CMS190v4 Denominator Exceptions Occurrence A mismatch

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Approved
    • Priority: Minor
    • Component/s: Measure
    • None
    • DECC
    • The XML is correct and matches the human readable. For a general approach of how an occurrence is created and used in QDM-based HQMF, please refer to the QDM-based HQMF IG, Release 1.1.
    • CMS190v4/NQF0372

      For CMS190v4, there is a discrepancy between the human readable HTML file and the eCQM XML file.

      The HTML file defines the denominator exceptions as:
      Denominator Exceptions =
      OR: "Occurrence A of Encounter, Performed: ICU Admission or Transfer (length of stay < 1 day(s))"

      In the eCQM XML file, the rule does not use the “Occurrence A” instance of the Encounter, Performed: ICU Admission or Transfer. It allows for any instance of Encounter, Performed: ICU Admission or Transfer to be used in the rule. This can be seen in the XML file by starting at the denominatorExceptionCriteria element and tracing back through the criteriaReference elements.

            Assignee:
            Joelencia Leflore
            Reporter:
            Phillip Esposito (Inactive)
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