Hi Team,

We have a query regarding Denominator Exclusion criteria for CMS154v7:

*Denominator Exclusions *
"In Hospice"
union "URI Encounter with Antibiotics Active 30 Days Prior"
union "Has Competing Diagnosis for Upper Respiratory Infection"

Definitions:
URI Encounter with Antibiotics Active 30 Days Prior
"Encounter with Upper Respiratory Infection" EncounterWithURI
with ["Medication, Active": "Antibiotic Medications for Pharyngitis"] ActiveAntibiotic
such that ActiveAntibiotic.relevantPeriod overlaps Interval[Global."ToDate"((start of EncounterWithURI.URI.prevalencePeriod)- 30 days), Global."ToDate"(start of EncounterWithURI.URI.prevalencePeriod))
return EncounterWithURI.ValidEncounter

The flow chart released on eCQI website post addendum has a statement which is not in sync with the measure specification released.

There is one condition in flowchart where it states "Medication, Active": "Antibiotic Medications for Pharyngitis" Overlap starts <= 30 days and >= 1 day before the start of qualifying encounter performed which not the case in HTML.

The >=1 day logic is not present in the measure specification but present in the flowchart released on eCQI website, kindly confirm which validation should be used to develop the measure