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  1. eCQM Issue Tracker
  2. CQM-1298

CMS140v1- date range conditions not specified for all results from proc performed

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
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      The concept of occurrencing is to identify a given instance/event and point back to that same instance/event in subsequent blocks of logic. Once the instance is identified (eg, the Clinical Staging Procedure with a Distant Metastasis Status M0 that occurred on 3/5, and the patients record showed an Office Visit that occurred on 5/3), the timing constraints don’t need to be repeated in the logic, as all other instances of Clinical Staging Procedure point back to that same instance/event identified (eg, the instance that occurred on 3/5).
      For additional information regarding the concept of occurrencing as used in eCQM’s, please see section 3.3 of the Logic Guidance & Release Notes document titled, “Specific Occurrences”, posted in the eCQM Library.
      http://cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/eCQM_Library.html[cms.gov]
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      The concept of occurrencing is to identify a given instance/event and point back to that same instance/event in subsequent blocks of logic. Once the instance is identified (eg, the Clinical Staging Procedure with a Distant Metastasis Status M0 that occurred on 3/5, and the patients record showed an Office Visit that occurred on 5/3), the timing constraints don’t need to be repeated in the logic, as all other instances of Clinical Staging Procedure point back to that same instance/event identified (eg, the instance that occurred on 3/5). For additional information regarding the concept of occurrencing as used in eCQM’s, please see section 3.3 of the Logic Guidance & Release Notes document titled, “Specific Occurrences”, posted in the eCQM Library. http://cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/eCQM_Library.html [cms.gov]
    • CMS140v1
    • Coding

      In the denominator conditions, only one of the Clinical Staging Procedure Results specifies a particular date range for the condition. The only specified is-
      ◦AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Distant Metastasis Status M0')" starts before or during ■OR: "Occurrence A of Encounter, Performed: Office Visit"
      ■OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"

      However in the subsequent ones further below it doesn't.
      Question- Should this apply to the other ones also
      " starts before or during
      ■OR: "Occurrence A of Encounter, Performed: Office Visit"
      ■OR: "Occurrence A of Encounter, Performed: Face-to-Face Interaction"

      Otherwise is there a different date range for these conditions-

      ◦AND: ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N3')"
      ■OR: ■AND: ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T0')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1a')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1b')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1c')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1mi')"

      ■AND: ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N1')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status pN1a')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status pN1b')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status pN1c')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status pN1mi')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N2')"

      ■OR: ■AND: ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T2')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T3')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T4')"

      ■AND: ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N0')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N1')"
      ■OR: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N2')"

      ■OR: ■AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Primary Tumor Size T1c')"
      ■AND: "Occurrence A of Procedure, Performed: Clinical Staging Procedure (result: 'Breast Cancer Regional Lymph Node Status N0')"

            edave Mathematica EC eCQM Team
            adetola Adetola Adetunji (Inactive)
            Adetola Adetunji (Inactive)
            Jon Salmon (Inactive)
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              Created:
              Updated:
              Resolved: