bonnie_bundler 2.0.0
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- checksums.yaml +7 -0
- data/.gitignore +3 -0
- data/.travis.yml +12 -0
- data/Gemfile +29 -0
- data/Gemfile.lock +267 -0
- data/README.md +4 -0
- data/Rakefile +29 -0
- data/bonnie-bundler.gemspec +29 -0
- data/config/initializers/mongo.rb +1 -0
- data/config/measures/measures_2_4_0.yml +719 -0
- data/config/mongoid.yml +6 -0
- data/lib/bonnie_bundler.rb +39 -0
- data/lib/ext/hash.rb +28 -0
- data/lib/ext/railtie.rb +11 -0
- data/lib/ext/valueset.rb +11 -0
- data/lib/measures/cql_to_elm_helper.rb +90 -0
- data/lib/measures/elm_parser.rb +74 -0
- data/lib/measures/loading/base_loader_definition.rb +61 -0
- data/lib/measures/loading/cql_loader.rb +420 -0
- data/lib/measures/loading/exceptions.rb +10 -0
- data/lib/measures/loading/loader.rb +178 -0
- data/lib/measures/loading/value_set_loader.rb +137 -0
- data/lib/measures/logic_extractor.rb +552 -0
- data/lib/measures/mongo_hash_key_wrapper.rb +44 -0
- data/lib/models/cql_measure.rb +160 -0
- data/lib/models/measure.rb +330 -0
- data/test/fixtures/BCS_v5_0_Artifacts.zip +0 -0
- data/test/fixtures/CMS158_v5_4_Artifacts.zip +0 -0
- data/test/fixtures/CMS158_v5_4_Artifacts_Update.zip +0 -0
- data/test/fixtures/DRAFT_CMS2_CQL.zip +0 -0
- data/test/fixtures/bonnienesting01_fixed.zip +0 -0
- data/test/fixtures/vcr_cassettes/mat_5-4_cql_export_vsac_response.yml +4723 -0
- data/test/fixtures/vcr_cassettes/multi_library_webcalls.yml +1892 -0
- data/test/fixtures/vcr_cassettes/valid_translation_response.yml +1120 -0
- data/test/fixtures/vcr_cassettes/valid_vsac_response.yml +1678 -0
- data/test/fixtures/vcr_cassettes/valid_vsac_response_158.yml +1670 -0
- data/test/fixtures/vcr_cassettes/valid_vsac_response_158_update.yml +1670 -0
- data/test/fixtures/vcr_cassettes/valid_vsac_response_includes_draft.yml +3480 -0
- data/test/fixtures/vcr_cassettes/vs_loading_draft_no_profile_version.yml +1198 -0
- data/test/fixtures/vcr_cassettes/vs_loading_draft_profile.yml +1198 -0
- data/test/fixtures/vcr_cassettes/vs_loading_draft_verion.yml +1198 -0
- data/test/fixtures/vcr_cassettes/vs_loading_no_profile_version.yml +1198 -0
- data/test/fixtures/vcr_cassettes/vs_loading_profile.yml +1196 -0
- data/test/fixtures/vcr_cassettes/vs_loading_version.yml +20331 -0
- data/test/fixtures/vs_loading/DocofMeds_v5_1_Artifacts.zip +0 -0
- data/test/fixtures/vs_loading/DocofMeds_v5_1_Artifacts_Version.zip +0 -0
- data/test/fixtures/vs_loading/DocofMeds_v5_1_Artifacts_With_Profiles.zip +0 -0
- data/test/simplecov_init.rb +18 -0
- data/test/test_helper.rb +44 -0
- data/test/unit/load_mat_export_test.rb +181 -0
- data/test/unit/measure_complexity_test.rb +32 -0
- data/test/unit/measure_diff_test.rb +68 -0
- data/test/unit/mongo_hash_key_wrapper_test.rb +247 -0
- data/test/unit/storing_mat_export_package_test.rb +45 -0
- data/test/unit/value_set_loading_test.rb +109 -0
- data/test/vcr_setup.rb +20 -0
- metadata +258 -0
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<ns0:Concept code="92585" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; comprehensive"/>
|
|
375
|
+
<ns0:Concept code="92588" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and report"/>
|
|
376
|
+
<ns0:Concept code="92626" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Evaluation of auditory rehabilitation status; first hour"/>
|
|
377
|
+
<ns0:Concept code="96116" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities), per hour of the psychologist's or physician's time, both face-to-face time with the patient and time interpreting test results and preparing the report"/>
|
|
378
|
+
<ns0:Concept code="96150" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient; initial assessment"/>
|
|
379
|
+
<ns0:Concept code="96151" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient; re-assessment"/>
|
|
380
|
+
<ns0:Concept code="96152" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Health and behavior intervention, each 15 minutes, face-to-face; individual"/>
|
|
381
|
+
<ns0:Concept code="97532" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes"/>
|
|
382
|
+
<ns0:Concept code="97802" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes"/>
|
|
383
|
+
<ns0:Concept code="97803" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes"/>
|
|
384
|
+
<ns0:Concept code="97804" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes"/>
|
|
385
|
+
<ns0:Concept code="98960" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; individual patient"/>
|
|
386
|
+
<ns0:Concept code="98961" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; 2-4 patients"/>
|
|
387
|
+
<ns0:Concept code="98962" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; 5-8 patients"/>
|
|
388
|
+
<ns0:Concept code="99024" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure"/>
|
|
389
|
+
<ns0:Concept code="99201" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family."/>
|
|
390
|
+
<ns0:Concept code="99202" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family."/>
|
|
391
|
+
<ns0:Concept code="99203" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family."/>
|
|
392
|
+
<ns0:Concept code="99204" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family."/>
|
|
393
|
+
<ns0:Concept code="99205" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family."/>
|
|
394
|
+
<ns0:Concept code="99212" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family."/>
|
|
395
|
+
<ns0:Concept code="99213" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family."/>
|
|
396
|
+
<ns0:Concept code="99214" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family."/>
|
|
397
|
+
<ns0:Concept code="99215" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family."/>
|
|
398
|
+
<ns0:Concept code="99221" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit."/>
|
|
399
|
+
<ns0:Concept code="99222" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit."/>
|
|
400
|
+
<ns0:Concept code="99223" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit."/>
|
|
401
|
+
<ns0:Concept code="99281" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor."/>
|
|
402
|
+
<ns0:Concept code="99282" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity."/>
|
|
403
|
+
<ns0:Concept code="99283" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity."/>
|
|
404
|
+
<ns0:Concept code="99284" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity, and require urgent evaluation by the physician physicians, or other qualified health care professionals but do not pose an immediate significant threat to life or physiologic function."/>
|
|
405
|
+
<ns0:Concept code="99285" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Emergency department visit for the evaluation and management of a patient, which requires these 3 key components within the constraints imposed by the urgency of the patient's clinical condition and/or mental status: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity and pose an immediate significant threat to life or physiologic function."/>
|
|
406
|
+
<ns0:Concept code="99324" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent with the patient and/or family or caregiver."/>
|
|
407
|
+
<ns0:Concept code="99325" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent with the patient and/or family or caregiver."/>
|
|
408
|
+
<ns0:Concept code="99326" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent with the patient and/or family or caregiver."/>
|
|
409
|
+
<ns0:Concept code="99327" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent with the patient and/or family or caregiver."/>
|
|
410
|
+
<ns0:Concept code="99328" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent with the patient and/or family or caregiver."/>
|
|
411
|
+
<ns0:Concept code="99334" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self-limited or minor. Typically, 15 minutes are spent with the patient and/or family or caregiver."/>
|
|
412
|
+
<ns0:Concept code="99335" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 25 minutes are spent with the patient and/or family or caregiver."/>
|
|
413
|
+
<ns0:Concept code="99336" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent with the patient and/or family or caregiver."/>
|
|
414
|
+
<ns0:Concept code="99337" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent with the patient and/or family or caregiver."/>
|
|
415
|
+
<ns0:Concept code="99341" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent face-to-face with the patient and/or family."/>
|
|
416
|
+
<ns0:Concept code="99342" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family."/>
|
|
417
|
+
<ns0:Concept code="99343" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family."/>
|
|
418
|
+
<ns0:Concept code="99344" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family."/>
|
|
419
|
+
<ns0:Concept code="99345" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent face-to-face with the patient and/or family."/>
|
|
420
|
+
<ns0:Concept code="99347" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family."/>
|
|
421
|
+
<ns0:Concept code="99348" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 25 minutes are spent face-to-face with the patient and/or family."/>
|
|
422
|
+
<ns0:Concept code="99349" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family."/>
|
|
423
|
+
<ns0:Concept code="99350" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent face-to-face with the patient and/or family."/>
|
|
424
|
+
<ns0:Concept code="99385" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years"/>
|
|
425
|
+
<ns0:Concept code="99386" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years"/>
|
|
426
|
+
<ns0:Concept code="99387" codeSystem="2.16.840.1.113883.6.12" codeSystemName="CPT" codeSystemVersion="2015" displayName="Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older"/>
|
|
427
|
+
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<ns0:Concept code="3812" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Federal, State, Local not specified - PPO"/>
|
|
1119
|
+
<ns0:Concept code="3813" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Federal, State, Local not specified - POS"/>
|
|
1120
|
+
<ns0:Concept code="3819" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Federal, State, Local not specified - not specified managed care"/>
|
|
1121
|
+
<ns0:Concept code="382" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Federal, State, Local not specified - FFS"/>
|
|
1122
|
+
<ns0:Concept code="389" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Federal, State, Local not specified - Other"/>
|
|
1123
|
+
<ns0:Concept code="39" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Other Federal"/>
|
|
1124
|
+
<ns0:Concept code="4" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="DEPARTMENTS OF CORRECTIONS"/>
|
|
1125
|
+
<ns0:Concept code="41" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Corrections Federal"/>
|
|
1126
|
+
<ns0:Concept code="42" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Corrections State"/>
|
|
1127
|
+
<ns0:Concept code="43" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Corrections Local"/>
|
|
1128
|
+
<ns0:Concept code="44" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Corrections Unknown Level"/>
|
|
1129
|
+
<ns0:Concept code="5" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="PRIVATE HEALTH INSURANCE"/>
|
|
1130
|
+
<ns0:Concept code="51" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Managed Care (Private)"/>
|
|
1131
|
+
<ns0:Concept code="511" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Commercial Managed Care - HMO"/>
|
|
1132
|
+
<ns0:Concept code="512" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Commercial Managed Care - PPO"/>
|
|
1133
|
+
<ns0:Concept code="513" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Commercial Managed Care - POS"/>
|
|
1134
|
+
<ns0:Concept code="514" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Exclusive Provider Organization"/>
|
|
1135
|
+
<ns0:Concept code="515" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Gatekeeper PPO (GPPO)"/>
|
|
1136
|
+
<ns0:Concept code="519" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Managed Care, Other (non HMO)"/>
|
|
1137
|
+
<ns0:Concept code="52" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Private Health Insurance - Indemnity"/>
|
|
1138
|
+
<ns0:Concept code="521" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Commercial Indemnity"/>
|
|
1139
|
+
<ns0:Concept code="522" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Self-insured (ERISA) Administrative Services Only (ASO) plan"/>
|
|
1140
|
+
<ns0:Concept code="523" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Medicare supplemental policy (as second payer)"/>
|
|
1141
|
+
<ns0:Concept code="529" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Private health insurance-other commercial Indemnity"/>
|
|
1142
|
+
<ns0:Concept code="53" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Managed Care (private) or private health insurance (indemnity), not otherwise specified"/>
|
|
1143
|
+
<ns0:Concept code="54" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Organized Delivery System"/>
|
|
1144
|
+
<ns0:Concept code="55" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Small Employer Purchasing Group"/>
|
|
1145
|
+
<ns0:Concept code="59" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Other Private Insurance"/>
|
|
1146
|
+
<ns0:Concept code="6" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="BLUE CROSS/BLUE SHIELD"/>
|
|
1147
|
+
<ns0:Concept code="61" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="BC Managed Care"/>
|
|
1148
|
+
<ns0:Concept code="611" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="BC Managed Care - HMO"/>
|
|
1149
|
+
<ns0:Concept code="612" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="BC Managed Care - PPO"/>
|
|
1150
|
+
<ns0:Concept code="613" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="BC Managed Care - POS"/>
|
|
1151
|
+
<ns0:Concept code="619" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="BC Managed Care - Other"/>
|
|
1152
|
+
<ns0:Concept code="62" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="BC Indemnity"/>
|
|
1153
|
+
<ns0:Concept code="63" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="BC (Indemnity or Managed Care) - Out of State"/>
|
|
1154
|
+
<ns0:Concept code="64" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="BC (Indemnity or Managed Care) - Unspecified"/>
|
|
1155
|
+
<ns0:Concept code="69" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="BC (Indemnity or Managed Care) - Other"/>
|
|
1156
|
+
<ns0:Concept code="7" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="MANAGED CARE, UNSPECIFIED (to be used only if one can't distinguish public from private)"/>
|
|
1157
|
+
<ns0:Concept code="71" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="HMO"/>
|
|
1158
|
+
<ns0:Concept code="72" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="PPO"/>
|
|
1159
|
+
<ns0:Concept code="73" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="POS"/>
|
|
1160
|
+
<ns0:Concept code="79" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Other Managed Care, Unknown if public or private"/>
|
|
1161
|
+
<ns0:Concept code="8" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="NO PAYMENT from an Organization/Agency/Program/Private Payer Listed"/>
|
|
1162
|
+
<ns0:Concept code="81" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Self-pay"/>
|
|
1163
|
+
<ns0:Concept code="82" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="No Charge"/>
|
|
1164
|
+
<ns0:Concept code="821" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Charity"/>
|
|
1165
|
+
<ns0:Concept code="822" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Professional Courtesy"/>
|
|
1166
|
+
<ns0:Concept code="823" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Research/Clinical Trial"/>
|
|
1167
|
+
<ns0:Concept code="83" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Refusal to Pay/Bad Debt"/>
|
|
1168
|
+
<ns0:Concept code="84" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Hill Burton Free Care"/>
|
|
1169
|
+
<ns0:Concept code="85" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Research/Donor"/>
|
|
1170
|
+
<ns0:Concept code="89" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="No Payment, Other"/>
|
|
1171
|
+
<ns0:Concept code="9" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="MISCELLANEOUS/OTHER"/>
|
|
1172
|
+
<ns0:Concept code="91" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Foreign National"/>
|
|
1173
|
+
<ns0:Concept code="92" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Other (Non-government)"/>
|
|
1174
|
+
<ns0:Concept code="93" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Disability Insurance"/>
|
|
1175
|
+
<ns0:Concept code="94" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Long-term Care Insurance"/>
|
|
1176
|
+
<ns0:Concept code="95" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Worker's Compensation"/>
|
|
1177
|
+
<ns0:Concept code="951" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Worker's Comp HMO"/>
|
|
1178
|
+
<ns0:Concept code="953" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Worker's Comp Fee-for-Service"/>
|
|
1179
|
+
<ns0:Concept code="954" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Worker's Comp Other Managed Care"/>
|
|
1180
|
+
<ns0:Concept code="959" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Worker's Comp, Other unspecified"/>
|
|
1181
|
+
<ns0:Concept code="96" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Auto Insurance (no fault)"/>
|
|
1182
|
+
<ns0:Concept code="98" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Other specified (includes Hospice - Unspecified plan)"/>
|
|
1183
|
+
<ns0:Concept code="99" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="No Typology Code available for payment source"/>
|
|
1184
|
+
<ns0:Concept code="9999" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="SOP" codeSystemVersion="5.0" displayName="Unavailable / Unknown"/>
|
|
1185
|
+
</ns0:ConceptList>
|
|
1186
|
+
<ns0:Source>HL7 Terminology</ns0:Source>
|
|
1187
|
+
<ns0:Purpose>(Clinical Focus: Categories of types of health care payor entities as defined by the US Public Health Data Consortium SOP code system),(Data Element Scope: @code in CCDA r2.1 template Planned Coverage [act: identifier urn:oid:2.16.840.1.113883.10.20.22.4.129 (open)] DYNAMIC),(Inclusion Criteria: All codes in the code system),(Exclusion Criteria: none)</ns0:Purpose>
|
|
1188
|
+
<ns0:Type>Extensional</ns0:Type>
|
|
1189
|
+
<ns0:Binding>Dynamic</ns0:Binding>
|
|
1190
|
+
<ns0:Status>Active</ns0:Status>
|
|
1191
|
+
<ns0:RevisionDate>2016-11-08</ns0:RevisionDate>
|
|
1192
|
+
</ns0:DescribedValueSet>
|
|
1193
|
+
</ns0:RetrieveMultipleValueSetsResponse>
|
|
1194
|
+
http_version:
|
|
1195
|
+
recorded_at: Tue, 03 Oct 2017 17:41:43 GMT
|
|
1196
|
+
recorded_with: VCR 3.0.3
|