We are working with our registry tool (Azara) to clear up a discrepancy.  

The timeline is as follows: 

3/15/23 - PHQ9 was positive, appropriate follow-up, patient was dx with depression

8/1/23 - pt had a repeat PHQ9 that was positive, but no follow-up was completed for various reasons

The patient is being listed as a fallout for the 8/1 appt, because "they were not diagnosed prior to the measurement period".  We think that this is not the intention of the measure, and rather either this is going off of the 3/15 visit, at which point the patient did have a positive PHQ-9 as well as a follow-up, or it's going off of the 8/1 visit at which point the patient had the exclusion of a depression dx.  The registry tool feels that the patient needed a follow-up at the 8/1 appt despite the positive dx 4.5 months prior. 

Please advise.  Thank you!