We are trying to develop the EH eCQM measure specifications that will be used in 2019 reporting year and have a few questions on the language used in the measure specs:

Please clarify the language/terminologies highlighted in yellow for the below measures:

1. Authordatetime - ? What does authordate time mean?
2. Global. “Hospitalization” - ?
3. Relavant period – What does relavant period mean? Does it mean from 01/01/2019 to 12/31/2019?
4. Negationratinale – What does this terminology mean in the measure STK10 CMS102v6
5. CalendarDayOfOrDayafter – what does this mean?
6. return if X is null then Encounter.relevantPeriod else Interval[start of X.relevantPeriod, end of Encounter.relevantPeriod] – What does this statement exactly mean in measure VTE1 CMS108v6

--STK10 CMS102v6

--Denom_Exclusion

Discharge Status With Comfort Measures During Hospitalization

TJC."Encounter with Principal Diagnosis and Age" EncounterWithAge

with TJC."Intervention Comfort Measures" ComfortMeasures

such that Coalesce(start of ComfortMeasures.relevantPeriod, ComfortMeasures.authorDatetime)during Global."Hospitalization"(EncounterWithAge)

--Denom_Exclusion

TJC."Encounter with Principal Diagnosis and Age" EncounterWithAge

                with TJC."Intervention Comfort Measures" ComfortMeasures

                                such that Coalesce(start of ComfortMeasures.relevantPeriod, ComfortMeasures.authorDatetime)during Global."Hospitalization"(EncounterWithAge)

--Numerator

( TJC."Encounter with Principal Diagnosis and Age" EncounterWithAge

                                with "No Rehabilitation Assessment or Therapy" NoRehabProcedure

                                                such that NoRehabProcedure.authorDatetime during EncounterWithAge.relevantPeriod

)

                union ( TJC."Encounter with Principal Diagnosis and Age" EncounterWithAge

                                                with "Rehabilitation Assessment or Therapy" RehabAssessment

                                                                such that RehabAssessment.relevantPeriod starts during EncounterWithAge.relevantPeriod

                )

                union "Encounter with Discharge to Rehabilitation Facility"

--Numerator

No Rehabilitation Assessment or Therapy

( ["Procedure, Not Performed": "Rehabilitation Assessment"]

                union ["Procedure, Not Performed": "Rehabilitation Therapy"] ) NoRehabProcedure

                where NoRehabProcedure.negationRationale in "Medical Reason"

                                or NoRehabProcedure.negationRationale in "Patient Refusal"

--VTE1 CMS108v6

--Numerator

No VTE Prophylaxis Medication Due to Medical Reason on Day of or Day After Procedure

from

                "Encounter With Age Range and Without VTE Diagnosis or Obstetrical Conditions" QualifyingEncounter,

                ["Procedure, Performed": "General or Neuraxial Anesthesia"] AnesthesiaProcedure,

                "No VTE Prophylaxis Medication Administered or Ordered" NoVTEMedication

                where NoVTEMedication.negationRationale in "Medical Reason"

                                and AnesthesiaProcedure.relevantPeriod ends 1 day after day of start of QualifyingEncounter.relevantPeriod

                                and NoVTEMedication.authorDatetime during VTEICU."CalendarDayOfOrDayAfter"(end of AnesthesiaProcedure.relevantPeriod)

                return QualifyingEncounter

--Numerator

Global.Hospitalization(Encounter "Encounter, Performed")

( singleton from ( ["Encounter, Performed": "Emergency Department Visit"] EDVisit

                                where EDVisit.relevantPeriod ends 1 hour or less on or before start of Encounter.relevantPeriod

) ) X

                return if X is null then Encounter.relevantPeriod else Interval[start of X.relevantPeriod, end of Encounter.relevantPeriod]