Thank you for your inquiry. In the example you provide, where URI and an exclusion diagnosis are documented on the same encounter, the patient would qualify as an exclusion, as the competing diagnosis can occur anytime on the same day. This is due to timing of the diagnosis, specifically the “day of” timing, which under definition ‘Has Competing Diagnosis for Upper Respiratory Infection’ states that “…competing condition starts 3 days or less after day of start of EncounterWithURI.ValidEncounter.relevantPeriod”.