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EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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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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CMS0334v4
This is a follow up to the response provided in https://oncprojectracking.healthit.gov/support/browse/CQM-6785.
Although the measure intent of evaluating 'Abnormal presentation' during the HospitalizationwithEDOBTriageObservation timeframe is valid, we don't think that is expressed within the CQL logic. The 'Abnormal Presentation' definition uses 'Singleton Delivery Encounters at 37 Plus Weeks Gravida 1 Parity 0, No Previous Births' definition as 'Qualifying Encounter'. This definition goes down to the evaluation of 'Encounter with Age Range' which it is based on the Encounter Inpatient (not the HospitalizationWithEDOBTriageObservation function). **
We tested the attached sample file (with documentation of 'Abnormal Presentation during the Observation timeframe) in Cypress and the outcome for the encounter was 'Numerator", instead of Exclusion. Please clarify the discrepancy. Thanks