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CMS165v11 - Numerator to not include BP readings from day of ED Visit

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      ​Thank you for your inquiry for CMS165v11: Controlling High Blood Pressure. Correct, the addition of 'day of' in this logic would allow BP readings taken on the same day as the ED or Encounter Inpatient visit to be excluded. The intent is to exclude BPs not representative of the patient's overall chronic hypertension.
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      ​Thank you for your inquiry for CMS165v11: Controlling High Blood Pressure. Correct, the addition of 'day of' in this logic would allow BP readings taken on the same day as the ED or Encounter Inpatient visit to be excluded. The intent is to exclude BPs not representative of the patient's overall chronic hypertension.
    • CMS0165v11

      Numerator logic

      Qualifying Diastolic Blood Pressure Reading
      ["Physical Exam, Performed": "Diastolic blood pressure"] DiastolicBP
        without ( ["Encounter, Performed": "Encounter Inpatient"]
          union ["Encounter, Performed": "Emergency Department Visit"] ) DisqualifyingEncounter
          such that Global."LatestOf" ( DiastolicBP.relevantDatetime, DiastolicBP.relevantPeriod ) during day of DisqualifyingEncounter.relevantPeriod
        where DiastolicBP.result.unit = 'mm[Hg]'
          and Global."LatestOf" ( DiastolicBP.relevantDatetime, DiastolicBP.relevantPeriod ) during day of "Measurement Period"

       

      With the addition of 'Day of' while mentioning disqualifying Encounter, it is understood that to not include BP readings from day of ED Visit or Encounter Inpatient. Bonnie also works the same way, as any BP readings from that day is not considered. 

      Is this the right understanding.

            edave Mathematica EC eCQM Team
            priyankamurthy Priyanka Murthy
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