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  2. CQM-3298

Cumulative medication logic for CMS156

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    • Resolution: Answered
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      Thank you for your questions.

      ​For query one, QDM does not have an attribute of repeatNumber but has a refill attribute for medication order.

      For query 2, according to page 32 in the QDM, https://ecqi.healthit.gov/system/files/QDM_v5_4_Aug2018errataUpdate_CLEAN_508.pdf , when the stop date is present, CMD calculation uses the relevant period. Using the start and stop time, the CMD would be 0 days. Note: The relevant period is defined as the start and stop time of medication administration.
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      Thank you for your questions. ​For query one, QDM does not have an attribute of repeatNumber but has a refill attribute for medication order. For query 2, according to page 32 in the QDM, https://ecqi.healthit.gov/system/files/QDM_v5_4_Aug2018errataUpdate_CLEAN_508.pdf , when the stop date is present, CMD calculation uses the relevant period. Using the start and stop time, the CMD would be 0 days. Note: The relevant period is defined as the start and stop time of medication administration.
    • CMS156v6/NQF0022
    • CMS156v5/NQF0022

      For CMS 156 v 6 Cumulative medication can be calculated by calculating frequency of medication, refill of medication and difference in the duration of medication ordered.

      In QRDA document we can find

      The repeatNumber is part of the Planned Medication Activity. On page 358 of the QRDA Cat1 document it says, "In a Planned Medication Activity, repeatNumber defines the number of allowed administrations. For example, a repeatNumber of "3" means that the substance can be administered up to 3 times."

      Query One- is the repeat number part of attribute medication order or it is used with the attribute Medication administered?

      Query two- What will be the cumulative of the medication ordered if the frequency is 7 days on  startdate 1 jan 2018 1 pm and enddate 1 jan 2018 2 pm and repeatnumber is 1. what will be the cumulative duration will it be 7 days or will be 14 days?

            ataylor Albert W. Taylor
            snehap Sneha Patil (Inactive)
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