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  1. eCQM Issue Tracker
  2. CQM-3402

2019 EP CMS 349v1 - Using the LOINC panel code [75622-1]

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    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Done
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      Thank you for pointing out this issue. The LOINC code [75622-1] is present in the specification logic as a Direct Referenced Code called "HIV 1 and 2 tests - Meaningful Use set". It is specifically referenced in the numerator logic as: union ["Laboratory Test, Performed": "HIV 1 and 2 tests - Meaningful Use set"] ) HIVTest

      We will update the guidance to reference this code correctly during the next annual update. Thanks again for bringing this to our attention.
      Show
      Thank you for pointing out this issue. The LOINC code [75622-1] is present in the specification logic as a Direct Referenced Code called "HIV 1 and 2 tests - Meaningful Use set". It is specifically referenced in the numerator logic as: union ["Laboratory Test, Performed": "HIV 1 and 2 tests - Meaningful Use set"] ) HIVTest We will update the guidance to reference this code correctly during the next annual update. Thanks again for bringing this to our attention.
    • EP
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      The guidance section indicates the following:

      "On occasion, providers will view HIV screening results that were performed elsewhere and therefore the results are not present in the EHR in structured format. To allow such tests to be applied to this measure, they should be entered into the EHR as a laboratory test in a manner consistent with the EHR in use. If the specific Human Immunodeficiency Virus (HIV) Laboratory Test LOINC code of the test is not known, the entry should use the more generic code LOINC panel code [75622-1] which is present in the HIV test value set titled, HIV Test Documentation Reviewed."

      1 The named value set is not one of the value sets indicated in the specifications for use in this measure.
      2. The LOINC panel code is not included in the specifications as a Direct Reference Code.
      3. The only HIV value set associated with the measure is Human Immunodeficiency Virus (HIV) Laboratory Test Codes (Ab and Ag), which are all test result LOINC codes - while this code is an actual test code.

      Please advise on incorporating this code that is contained only in the Guidance section but not in the values sets or specifications. Are you indicating that an orders should be placed for a generic test and we should select a "generic" result code from the values sets provided with the measure to indicate NUM compliance? Or would the order test code be sufficient to meet the NUM and should be included in the evaluation?
      Show
      The guidance section indicates the following: "On occasion, providers will view HIV screening results that were performed elsewhere and therefore the results are not present in the EHR in structured format. To allow such tests to be applied to this measure, they should be entered into the EHR as a laboratory test in a manner consistent with the EHR in use. If the specific Human Immunodeficiency Virus (HIV) Laboratory Test LOINC code of the test is not known, the entry should use the more generic code LOINC panel code [75622-1] which is present in the HIV test value set titled, HIV Test Documentation Reviewed." 1 The named value set is not one of the value sets indicated in the specifications for use in this measure. 2. The LOINC panel code is not included in the specifications as a Direct Reference Code. 3. The only HIV value set associated with the measure is Human Immunodeficiency Virus (HIV) Laboratory Test Codes (Ab and Ag), which are all test result LOINC codes - while this code is an actual test code. Please advise on incorporating this code that is contained only in the Guidance section but not in the values sets or specifications. Are you indicating that an orders should be placed for a generic test and we should select a "generic" result code from the values sets provided with the measure to indicate NUM compliance? Or would the order test code be sufficient to meet the NUM and should be included in the evaluation?

          edave Mathematica EC eCQM Team
          jillmeredith Jill Meredith (Inactive)
          Jill Meredith (Inactive), Sharon Tompkins (Inactive)
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