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Guidance required:
Regarding Denominator exception
Solution:

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Hello and thank you for your inquiry,

The definition, “Encounter With Thrombolytic Therapy Prior to Arrival” uses the “diagnoses” attribute to specifically look for an encounter diagnosis (coded diagnoses/problems addressed during the encounter); therefore no timing logic is necessary.

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Hello and thank you for your inquiry, The definition, “Encounter With Thrombolytic Therapy Prior to Arrival” uses the “diagnoses” attribute to specifically look for an encounter diagnosis (coded diagnoses/problems addressed during the encounter); therefore no timing logic is necessary.
Measure Type:
EH
2020 Reporting Period EH/CAH eCQMs:

CMS72v8/NQFna
Measure Title:
Antithrombotic Therapy By End of Hospital Day 2

Denominator Exclusions

For Below Denominator Exclusions

Encounter With Thrombolytic Therapy Prior to Arrival

"Ischemic Stroke Encounter" IschemicStrokeEncounter
where exists IschemicStrokeEncounter.diagnoses Diagnosis
where Diagnosis in "Intravenous or Intra arterial Thrombolytic (tPA) Therapy Prior to Arrival"

What is the validation of Diagnosis in “ Intravenous or Intra arterial Thrombolytic (tPA) Therapy Prior to Arrival”

Is it AuthorDatetime during Global."HospitalizationWithObservation"(IschemicStrokeEncounter) OR

StartDate during Global."HospitalizationWithObservation"(IschemicStrokeEncounter)

StartDate during Inpatient Encounter or Authordatetime During inpatient encounter ?