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  2. CQM-6671

STK-2 Discharge Disposition

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      Thank you for your question regarding CMS104, Discharged on Antithrombotic Therapy. This measures uses the value set "Left Against Medical Advice" (2.16.840.1.113883.3.117.1.7.1.308), which is a single extensional value set and not a grouping value set. This value set contains a single code SNOMED code 445060000 | Left against medical advice (finding). This concept is looking for patients discharged AMA. For the stroke measures within the HIQR program please refer to this value set within VSAC for code information. If you refer to the terminology section within the human readable it will provide a list of the Value Sets used for each measure.
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      Thank you for your question regarding CMS104, Discharged on Antithrombotic Therapy. This measures uses the value set "Left Against Medical Advice" (2.16.840.1.113883.3.117.1.7.1.308), which is a single extensional value set and not a grouping value set. This value set contains a single code SNOMED code 445060000 | Left against medical advice (finding). This concept is looking for patients discharged AMA. For the stroke measures within the HIQR program please refer to this value set within VSAC for code information. If you refer to the terminology section within the human readable it will provide a list of the Value Sets used for each measure.
    • CMS0104v11
    • Validating for eCQM submission to satisfy IQR requirements

      We have a patient that was documented as discharged against medical advice in the medical record, but our coders ultimately coded "left before treatment complete" as the discharge disposition.  In VSAC, I can see the grouper for "left against medical advice" has siblings listed and one of those is "left before treatment complete".  This seems to have the same result, the patient left before proper discharge could be done.  Should other discharge dispositions be mapped for "left against medical advice" or only "left against medical advice".

            JLeflore Mathematica EH eCQM Team
            cherman Curin Herman
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