We have a query regarding Denominator condition of CMS69v7:
Numerator
"Has Normal BMI" is not null
or "Has High BMI with Follow Up"
or "Has Low BMI with Follow Up"
Definitions
Has High BMI with Follow Up
o Last(["Physical Exam, Performed": "Body mass index (BMI) [Ratio]"] LastBMI
with "High BMI Follow Up Encounters" HighBMIEncounter
such that LastBMI.relevantPeriod starts 12 months or less on or before end of HighBMIEncounter.relevantPeriod
sort by authorDatetime
).result >= 25 'kg/m2'
High BMI Follow Up Encounters
o "Qualifying Encounters During the Measurement Period" QualifyingEncounter
with ( ["Intervention, Order": "Above Normal Follow-up"]
union ( ["Intervention, Order": "Referrals where weight assessment may occur"] Referral
where Referral.reason in "Overweight or Obese"
)
union ["Medication, Order": "Above Normal Medications"] ) HighBMIInterventions
such that Coalesce(start of HighBMIInterventions.relevantPeriod, HighBMIInterventions.authorDatetime)12 months or less on or before end of QualifyingEncounter.relevantPeriod
Consider Patient P1 with 3 Visits:
V1: 6/1/2019 – Qualifying Encounter During Reporting Period (1/1/2019 – 12/31/2019)
V2: 7/1/2018 – Follow Up Encounter within 12 Months Prior to Qualifying Encounter
V3: 8/1/2017 – Most Recent BMI 12 Months Prior to Follow Up Encounter
Please confirm if above patient P1 will pass or not
- relates to
-
QDM-224 testissue
- Resolved