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Proposed solution
Revise the denominator exclusion logic to constrain the glucose test to that qualifying encounter only.
CURRENT:
define "Encounter With First Blood Glucose Greater Than or Equal to 1000":
"Qualifying Encounter" InpatientHospitalization
with "First Blood Glucose Within 1 Hour Prior To and 6 Hours After Encounter Start" FirstGlucoseResult
such that FirstGlucoseResult.result >= 1000 'mg/dL'
PROPOSED:
define "Encounter With First Blood Glucose Greater Than or Equal to 1000" :
"Qualifying Encounter" InpatientHospitalization
with "First Blood Glucose Within 1 Hour Prior To and 6 Hours After Encounter Start" FirstGlucoseResult
such that FirstGlucoseResult.result >= 1000 'mg/dL'
and FirstGlucoseResult.relevantDatetime during Interval[(start of Global."HospitalizationWithObservation"(InpatientEncounter)- 1 hour), (start of Global."HospitalizationWithObservation"(InpatientEncounter)+ 6 hours)]
Rationale for change
Revising the logic to constrain the test to the qualifying encounter meets intent. The impact should be low, as this measure is not currently being reported. It is to be implemented for CY 2023 reporting.
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Proposed solution
Revise the denominator exclusion logic to constrain the glucose test to that qualifying encounter only.
CURRENT:
define "Encounter With First Blood Glucose Greater Than or Equal to 1000":
"Qualifying Encounter" InpatientHospitalization
with "First Blood Glucose Within 1 Hour Prior To and 6 Hours After Encounter Start" FirstGlucoseResult
such that FirstGlucoseResult.result >= 1000 'mg/dL'
PROPOSED:
define "Encounter With First Blood Glucose Greater Than or Equal to 1000" :
"Qualifying Encounter" InpatientHospitalization
with "First Blood Glucose Within 1 Hour Prior To and 6 Hours After Encounter Start" FirstGlucoseResult
such that FirstGlucoseResult.result >= 1000 'mg/dL'
and FirstGlucoseResult.relevantDatetime during Interval[(start of Global."HospitalizationWithObservation"(InpatientEncounter)- 1 hour), (start of Global."HospitalizationWithObservation"(InpatientEncounter)+ 6 hours)]
Rationale for change
Revising the logic to constrain the test to the qualifying encounter meets intent. The impact should be low, as this measure is not currently being reported. It is to be implemented for CY 2023 reporting.