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  2. CQM-3287

Closing the Referral Loop document code value set discrepancy

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      Thank you for providing this information. You raise an excellent point – that CDA is looking for a LOINC code to represent a document. However, based on the terminology recommendations that currently exist within the Blueprint, the measure has utilized SNOMED concepts to convey this since the data element uses the Communication QDM category to capture the clinical action associated with the numerator. We are looking into ways that we may be able to take what you have shared and incorporate it into the measure requirements for the next annual update. We still have yet to fully vet the options, and determine what course of action will be taken.
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      Thank you for providing this information. You raise an excellent point – that CDA is looking for a LOINC code to represent a document. However, based on the terminology recommendations that currently exist within the Blueprint, the measure has utilized SNOMED concepts to convey this since the data element uses the Communication QDM category to capture the clinical action associated with the numerator. We are looking into ways that we may be able to take what you have shared and incorporate it into the measure requirements for the next annual update. We still have yet to fully vet the options, and determine what course of action will be taken.
    • CMS50v7 Closing the Referral Loop: Receipt of Specialist Report
    • Implementers, Quality Reporting vendors, Document Management Systems, HL7 CDA

      The CDA examples task force is working on examples for representing “Closing the referral loop” with C-CDA documents and we are concerned about a challenge with this measure.

       

      In CMS50v7 Closing the Referral Loop: Receipt of Specialist Report, the measure asks for (would query for) document codes to represent the numerator using SNOMED CT codes.

      However, all CDAs require LOINC for document codes.

      Minimally this:

      1. Represents a mapping challenge for implementers
      2. Requires dissemination into the implementer community education that they will need to use translation code to represent the SNOMED CT codes in a C-CDA (particularly for systems that query a database of C-CDAs for measure information)
      3. Altered document management system queries of EHRs
      4. Etc

            edave Mathematica EC eCQM Team
            Gay Dolin Gay Dolin (Inactive)
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