such as dates of service, etc.) to identify and collapse?

       

      Any clarification would be very much appreciated

       

       

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            yanheras Yan Heras
            ewhitleyHC Eric Whitley
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