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Intent/Governance affecting more than 1 eCQM
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Resolution: Fixed
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Minor
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Rajeev Mishra
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Citius Tech
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In context of NQF # 0028-Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention- Tobacco Use Cessation Counseling value set (2.16.840.1.113883.3.526.3.509) includes course of action without any direct physical manipulation (education, referrals, etc.) and Tobacco Use Cessation Pharmacotherapy value set (2.16.840.1.113883.3.526.3.1190) includes specific medications.
Also both the below denominator exception criteria refers to same value set (2.16.840.1.113883.3.526.3.1007)that includes all medical reasons for negation of clinical concept:
1. Intervention, Performed not done: Medical Reason" for "Tobacco Use Cessation Counseling Grouping Value Set
2. Medication, Order not done: Medical Reason" for "Tobacco Use Cessation Pharmacotherapy Grouping Value Set
Medical reasons specified for the negation of tobacco use cessation pharmacotherapy seems to be relevant (e.g. a particular tobacco use cessation medication may not be given because of drug resistance/allergy). However, are the medical reasons (as defined by value set) for negation of cessation counseling also relevant? How cessation counselling service (smoking effects education, referrals) cannot be given because of medical reasons such as History of - drug allergy, Drug resistance, Medical contraindication, etc?