The measure logic is written as intended, i.e. documentation of refusal of any form of VTE prophylaxis (mechanical or pharmacological) is sufficient to place a case in the numerator. This is distinct from documentation requirements for a medical reason for not administering VTE prophylaxis, which requires a reason be documented for both pharmacological and mechanical prophylaxis.

Is documentation of patient refusal of EITHER a medication OR a device for mechanical prophylaxis sufficient to qualify for the numerator? The reasons for no VTE prophylaxis list as an OR option No Medication VTE prophylaxis reason AND No Device VTE prophylaxis reason. Do you have to have BOTH documented in order to be in the numerator? If we have the reason for no medication VTE prophylaxis reason documented but do NOT have reason for no device VTE prophylaxis will the patient be in the denominator only?