HEDIS Acute Inpatient Stay Value Set

{
  "compose" : {
    "exclude" : [ ],
    "include" : [ {
      "system" : "http://www.ama-assn.org/go/cpt",
      "extension" : [ {
        "extension" : [ {
          "valueString" : "concept",
          "url" : "path"
        }, {
          "url" : "count",
          "valueInteger" : 14
        } ],
        "url" : "http://health-samurai.io/extensions/excised-data"
      } ]
    } ]
  },
  "date" : "2019-01-30T01:00:08-05:00",
  "meta" : {
    "versionId" : "5",
    "lastUpdated" : "2019-01-30T01:00:08.000-05:00",
    "profile" : [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset", "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm" ]
  },
  "publisher" : "NJII Steward",
  "jurisdiction" : [ {
    "extension" : [ {
      "valueString" : "UNKNOWN",
      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason"
    } ]
  } ],
  "purpose" : "(Clinical Focus: Denominator criteria for Plan All-Cause Readmissions measure STARSC21_HEDISPCR.),(Data Element Scope: CPT codes),(Inclusion Criteria: As define in STARSC21_HEDISPCR.),(Exclusion Criteria: As define in STARSC21_HEDISPCR.)",
  "name" : "HEDISAcuteInpatientStayValueSet",
  "experimental" : false,
  "resourceType" : "ValueSet",
  "expansion" : {
    "contains" : [ {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99221",
      "display" : "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99222",
      "display" : "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99223",
      "display" : "Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99231",
      "display" : "Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99232",
      "display" : "Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99233",
      "display" : "Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99238",
      "display" : "Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99239",
      "display" : "Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99252",
      "display" : "Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99253",
      "display" : "Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99254",
      "display" : "Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99255",
      "display" : "Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 80 minutes must be met or exceeded.",
      "version" : "2023"
    }, {
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99291",
      "display" : "Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",
      "version" : "2023"
    } ],
    "offset" : 0,
    "total" : 13,
    "identifier" : "urn:uuid:ef9b0d06-2531-454b-b58d-80100b535d64",
    "timestamp" : "2023-06-29T17:40:06-04:00",
    "parameter" : [ {
      "name" : "count",
      "valueInteger" : 1000
    }, {
      "name" : "offset",
      "valueInteger" : 0
    } ]
  },
  "title" : "HEDIS Acute Inpatient Stay Value Set",
  "extension" : [ {
    "valueString" : "NJII Author",
    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-author"
  }, {
    "valueDate" : "2022-12-15",
    "url" : "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate"
  }, {
    "valueDate" : "2019-01-30",
    "url" : "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate"
  }, {
    "url" : "http://health-samurai.io/extensions/source",
    "valueCode" : "db"
  } ],
  "status" : "active",
  "id" : "c815be60-8a9f-4a76-8f59-bae0aa3c3984",
  "url" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1195.321",
  "identifier" : [ {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113762.1.4.1195.321"
  } ],
  "version" : "20190130"
}