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  1. CQL Issue Tracker
  2. CQLIT-234

Trouble removing lookback periods from exclusions

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    • Resolution: Done
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    • None
    • Attempting to revise a measure by removing lookbacks for denominator exclusions and I am having trouble with syntax.
    • 6175010748
    • Appropriate Treatment for ST-Segment Elevation Myocardial Infarction (STEMI) Patients in the Emergency Department (ED)

      Initial draft of this measure had denominator exclusions with lookback periods some extended through the 1 year measurement period, others varied in length from weeks to months. I am attempting to remove all lookback periods and would like all exclusions to be excluded based on conditions that appear during the ED Visit.

      One exclusion is Mortality in the ED...when I revised the syntax from:

      /Mortality in ED/
      exists ( ["Encounter, Performed": "Mortality in ED"] edmort
      where edmort.relevantPeriod during "Measurement Period"
      )
      or exists ( ["Encounter, Performed": "Mortality in ED (2)"] edmort2
      where edmort2.relevantPeriod during "Measurement Period"
      )

      to 

       

      /Mortality in ED/
      exists ( ["Encounter, Performed": "Mortality in ED"] edmort
      where edmort.relevantPeriod during "ED Encounter"
      )
      or exists ( ["Encounter, Performed": "Mortality in ED (2)"] edmort2
      where edmort2.relevantPeriod during "ED Encounter"
      )

       

      I receive the following message: ERROR Could not resolve call to operator INcludeIn with signature (interval<System.DateTime>, System.Boolean)

       

       

      Other potentially relevant pieces of code are below:

       

      define "ED STEMI":
      exists ( "ED Encounter" ) EDVisit
      with ( "STEMI Encounter" ) STEMIED
      such that EDVisit.relevantPeriod overlaps STEMIED.relevantPeriod

      define "ED Encounter":
      ( ["Encounter, Performed": "ED (01)"] EDVisit
      where EDVisit.relevantPeriod during "Measurement Period"
      sort by
      end of relevantPeriod desc
      )

      define "Initial Population":
      exists ["Patient Characteristic Birthdate": "Birthdate"] BirthDate
      where Global.CalendarAgeInYearsAt ( BirthDate.birthDatetime, start of "Measurement Period" ) >= 18
      and exists ( "STEMI Encounter" )
      and exists ( "ED Encounter" )

      define "STEMI Encounter":
      ( ["Encounter, Performed": "STEMI (01)"] STEMIVisit
      where STEMIVisit.relevantPeriod during "Measurement Period"
      sort by
      end of relevantPeriod desc
      )

      define "PCI or Fibro Treatment":
      ( ["Encounter, Performed": "Fibrinolytic Therapy (01)"]
      union ["Encounter, Performed": "Percutaneous Coronary Intervention (01)"] AppropriateTreatment
      where AppropriateTreatment.relevantPeriod during "Measurement Period"
      sort by
      end of relevantPeriod desc
      )

      define "Allergic Reaction":
      ["Encounter, Performed": "Streptokinase adverse reaction (disorder)"]
      union ["Encounter, Performed": "Allergy to anistreplase (finding)"]
      union ["Encounter, Performed": "Allergy to streptokinase (finding)"]
      union ["Encounter, Performed": "Anistreplase adverse reaction (disorder)"] AllergicEncounter
      where AllergicEncounter.relevantPeriod during "Measurement Period"
      or AllergicEncounter.relevantPeriod before "Measurement Period"

      define "Denominator Exclusion":
      /Defining all Denominator Exclusions/

      /Mortality in ED/
      exists ( ["Encounter, Performed": "Mortality in ED"] edmort
      where edmort.relevantPeriod during "ED Encounter"
      )
      or exists ( ["Encounter, Performed": "Mortality in ED (2)"] edmort2
      where edmort2.relevantPeriod during "ED Encounter"
      )

            eCQM Standards Team eCQM Standards Team
            Meridith Meridith Eastman (Inactive)
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              Created:
              Updated:
              Resolved: