Primary Care Clinician Office Visit for CKD

Definition

A primary care office visit during which CKD was addressed, identified as primary care clinician office visits with at least one associated CKD diagnosis code. 

Purpose

Used in the URSA-CKD module to identify whether a patient’s CKD was managed by a primary care provider. 

Related objects

• Clinician Office Visit Document Aggregator 
• Primary Care Clinician Office Visit
• Clinician Office Visits with Nephrology Provider
• Primary Care Clinician Office Visits for CKD
• Patient Timelines Master for URSA-CKD Concepts

Detailed narrative of logic

1. As implemented in Primary Care Clinician Office Visits for CKD, encounters meeting the URSA-CORE definition of a primary care clinician office as obtained from Primary Care Clinician Office Visit and all associated diagnosis codes — from both institutional and professional claims, if applicable — are obtained from Clinician Office Visit Document Aggregator. 
2. Visits with at least one qualifying diagnosis code for CKD (see value set CCW CKD), including non-principal diagnoses, are retained.
3. If any encounters meet all the above criteria but also qualify as a clinician office visit with a nephrology provider as implemented in Clinician Office Visits with Nephrology Provider, they are excluded (i.e., they are considered to be visits with a nephrology provider, not a primary care provider).