ID

42814

Descrição

PCORnet Common Data Model (CDM) Encounter Encounters are interactions between patients and providers within the context of healthcare delivery. PCORnet Common Data Model (CDM) The PCORnet Common Data Model (CDM) is a specification that defines a standard organization and representationof data for the PCORnet Distributed Research Network. The PCORnet CDM is a key component of the PCORnet Distributed Research Network (DRN) infrastructure. http://www.pcornet.org/pcornet-common-data-model/

Link

http://www.pcornet.org/pcornet-common-data-model/

Palavras-chave

Versões (3)
  1. 06/07/2019 06/07/2019 -
  2. 15/07/2019 15/07/2019 -
  3. 17/09/2021 17/09/2021 -
Titular dos direitos

PCORnet

Transferido a

17 de setembro de 2021

DOI

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Licença

Creative Commons BY-NC 3.0
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PCORnet Common Data Model (CDM)

Inglês

Encounter V4.1

1 Formulários  
  1. StudyEvent: ODM
    1. Encounter V4.1
Encounter
Descrição

Encounter

Alias
UMLS CUI-1
C1947978
Encounter ID
Descrição

Arbitrary encounter-level identifier. Used to link across tables, including the ENCOUNTER, DIAGNOSIS, and PROCEDURES tables.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1947978
UMLS CUI [1,2]
C1300638
Patient ID
Descrição

Arbitrary person-level identifier used to link across tables.

Tipo de dados

text

Alias
UMLS CUI [1]
C2348585
Admission date and time
Descrição

Encounter or admission date and time

Tipo de dados

datetime

Alias
UMLS CUI [1,1]
C0030673
UMLS CUI [1,2]
C1264639
Discharge Date and Time
Descrição

Discharge date and time.

Tipo de dados

datetime

Alias
UMLS CUI [1,1]
C0030685
UMLS CUI [1,2]
C1264639
Provider ID
Descrição

Code for the provider who is most responsible for this encounter. As with the PATID, the provider code is a pseudoidentifier with a consistent crosswalk to the real identifier.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1138603
UMLS CUI [1,2]
C1300638
Facility Location
Descrição

Geographic location (3 digit zip code).

Tipo de dados

text

Alias
UMLS CUI [1]
C0806106
Encounter type
Descrição

Encounter type. Details of categorical definitions: Ambulatory Visit: 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. Emergency Department (ED): 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. Emergency Department Admit to Inpatient Hospital Stay: 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. Inpatient Hospital Stay: 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. Observation Stay: “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. Institutional Professional Consult: 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. Non-Acute Institutional Stay: Includes hospice, skilled nursing facility (SNF), rehab center, nursing home, residential, overnight non-hospital dialysis, and other non-hospital stays. Other Ambulatory Visit: Includes 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.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1947978
UMLS CUI [1,2]
C0332307
Facility ID
Descrição

Arbitrary local facility code that identifies the hospital or clinic. Used for chart abstraction and validation. FACILITYID can be a true identifier, or a pseudoidentifier with a consistent crosswalk to the true identifier retained by the source data partner.

Tipo de dados

text

Alias
UMLS CUI [1]
C1549700
Discharge Disposition
Descrição

Vital status at discharge.

Tipo de dados

text

Alias
UMLS CUI [1]
C1550390
Discharge Status
Descrição

Discharge status.

Tipo de dados

text

Alias
UMLS CUI [1]
C0586514
Diagnosis Related Group
Descrição

3-digit Diagnosis Related Group (DRG). The DRG is used for reimbursement for inpatient encounters. It is a Medicare requirement that combines diagnoses into clinical concepts for billing. Frequently used in observational data analyses.

Tipo de dados

text

Alias
UMLS CUI [1]
C0011928
DRG Type
Descrição

DRG code version.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0011928
UMLS CUI [1,2]
C0332307
Admitting Source
Descrição

Admitting source.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0001572
UMLS CUI [1,2]
C0449416
Payer Type Primary
Descrição

Categorization of payer type for primary payer associated with the encounter

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2347676
UMLS CUI [1,2]
C0332307
Payer Type Secondary
Descrição

Categorization of payer type for secondary payer associated with the encounter

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2348170
UMLS CUI [1,2]
C0332307
Description of the facility where the encounter occurred.
Descrição

Description of the facility where the encounter occurred.

Tipo de dados

text

Alias
UMLS CUI [1]
C1547726
RAW Site ID
Descrição

Field for locally-defined identifier intended for local use; for example, where a network may have multiple sites contributing to a central data repository. This attribute may be sensitive in certain contexts; the intent is for internal network use only, and not to enable site quality comparisons.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2826692
UMLS CUI [1,2]
C0205313
RAW Encounter type
Descrição

Field for originating value, prior to mapping into the PCORnet CDM value set.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1947978
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C0205313
RAW Discharge Disposition
Descrição

Field for originating value, prior to mapping into the PCORnet CDM value set.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1550390
UMLS CUI [1,2]
C0205313
RAW Discharge Status
Descrição

Field for originating value, prior to mapping into the PCORnet CDM value set.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0586514
UMLS CUI [1,2]
C0205313
RAW DRG Type
Descrição

Field for originating value, prior to mapping into the PCORnet CDM value set.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0011928
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C0205313
RAW Admitting Source
Descrição

Field for originating value, prior to mapping into the PCORnet CDM value set.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0001572
UMLS CUI [1,2]
C0449416
UMLS CUI [1,3]
C0205313
RAW Description of the facility where the encounter occurred.
Descrição

Field for originating value, prior to mapping into the PCORnet CDM value set.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1547726
UMLS CUI [1,2]
C0205313
RAW Payer Type Primary
Descrição

Field for originating value, prior to mapping into the PCORnet CDM value set.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2347676
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C0205313
RAW Payer Name Primary
Descrição

Primary payer name as denoted in the source system. Used to derive PAYER_TYPE_PRIMARY if validated process does not exist.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2347676
UMLS CUI [1,2]
C0027365
UMLS CUI [1,3]
C0205313
RAW Payer ID Primary
Descrição

Primary PAYER identifier as denoted in the source system. Used to derive PAYER_TYPE_PRIMARY if validated process does not exist.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2347676
UMLS CUI [1,2]
C0205313
UMLS CUI [1,3]
C0600091
RAW Payer Type Secondary
Descrição

Field for originating value, prior to mapping into the PCORnet CDM value set.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2348170
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C0205313
RAW Payer Name Secondary
Descrição

Secondary payer name as denoted in the source system. Used to derive PAYER_TYPE_SECONDARY if validated process does not exist.

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2348170
UMLS CUI [1,2]
C0027365
UMLS CUI [1,3]
C0205313
RAW Payer ID Secondary
Descrição

Categorization of payer type for secondary payer associated with the encounter

Tipo de dados

text

Alias
UMLS CUI [1,1]
C2348170
UMLS CUI [1,2]
C0600091
UMLS CUI [1,3]
C0205313
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Similar models

Encounter V4.1

1 Formulários
  1. StudyEvent: ODM
    1. Encounter V4.1
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
C1947978 (UMLS CUI-1)
Encounter ID
Item
Encounter ID
text
C1947978 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Patient ID
Item
Patient ID
text
C2348585 (UMLS CUI [1])
Admit Date/Time
Item
Admission date and time
datetime
C0030673 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
Discharge Date and time
Item
Discharge Date and Time
datetime
C0030685 (UMLS CUI [1,1])
C1264639 (UMLS CUI [1,2])
Provider ID
Item
Provider ID
text
C1138603 (UMLS CUI [1,1])
C1300638 (UMLS CUI [1,2])
Facility Location
Item
Facility Location
text
C0806106 (UMLS CUI [1])
Item
Encounter type
text
C1947978 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Encounter type
Code List
Encounter type
CL Item
Ambulatory Visit  (AV)
CL Item
Emergency Department  (ED)
CL Item
Emergency Department Admit to Inpatient Hospital Stay (permissible substitution)  (EI)
CL Item
Inpatient Hospital Stay  (IP)
CL Item
Non-Acute Institutional Stay  (IS)
CL Item
Observation Stay  (OS)
CL Item
Institutional Professional Consult (permissible substitution)  (IC)
CL Item
Other Ambulatory Visit  (OA)
CL Item
No information  (NI)
CL Item
Unknown  (UN)
CL Item
Other (OT)
Facility ID
Item
Facility ID
text
C1549700 (UMLS CUI [1])
Item
Discharge Disposition
text
C1550390 (UMLS CUI [1])
Discharge Disposition
Code List
Discharge Disposition
CL Item
Discharged alive  (A)
CL Item
Expired  (E)
CL Item
No information  (NI)
CL Item
Unknown  (UN)
CL Item
Other (OT)
Item
Discharge Status
text
C0586514 (UMLS CUI [1])
Discharge Status
Code List
Discharge Status
CL Item
Adult Foster Home  (AF)
CL Item
Assisted Living Facility  (AL)
CL Item
Against Medical Advice  (AM)
CL Item
Absent without leave  (AW)
CL Item
Expired  (EX)
CL Item
Home Health  (HH)
CL Item
Home / Self Care (HO)
CL Item
Hospice  (HS)
CL Item
Other Acute Inpatient Hospital  (IP)
CL Item
Nursing Home (Includes ICF)  (NH)
CL Item
Rehabilitation Facility  (RH)
CL Item
Residential Facility (RS)
CL Item
Still In Hospital  (SH)
CL Item
Skilled Nursing Facility  (SN)
CL Item
No information  (NI)
CL Item
Unknown  (UN)
CL Item
Other (OT)
DRG
Item
Diagnosis Related Group
text
C0011928 (UMLS CUI [1])
Item
DRG Type
text
C0011928 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
DRG Type
Code List
DRG Type
CL Item
CMS-DRG (old system)  (01)
CL Item
MS-DRG (current system) (02)
CL Item
No information  (NI)
CL Item
Unknown  (UN)
CL Item
Other (OT)
Item
Admitting Source
text
C0001572 (UMLS CUI [1,1])
C0449416 (UMLS CUI [1,2])
Admitting Source
Code List
Admitting Source
CL Item
Adult Foster Home  (AF)
CL Item
Assisted Living Facility  (AL)
CL Item
Ambulatory Visit  (AV)
CL Item
Emergency Department  (ED)
CL Item
Home Health  (HH)
CL Item
Home / Self Care (HO)
CL Item
Hospice  (HS)
CL Item
Other Acute Inpatient Hospital  (IP)
CL Item
Nursing Home (Includes ICF)  (NH)
CL Item
Rehabilitation Facility  (RH)
CL Item
Residential Facility  (RS)
CL Item
Skilled Nursing Facility  (SN)
CL Item
Intra-hospital  (IH)
CL Item
No information  (NI)
CL Item
Unknown  (UN)
CL Item
Other (OT)
Payer Type Primary
Item
Payer Type Primary
text
C2347676 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Payer Type Secondary
Item
Payer Type Secondary
text
C2348170 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
Facility Type
Item
Description of the facility where the encounter occurred.
text
C1547726 (UMLS CUI [1])
RAW Site ID
Item
RAW Site ID
text
C2826692 (UMLS CUI [1,1])
C0205313 (UMLS CUI [1,2])
RAW Encounter type
Item
RAW Encounter type
text
C1947978 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C0205313 (UMLS CUI [1,3])
Item
RAW Discharge Disposition
text
C1550390 (UMLS CUI [1,1])
C0205313 (UMLS CUI [1,2])
Discharge Disposition
Code List
RAW Discharge Disposition
Item
RAW Discharge Status
text
C0586514 (UMLS CUI [1,1])
C0205313 (UMLS CUI [1,2])
Discharge Status
Code List
RAW Discharge Status
Item
RAW DRG Type
text
C0011928 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C0205313 (UMLS CUI [1,3])
DRG Type
Code List
RAW DRG Type
Item
RAW Admitting Source
text
C0001572 (UMLS CUI [1,1])
C0449416 (UMLS CUI [1,2])
C0205313 (UMLS CUI [1,3])
Admitting Source
Code List
RAW Admitting Source
RAW Facility Type
Item
RAW Description of the facility where the encounter occurred.
text
C1547726 (UMLS CUI [1,1])
C0205313 (UMLS CUI [1,2])
RAW Payer Type Primary
Item
RAW Payer Type Primary
text
C2347676 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C0205313 (UMLS CUI [1,3])
RAW Payer Name Primary
Item
RAW Payer Name Primary
text
C2347676 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
C0205313 (UMLS CUI [1,3])
RAW Payer ID Primary
Item
RAW Payer ID Primary
text
C2347676 (UMLS CUI [1,1])
C0205313 (UMLS CUI [1,2])
C0600091 (UMLS CUI [1,3])
RAW Payer Type Secondary
Item
RAW Payer Type Secondary
text
C2348170 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C0205313 (UMLS CUI [1,3])
RAW Payer Name Secondary
Item
RAW Payer Name Secondary
text
C2348170 (UMLS CUI [1,1])
C0027365 (UMLS CUI [1,2])
C0205313 (UMLS CUI [1,3])
RAW Payer ID Secondary
Item
RAW Payer ID Secondary
text
C2348170 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
C0205313 (UMLS CUI [1,3])
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