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  2. CQM-5679

CMS117v10 - Childhood Immunization Status. Question about Hepatitis A dose

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    • Resolution: Answered
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    • Nancy Smith
    • 7176808500
    • CureMD
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      ​Thank you for your inquiry about CMS117v10, Childhood Immunization Status. The Numerator calls in the the two definitions "One Hepatitis A Vaccinations" and "Hepatitis A Numerator Inclusion Conditions" in order to meet Numerator criteria. The logic in the "One Hepatitis A Vaccinations" definition ensures a child has at least one hepatitis A vaccination, with a date of service before their second birthday. The "Hepatitis A Numerator Inclusion Conditions" definition will look for a child that has a history of hepatitis A illness on or before their second birthday. A patient may meet the Numerator if they meet either of the criteria mentioned below.

      One Hepatitis A Vaccinations
      ( ( ["Immunization, Administered": "Hepatitis A Vaccine"]
          union ["Procedure, Performed": "Hepatitis A Vaccine Administered"] ) HepatitisAVaccination
          where HepatitisAVaccination.relevantDatetime during "First Two Years"
      )

      Hepatitis A Numerator Inclusion Conditions
      ( ( ["Laboratory Test, Performed": "Anti Hepatitis A IgG Antigen Test"] HepatitisAAntigenTest
          where HepatitisAAntigenTest.result as Code in "Positive Finding"
      )
        union ( ["Diagnosis": "Adverse reaction to vaccine product containing Hepatitis A virus antigen (disorder)"] HepatitisAReaction
            return "Laboratory Test, Performed" { relevantDatetime: start of HepatitisAReaction.prevalencePeriod }
        )
        union ( ["Diagnosis": "Hepatitis A"] HepatitisADiagnosis
            return "Laboratory Test, Performed" { relevantDatetime: start of HepatitisADiagnosis.prevalencePeriod }
        ) ) HepatitisAConditions
        where Global."NormalizeInterval" ( HepatitisAConditions.relevantDatetime, HepatitisAConditions.relevantPeriod ) during "First Two Years"
      Show
      ​Thank you for your inquiry about CMS117v10, Childhood Immunization Status. The Numerator calls in the the two definitions "One Hepatitis A Vaccinations" and "Hepatitis A Numerator Inclusion Conditions" in order to meet Numerator criteria. The logic in the "One Hepatitis A Vaccinations" definition ensures a child has at least one hepatitis A vaccination, with a date of service before their second birthday. The "Hepatitis A Numerator Inclusion Conditions" definition will look for a child that has a history of hepatitis A illness on or before their second birthday. A patient may meet the Numerator if they meet either of the criteria mentioned below. One Hepatitis A Vaccinations ( ( ["Immunization, Administered": "Hepatitis A Vaccine"]     union ["Procedure, Performed": "Hepatitis A Vaccine Administered"] ) HepatitisAVaccination     where HepatitisAVaccination.relevantDatetime during "First Two Years" ) Hepatitis A Numerator Inclusion Conditions ( ( ["Laboratory Test, Performed": "Anti Hepatitis A IgG Antigen Test"] HepatitisAAntigenTest     where HepatitisAAntigenTest.result as Code in "Positive Finding" )   union ( ["Diagnosis": "Adverse reaction to vaccine product containing Hepatitis A virus antigen (disorder)"] HepatitisAReaction       return "Laboratory Test, Performed" { relevantDatetime: start of HepatitisAReaction.prevalencePeriod }   )   union ( ["Diagnosis": "Hepatitis A"] HepatitisADiagnosis       return "Laboratory Test, Performed" { relevantDatetime: start of HepatitisADiagnosis.prevalencePeriod }   ) ) HepatitisAConditions   where Global."NormalizeInterval" ( HepatitisAConditions.relevantDatetime, HepatitisAConditions.relevantPeriod ) during "First Two Years"
    • CMS0117v10
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      We are an EHR vendor and we get calls from practices in regards to Hepatitis A dose which is affecting their measure progress.
      Show
      We are an EHR vendor and we get calls from practices in regards to Hepatitis A dose which is affecting their measure progress.

      In the HTML file for eCQM measure "CMS117v10 - Childhood Immunization Status", under Clinical Recommendation Statement, the Hepatitis A dose required is mentioned as 

      Hepatitis A vaccination
      (minimum age: 12 months for routine vaccination)
      "Routine vaccination
      – 2-dose series (minimum interval: 6 months) beginning at age 12 months"

       

      but once we scroll down, in the Numerator Hepatitis A dose is mentioned as 

      and ( exists ( "One Hepatitis A Vaccinations" )
            or exists ( "Hepatitis A Numerator Inclusion Conditions" )

       

      Source: https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS117v10.html  

       

      Please confirm what condition needs to be fulfilled for the measure. One dose of Hepatitis A or 2 doses of Hepatitis A 

       

            edave Mathematica EC eCQM Team
            Nsmith Nancy
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