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OQR eCQMs
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Resolution: Answered
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Moderate
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None
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None
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CMS0996v4
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In the logic of the STEMI measure, a STEMI encounter is defined as
- /The below instance of "Emergency Department Visit" corresponds to OID 2.16.840.1.113883.3.464.1003.101.12.1010 and this OID should be used where this definition is used/
["Encounter, Performed": "Emergency Department Visit (1010)"] EDEncounter
with EDEncounter.diagnoses EncounterDiagnosis
such that EncounterDiagnosis.code in "STEMI"
and EDEncounter.relevantPeriod during "Measurement Period"
We would like to clarify if an Encounter Diagnosis must be used or can a Clinical Impression in the ED be used. This would filter out historical STEMIs from this measure which makes the data inaccurate. In other words, would a clinical impression qualify for an Encounter diagnosis? The Clinical Impression is only used in the ED, so we would like to use this instead of an Encounter Diagnosis to avoid patients qualifying erroneously.