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  2. CQM-1676

Clarification on CMS60v4 Denominator Implementation of Occurance A of Fibrin

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      Thank you for bringing this to our attention and you are correct we need to add 'occurrences' to this block of logic. The new logic, proposed below, is planned for the next annual update:
                                                                                                                    AND:
       OR: AND: First: Occurrence A of "Medication, Administered: Fibrinolytic Therapy" <= 360 minute(s) starts after start of Occurrence A of $EncounterInpatient
      AND NOT: Occurrence A of "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
      AND NOT:Occurrence A of "Medication, Administered: Fibrinolytic Therapy" starts after start of ("Occurrence A of Procedure, Performed: PCI" during Occurrence A of $EncounterInpatient )

      OR: AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
      AND: First: "Occurrence A of Medication, Administered: Fibrinolytic Therapy" <= 360 minute(s) starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
      AND NOT: "Occurrence A of Medication, Administered: Fibrinolytic Therapy" starts after start of ("Occurrence A of Procedure, Performed: PCI" starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit" )
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      Thank you for bringing this to our attention and you are correct we need to add 'occurrences' to this block of logic. The new logic, proposed below, is planned for the next annual update:                                                                                                               AND:  OR: AND: First: Occurrence A of "Medication, Administered: Fibrinolytic Therapy" <= 360 minute(s) starts after start of Occurrence A of $EncounterInpatient AND NOT: Occurrence A of "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient AND NOT:Occurrence A of "Medication, Administered: Fibrinolytic Therapy" starts after start of ("Occurrence A of Procedure, Performed: PCI" during Occurrence A of $EncounterInpatient ) OR: AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient AND: First: "Occurrence A of Medication, Administered: Fibrinolytic Therapy" <= 360 minute(s) starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit" AND NOT: "Occurrence A of Medication, Administered: Fibrinolytic Therapy" starts after start of ("Occurrence A of Procedure, Performed: PCI" starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit" )

      In the final AND block of the Denominator statement, the ED logic block references "Occurrence A of Medication, Administered: Fibrinolytic Therapy" while the equivalent IP block omits the specific occurrence reference. Was this intentional or should the IP block also apply the specific occurrence logic?

      For reference:

      • AND:
        • OR:

          • AND: First: "Medication, Administered: Fibrinolytic Therapy" <= 360 minute(s) starts after start of Occurrence A of $EncounterInpatient

          • AND NOT: "Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient
          • AND NOT: "Medication, Administered: Fibrinolytic Therapy" starts after start of ("Occurrence A of Procedure, Performed: PCI" during Occurrence A of $EncounterInpatient )
        • OR:
          • AND: "Occurrence A of Encounter, Performed: Emergency Department Visit" <= 1 hour(s) ends before or concurrent with start of Occurrence A of $EncounterInpatient

          • AND: First: "Occurrence A of Medication, Administered: Fibrinolytic Therapy" <= 360 minute(s) starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"

          • AND NOT: "Occurrence A of Medication, Administered: Fibrinolytic Therapy" starts after start of ("Occurrence A of Procedure, Performed: PCI" starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit" )

            JLeflore Joelencia Leflore
            bthiessen Brian Thiessen (Inactive)
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