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  2. CQM-4972

Comfort Measures Ordered or Performed clarification of Global NormalizeInterval Timing

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      Question 1: Is the intent to use only Author Date/Time for Comfort Measures, Ordered? and ignore the Global.NormalizeInterval when the status is Ordered? For example: the only time given for Comfort Measures Performed or Ordered is an Author Date/Time.


      Answer 1: Since only "Intervention, Order".authorDatetime attribute can exist, the normalized relevant interval will be null and the Coalesce will return the authorDatetime. The Global.NormalizeInterval is not “ignored” but will return as null since the data attribute does not exist.


      Question 2: Is this outside the Global.NormalizeInterval Timing when the status is "Ordered", but Author Date/Time (as a PointInTime) is included in Global.NormalizeInterval Timing for a status of "Performed"?


      Answer 2: The such that Coalesce expression can return a Datetime from start of the normalized relevant interval or authorDatetime from an Intervention but only authorDatetime attribute can exist from an Order. An "Intervention, Performed" without a relevantDatetime or relevantPeriod could return authorDatetime representing the time that the action was recorded if available.
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      Question 1: Is the intent to use only Author Date/Time for Comfort Measures, Ordered? and ignore the Global.NormalizeInterval when the status is Ordered? For example: the only time given for Comfort Measures Performed or Ordered is an Author Date/Time. Answer 1: Since only "Intervention, Order".authorDatetime attribute can exist, the normalized relevant interval will be null and the Coalesce will return the authorDatetime. The Global.NormalizeInterval is not “ignored” but will return as null since the data attribute does not exist. Question 2: Is this outside the Global.NormalizeInterval Timing when the status is "Ordered", but Author Date/Time (as a PointInTime) is included in Global.NormalizeInterval Timing for a status of "Performed"? Answer 2: The such that Coalesce expression can return a Datetime from start of the normalized relevant interval or authorDatetime from an Intervention but only authorDatetime attribute can exist from an Order. An "Intervention, Performed" without a relevantDatetime or relevantPeriod could return authorDatetime representing the time that the action was recorded if available.

      1. Per QDM 5.5, Author Date/Time is the only timing allowable for Intervention, Ordered (e.g. Comfort Measures, Ordered.)
      2. Author Date/Time is also allowable for Interventions, Performed (e.g. Comfort Measures, Performed).
      3. But, the Summary of changes for the EH Stroke eCQMS, says the new Global NormalizeInterval Timing,  only applies to Intervention, Performed.
      4. See below image: the specification Comfort Measures logic includes Author Date/Time in the start of Global.NormalizeInterval logic statement.
        1. Is the intent to use only Author Date/Time for Comfort Measures, Ordered? and ignore the Global.NormalizeInterval when the status is Ordered?
        2. For example: the only time given for Comfort Measures Performed or Ordered is an Author Date/Time. 
          1. Is this outside the Global.NormalizeInterval Timing when the status is "Ordered", but Author Date/Time (as a PointInTime) is included in Global.NormalizeInterval Timing for a status of "Performed"?

            JLeflore Joelencia Leflore
            megbutler Margaret Butler
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