We have a measure intention question regarding eHH02, CMS871v2, and the “Laboratory Test, Performed” for “Glucose Lab Test Mass Per Volume”. The timing always references relevant dateTime as the laboratory test occurs at a single point in time. But if instead, a datetime came in the relevantPeriod startTime, and relevant dateTime was null, how would you expect the measure to handle this? Should this Lab test fail the timing test or should the relevantPeriod startTime be compared to the time period in the logics below?

Days With Glucose Results
"Days in Hospitalization" InpatientHospitalDays
return Tuple {
encounter: InpatientHospitalDays.encounter,
relevantPeriod: InpatientHospitalDays.relevantPeriod,
relevantDays: ( InpatientHospitalDays.relevantDays EncounterDay
return Tuple

{ dayIndex: EncounterDay.dayIndex, dayPeriod: EncounterDay.dayPeriod, hasSevereResult: exists ( ["Laboratory Test, Performed": "Glucose Lab Test Mass Per Volume"] BloodGlucoseLab1 where BloodGlucoseLab1.result > 300 'mg/dL' and BloodGlucoseLab1.*relevantDatetime* during EncounterDay.dayPeriod ), hasElevatedResult: exists ( ["Laboratory Test, Performed": "Glucose Lab Test Mass Per Volume"] BloodGlucoseLab2 where BloodGlucoseLab2.result >= 200 'mg/dL' and BloodGlucoseLab2.*relevantDatetime* during EncounterDay.dayPeriod ), hasNoGlucoseTest: not exists ( ["Laboratory Test, Performed": "Glucose Lab Test Mass Per Volume"] BloodGlucoseLab3 where BloodGlucoseLab3.*relevantDatetime* during EncounterDay.dayPeriod ) }

)
}

Encounter With Elevated Blood Glucose Lab
"Encounter With Hospitalization Period" Hospitalization
with ["Laboratory Test, Performed": "Glucose Lab Test Mass Per Volume"] BloodGlucoseLab
such that BloodGlucoseLab.relevantDatetime during Hospitalization.hospitalizationPeriod
and BloodGlucoseLab.result >= 200 'mg/dL'
return Hospitalization.encounter

First Blood Glucose Within 1 Hour Prior To and 6 Hours After Encounter Start
First(["Laboratory Test, Performed": "Glucose Lab Test Mass Per Volume"] FirstBloodGlucose
with("Qualifying Encounter")InpatientEncounter
such that FirstBloodGlucose.relevantDatetime during Interval[(start of Global."HospitalizationWithObservation"(InpatientEncounter)- 1 hour),(start of Global."HospitalizationWithObservation"(InpatientEncounter)+ 6 hours)]
sort by relevantDatetime
)