Hello,

We have a follow up question to https://oncprojectracking.healthit.gov/support/browse/CQM-5379.  In CQM-5379 Scenario A and B are different patients.  If the data represented two separate inpatient encounters for the same patient we believe (and bonnie testing supports this) that the patient would have two exclusion results.  Whether this is intended or not, the CQL as written will produce two exclusion results.  This is due to this clause:

Since the First Lab above is not bound to a specific encounter, the return result will always be the same.  So using the data from CQM-5379 as data for the same patient, when evaluating the second inpatient encounter (05/10/2023 - 05/16/2023) to see if it qualifies for the exclusion the lab test from 04/11/2023 8:00 AM would be used and would cause the encounter to be excluded.

Is this the correct behavior, or is this an issue with the CQL?  

Thank you.