Brief Description of Measure:

CMS157: Oncology: Medical and Radiation - Pain Intensity Quantified:
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified

Description of Issue:

​The measure has two populations with different return types, where Population 1 returns an Encounter while Population 2 returns a Procedure.
It is the intent of the measure steward to capture the clinician-patient encounter component of the radiation treatment management in the Population 2, which is consistent with the guidance provided in the measure.

Proposed Solution:

​The measure steward proposes to update CQL definition 'Radiation Treatment Management During Measurement Period with Cancer Diagnosis' and reclassify Radiation Treatment Management data element from 'Procedure' to 'Encounter'. 
CURRENT:
Radiation Treatment Management During Measurement Period with Cancer Diagnosis
["Procedure, Performed": "Radiation Treatment Management"] RadiationTreatmentManagement
  with ["Diagnosis": "Cancer"] Cancer
    such that Cancer.prevalencePeriod overlaps Global."NormalizeInterval" ( RadiationTreatmentManagement.relevantDatetime, RadiationTreatmentManagement.relevantPeriod )
  where Global."NormalizeInterval" ( RadiationTreatmentManagement.relevantDatetime, RadiationTreatmentManagement.relevantPeriod ) during "Measurement Period"

PROPOSED:
Radiation Treatment Management During Measurement Period with Cancer Diagnosis
["Encounter, Performed": "Radiation Treatment Management"] RadiationTreatmentManagement
  with ["Diagnosis": "Cancer"] Cancer
    such that Cancer.prevalencePeriod overlaps RadiationTreatmentManagement.relevantPeriod
  where RadiationTreatmentManagement.relevantPeriod during "Measurement Period"

Rationale for Change:

​The proposed change will align the population basis for both populations of the measure and help clarify that Population 2 intends to capture the clinician-patient encounter component of the radiation treatment management, which is consistent with the guidance provided in the measure.