Clinician Office Visit with Nephrology Provider

Definition

A clinician office visit with a nephrologist or other clinician providing nephrology-related care, identified by the presence of a nephrologist attending and/or service provider, or by the presence of a nephrology group provider as the billing provider or provider group on the encounter. 

Purpose

Used in the URSA-CKD module to identify whether CKD patients are being appropriately managed by a nephrologist and to attribute CKD patients to nephrology providers.

Related objects

• Clinician Office Visits
• Nephrologists and Nephrology Group Providers
• Clinician Office Visits with Nephrology Provider
• Patient Timelines of Empirical Attribution to Nephrology Provider

Detailed narrative of logic

1. As implemented in Clinician Office Visits with Nephrology Provider, encounters meeting the URSA-CORE definition of a clinician office visit are obtained from Clinician Office Visits and included if the service provider, attending provider, or provider group on the encounter meets the definition of a nephrologist or nephrology group provider, as implemented in Nephrologists and Nephrology Group Providers.
2. Note that it is possible for qualifying encounters to have a non-nephrologist (or unknown) service provider and attending provider if the provider group associated with the encounter is a nephrology provider organization. Qualifying visits could therefore include those in which the patient was seen by, for example, a nurse practitioner. The use of the term “nephrology provider” in the name of this object is meant to reflect that range of scenarios.