Thank you for your question regarding STK-2 CMS104, Discharged on Antithrombotic Therapy. The intent of the numerator is "Inpatient hospitalizations for patients prescribed or continuing to take antithrombotic therapy at hospital discharge". The following is the numerator logic: TJC."Ischemic Stroke Encounter" IschemicStrokeEncounter   with "Antithrombotic Therapy at Discharge" DischargeAntithrombotic     such that DischargeAntithrombotic.authorDatetime during IschemicStrokeEncounter.relevantPeriod If the medications are on the discharge medication list, and the discharge medication list was authored during the inpatient encounter, then the patients will meet the numerator.

To count towards the numerator, can a patient who was prescribed and/or on antithrombotic therapy take place prior to or during the IP stay. For example, a patient is prescribed Aspirin 81 mg on 3/5/22 and the patient's IP stay started on 4/25/2022, with a discharge date of 4/26/22. The prescribed Aspirin 81 mg on 3/5/22 had a day supply that exceeded the discharge date. Please confirm if the documentation and/or applicable value set codes indicating either continuation of antithrombotic therapy or prescribed antithrombotic therapy must be documented on the date of discharge.