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  2. CQM-6230

CMS156v12-Index Prescription Start Date (IPSD)

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    • Resolution: Answered
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      ​Thank you for your inquiry for CMS156v12: Use of High-Risk Medications in Older Adults. "Antipsychotic Index Prescription Start Date" referenced in that CQL definition is further defined in another CQL definition. Please see below. The Antipsychotic IPSD is using QDM datatype 'Medication, Order' and QDM attribute 'author dateTime'.

      "Antipsychotic Index Prescription Start Date"

      First(["Medication, Order": "Antipsychotic"] AntipsychoticMedication
      where AntipsychoticMedication.authorDatetime during "Measurement Period"
      return AntipsychoticMedication.authorDatetime
      sort asc
      )
      Show
      ​Thank you for your inquiry for CMS156v12: Use of High-Risk Medications in Older Adults. "Antipsychotic Index Prescription Start Date" referenced in that CQL definition is further defined in another CQL definition. Please see below. The Antipsychotic IPSD is using QDM datatype 'Medication, Order' and QDM attribute 'author dateTime'. "Antipsychotic Index Prescription Start Date" First(["Medication, Order": "Antipsychotic"] AntipsychoticMedication where AntipsychoticMedication.authorDatetime during "Measurement Period" return AntipsychoticMedication.authorDatetime sort asc )
    • CMS0156v12

      Hi team,

      Consider the below statement from cms156v12 Numerator of population criteria2 of :

      ( "More than One Antipsychotic Order"
          and ( not exists ( ( ["Diagnosis": "Schizophrenia"]
                union ["Diagnosis": "Bipolar Disorder"] ) AntipsychoticTreatedDiagnoses
                where AntipsychoticTreatedDiagnoses.prevalencePeriod overlaps Interval[start of "Measurement Period" - 1 year, "Antipsychotic Index Prescription Start Date"]
            )

      Query:

      Guidance section of the measure states-
      Index Prescription Start Date (IPSD).The start date of the earliest prescription ordered for a high-risk medication during the measurement period.

      Kindly let us know which QDM Attribute- Authordatetime or relevant dateTime(Startdate) should be used for IPSD?

      Kindly assist us on the above queries urgently as client deliverables are dependent upon it.

            edave Mathematica EC eCQM Team
            AkashP Akash Pawar
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