Our EMR has two flowsheet rows for mechanical prophylaxis documentation. There is an anti-embolism device row where staff selects the devices that are applied, and this is what our EMR has mapped to the appropriate GCS, IPC and Venous Foot Pump SNOMED codes, so that when a device is selected on this flowsheet row that is sufficient to pass the measure (in numerator). 

However there is an additional flowsheet row where staff can note anti-embolism interventions such as "on", "off" or "refused". This isn't mapped except for negation (refusal of VTE prophylaxis). 

With chart abstracted VTE and prior to the 2023 change from application of device to procedure performed, our EMR mapped both flowsheet rows for compliance to mechanical prophylaxis. Example foot pumps would be selected in the anti-embolism flowsheet row and "on" was mapped on the anti-embolism intervention row. If both weren't present then it would not be considered in the numerator. 

However the eCQM logic doesn't really address that both devices AND an intervention have to be mapped so with the 2023 specification of procedure performed, our EMR build only mapped to the appropriate devices on the anti-embolism devices flowsheet row.  Does this meet the intent of the eCQM? Is documentation of a device on that flowsheet row sufficient to pass the measure if within the correct timeframe?