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  2. CQM-4667

146v10 - Numerator Clarification

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      ​Thank you for your question about the Numerator for CMS146v10 "Appropriate Testing for Pharyngitis." The Numerator looks for a group A streptococcus test in the seven-day period from three days prior to the episode date through three days after the episode date. Yes, the 3 days prior to the episode date needs to be considered. In the numerator definition, it states "starts within 3 days of end of EncounterWithPharyngitis.relevantPeriod". The "within" looks for the strep test in the three days before and the three days after the encounter with Pharyngitis.
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      ​Thank you for your question about the Numerator for CMS146v10 "Appropriate Testing for Pharyngitis." The Numerator looks for a group A streptococcus test in the seven-day period from three days prior to the episode date through three days after the episode date. Yes, the 3 days prior to the episode date needs to be considered. In the numerator definition, it states "starts within 3 days of end of EncounterWithPharyngitis.relevantPeriod". The "within" looks for the strep test in the three days before and the three days after the encounter with Pharyngitis.
    • CMS0122v10
    • For 2022 CMS146v10 measure requirements in numerator statement does not match the numerator definition.

      Numerator statement: A group A streptococcus test in the seven-day period from *three days prior to the episode date through three days after the episode date."*

      Numerator Definition:
      "from
      "Group A Streptococcus Lab Test With Result" GroupAStreptococcusTest,
      "Encounter With Pharyngitis or Tonsillitis With Antibiotic" EncounterWithPharyngitis
      where ( Global."NormalizeInterval" ( GroupAStreptococcusTest.relevantDatetime, GroupAStreptococcusTest.relevantPeriod ) starts within 3 days of end of EncounterWithPharyngitis.relevantPeriod
       )
      return EncounterWithPharyngitis"

      In numerator statement it states to consider three days prior and three days after the episode date vs. in numerator definition it only states 'starts within 3 days of end of EncounterWithPharyngitis.relevantPeriod'.

      Can we get clarification if 3 days prior to the episode date needs to be considered. 

            edave Mathematica EC eCQM Team
            ashishtrivedy Ashish Trivedy
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