Hi Team,

We need clarification with the logic of Denominator exclusion condition for CMS32v8:

The measure document states-

*Measure Population Exclusions *
/ED visits where patient expired or the patient was admitted inpatient within an hour of the ED visit/
( "Emergency Department ED Visit" EDVisit
where EDVisit.dischargeDisposition ~ "Patient deceased during stay (discharge status = dead) (finding)"
)
union ( "Emergency Department ED Visit" EDVisit
with ["Encounter, Performed": "Encounter Inpatient"] Encounter
such that EDVisit.relevantPeriod ends 1 hour or less before or on start of Encounter.relevantPeriod
)

*Stratification 2 *
/Patients who are discharged to an acute care facility as detailed in the value set/
"Emergency Department ED Visit" EDVisit
where EDVisit.dischargeDisposition in "Discharge To Acute Care Facility"

Issue:
Patient 1-
Had Emergency department visit on 2nd Feb, 2018 14:00:00 and expired on 2nd Feb, 2018 18:00:00 and the patient was discharged to acute care facility.

Now in this case Patient 1 gets two discharge disposition codes i.e., one of patient expired (371828006) and other one of acute care facility (2.16.840.1.113883.3.117.1.7.1.87) will Patient 1 get Denominator exclusion status for Stratification 2?

Patient 2-
Had Emergency department visit on 2nd Feb, 2018 14:00:00 and expired on 2nd Feb, 2018 18:00:00

Now in this case Patient 2 gets discharge disposition code of patient expired (371828006) and doesn't have acute care facility code (2.16.840.1.113883.3.117.1.7.1.87), will Patient 2 get Denominator exclusion status for Stratification 2?