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  2. CQM-6138

CMS334v4 : Question Regarding Estimated Due Date

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    • Resolution: Answered
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      Thank you for your question on CMS334, Cesarean Birth (PC-02). In response to the example you provided, the effectiveTime value should represent when the assessment was performed (not documented). Assuming the assessment was performed on the same date it was documented, then the effectiveTime value would be January 2. The QDM Attribute result would be June 6. The QRDA would look like this:
      <entry typeCode="DRIV">
        <observation classCode="OBS" moodCode="EVN">
          <!-- Assessment Performed (V3) -->
          <templateId root="2.16.840.1.113883.10.20.24.3.144" extension="2019-12-01"/>
          <id root="1.3.6.1.4.1.115" extension="638d8cea6362390475374c14"/>
          <code code="11778-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
          <text>Delivery date Estimated</text>
          <statusCode code="completed" />
          <effectiveTime value="20210102" />
          <!-- QDM Attribute: Result -->
          <value xsi:type="TS" value="20210606" />
        </observation>
      </entry>
      Please let us know if you have additional questions. Please reference attachment for highlighted fields. Thank you.
      Show
      Thank you for your question on CMS334, Cesarean Birth (PC-02). In response to the example you provided, the effectiveTime value should represent when the assessment was performed (not documented). Assuming the assessment was performed on the same date it was documented, then the effectiveTime value would be January 2. The QDM Attribute result would be June 6. The QRDA would look like this: <entry typeCode="DRIV">   <observation classCode="OBS" moodCode="EVN">     <!-- Assessment Performed (V3) -->     <templateId root="2.16.840.1.113883.10.20.24.3.144" extension="2019-12-01"/>     <id root="1.3.6.1.4.1.115" extension="638d8cea6362390475374c14"/>     <code code="11778-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />     <text>Delivery date Estimated</text>     <statusCode code="completed" />     <effectiveTime value="20210102" />     <!-- QDM Attribute: Result -->     <value xsi:type="TS" value="20210606" />   </observation> </entry> Please let us know if you have additional questions. Please reference attachment for highlighted fields. Thank you.
    • CMS0334v4

      Hi Team,

       

      Consider the following statement from denominator :

       

      PCMaternal.LastEstimatedDeliveryDate(Encounter "Encounter, Performed")

        • //This function identifies the last time the Estimated Delivery Date was assessed 42 weeks or less prior to or on delivery and stores the result of that assessment.
        • Last(["Assessment, Performed": "Delivery date Estimated"] EstimatedDateOfDelivery
        • where Global."EarliestOf"(EstimatedDateOfDelivery.relevantDatetime, EstimatedDateOfDelivery.relevantPeriod)42 weeks or less before or on "LastTimeOfDelivery"(Encounter)
        • and EstimatedDateOfDelivery.result is not null
        • sort by Global."EarliestOf"(relevantDatetime, relevantPeriod)
        • ).result

       

      Query :

      Consider a below patient from the certification deck which denotes the above paragraph

      Here we see two dates, one is the date for the code assessment, performed (11778-8), what is the other date which is falling under the result section (highlighted in yellow)?

      If I state an example saying that assessment performed was documented on 2nd Jan and my EDD would be 6th June, how would these dates fit in the above sample QRDA?

       

        1. 1_Barbara_Oliver.xml
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        2. Barbara Oliver_SS.PNG
          Barbara Oliver_SS.PNG
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        3. CQM-6138 Response.pdf
          69 kB
        4. Cypress patient_CMS334v4.png
          Cypress patient_CMS334v4.png
          131 kB

            JLeflore Mathematica EH eCQM Team
            AkashP Akash Pawar
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