Hello Team,

Consider the following scenarios for denominator Exclusions:

Patient A aged 21 years with

Start of InpatientEncounter.relevantPeriod = 5/10/2024 9:00

End of InpatientEncounter.relevantPeriod = 5/16/2024 10:00

Start of EDEncounter.relevenat period= 5/10/2024 8:30:00

End of EDEncounter.relevenat period= 5/10/2024 8:45:00

having Glucose Lab Test Mass Per Volume documented on 5/10/2024 7:40 with value 1000 mg/dL and earlier glucose was documented on 5/10/2024 7:35 with value 800 mg/dL 

Scenario 2:

Patient B aged 21 years with

Start of InpatientEncounter.relevantPeriod = 11/12/2024 4:00

End of InpatientEncounter.relevantPeriod = 11/12/2024 7:00

Start of Observation.relevenat period= 11/12/2024 3:00

End of Observation.relevenat period= 11/12/2024 3:45

having Glucose Lab Test Mass Per Volume documented on 11/12/2024 2:30 with value 1200 mg/dL and earlier glucose was documented on 11/12/2024 2:20 with value 1000 mg/dL.

#Query1:

From the above two scenarios, please help us understand which of the above 2 patients will be excluded and how?

#Query2:

Based on response provided on ticket https://oncprojectracking.healthit.gov/support/browse/QRDA-1153 we wanted to confirm if the validation of glucose test in exclusion is during hospitilizationwithobservation or only during IP encounter.

#Query3 :

The ticket response (QRDA-1153) for Earliest of function deviates from the ticket response (CQLIT-362). Please clarify which one to refer.

Request you to provide us with the resolution urgently as our client deliverables are dependent on it.