The measure algorithm lists “Laboratory Test, Result: Hospital Measures-HIV test” as one of the Denominator Exclusion for Population 1 & 2. However, the Value Set OID 2.16.840.1.113883.3.666.5.812 includes HIV tests AND HIV results. This creates a situation where patients will be excluded if they have had an HIV test, as the algorithm does not require a positive HIV result. This does not seem to fit the intent of the measure.

•OR:
o OR: "Laboratory Test, Result: Hospital Measures-HIV test"
o OR: "Diagnosis, Active: Hospital Measures-AIDS related complex"
o OR: "Diagnosis, Active: Hospital Measures-Healthcare associated pneumonia"
o OR: "Diagnosis, Active: Hospital Measures-Cystic fibrosis"
o OR: "Diagnosis, Inactive: Hospital Measures-Cystic fibrosis"
o OR: "Diagnosis, Active: Hospital Measures-Lymphocytic leukemia"
o OR: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination"
o OR: "Procedure, Performed: Hospital Measures-Organ transplant"
o OR: "Diagnosis, Active: Hospital Measures-Immunodeficiency syndrome"
o OR: "Diagnosis, Active: Hospital Measures-Chronic lymphocytic leukemia"
o OR: "Diagnosis, Active: Hospital Measures-Congenital or hereditary immunodeficiency"
o OR: "Diagnosis, Active: Hospital Measures-Human immunodeficiency virus"
o OR: "Diagnosis, Active: Hospital Measures-Organ transplant recipient"
o OR: "Diagnosis, Active: Hospital Measures-Acquired immune deficiency syndrome"
o starts before or during "Occurrence A of Encounter, Performed: Encounter Inpatient"

1.) What development guidance can you offer?