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Proposed solution:
We propose replacing "Severe dementia (disorder) SNOMEDCT Code 428351000124105 " with the Cognitive Impairment value set (2.16.840.1.113883.3.464.1003.1186) in the logic.
CMS90 Logic before:
define "Denominator Exclusions":
Hospice."Has Hospice"
or exists ( ["Diagnosis": "Severe dementia (disorder)"] Dementia
where Dementia.prevalencePeriod overlaps "Measurement Period" )
CMS90 Logic after:
define "Denominator Exclusions":
Hospice."Has Hospice"
or exists ( ["Diagnosis": "Cognitive Impairment"] SevereCognitiveImpairment
where SevereCognitiveImpairment.prevalencePeriod overlaps "Measurement Period" )
CMS56 and CMS66 Logic before:
define "Has Dementia Diagnosis":
exists ( ["Diagnosis": "Severe dementia (disorder)"] Dementia
where Dementia.prevalencePeriod overlaps "Measurement Period")
CMS56 and CMS66 Logic after:
define "Has Dementia Diagnosis":
exists ( ["Diagnosis": "Cognitive Impairment"] SevereCognitiveImpairment
where SevereCognitiveImpairment.prevalencePeriod overlaps "Measurement Period")
CMS56, 66, 56 and 90 Terminology before:
"Severe dementia (disorder)” SNOMEDCT Code 428351000124105
CMS56, 66, 56 and 90 Terminology After:
Cognitive Impairment (2.16.840.1.113883.3.464.1003.1186)
Rationale for change:
We propose including additional codes to better represent the denominator exclusion criteria for severe cognitive impairment.
Show
Proposed solution:
We propose replacing "Severe dementia (disorder) SNOMEDCT Code 428351000124105 " with the Cognitive Impairment value set (2.16.840.1.113883.3.464.1003.1186) in the logic.
CMS90 Logic before:
define "Denominator Exclusions":
Hospice."Has Hospice"
or exists ( ["Diagnosis": "Severe dementia (disorder)"] Dementia
where Dementia.prevalencePeriod overlaps "Measurement Period" )
CMS90 Logic after:
define "Denominator Exclusions":
Hospice."Has Hospice"
or exists ( ["Diagnosis": "Cognitive Impairment"] SevereCognitiveImpairment
where SevereCognitiveImpairment.prevalencePeriod overlaps "Measurement Period" )
CMS56 and CMS66 Logic before:
define "Has Dementia Diagnosis":
exists ( ["Diagnosis": "Severe dementia (disorder)"] Dementia
where Dementia.prevalencePeriod overlaps "Measurement Period")
CMS56 and CMS66 Logic after:
define "Has Dementia Diagnosis":
exists ( ["Diagnosis": "Cognitive Impairment"] SevereCognitiveImpairment
where SevereCognitiveImpairment.prevalencePeriod overlaps "Measurement Period")
CMS56, 66, 56 and 90 Terminology before:
"Severe dementia (disorder)” SNOMEDCT Code 428351000124105
CMS56, 66, 56 and 90 Terminology After:
Cognitive Impairment (2.16.840.1.113883.3.464.1003.1186)
Rationale for change:
We propose including additional codes to better represent the denominator exclusion criteria for severe cognitive impairment.