Below you will see that STK and ED-3 measures use different value sets for Inpatient Encounter which is causing an issue.

STK uses the following value to determine Inpatient Encounter:
"Encounter, Performed: Non-Elective Inpatient Encounter" using "Non-Elective Inpatient Encounter SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.424)"

ED-3 uses the following value to determine Inpatient Encounter::
"Encounter, Performed: Hospital Measures-Encounter Inpatient" using "Hospital Measures-Encounter Inpatient SNOMED-CT Value Set (2.16.840.1.113883.3.666.5.625)"

Our patient has an ED visit and within 2 hours has an Inpatient visit identified with the SNOMED CT code - 30854004 (Inpatient stay) which is in the Non-Elective Inpatient Encounter SNOMED-CT Value Set (2.16.840.1.113883.3.117.1.7.1.424) but not in the other value set. Because of this the patient meets the STK Initial Patient Population Criteria, but also meets the ED-3 measure population criteria because the following logic in the measure population for ED-3 returns true when it should actually return false -

◦AND NOT: "Encounter, Performed: Hospital Measures-Encounter Inpatient" <= 6 hour(s) starts after end of "Occurrence A of Encounter, Performed: Emergency Department Visit"

The reason it should be false is that this patient from ED was admitted to the inpatient within 2 hours and hence should not be in the ED-3 population (which is for patients discharged from ED).

The reason the above ED3 logic returns false is that the SNOMED Code 30854004 (Inpatient stay) is not in the Encounter, Performed: Hospital Measures-Encounter Inpatient value set, even though this is an inpatient encounter code.

Summary:
A patient admitted from ED to the inpatient in less than 6 hours is incorrectly making it in the measure population for the ED-3 measure when it should not.

I'm looking for guidance on how this should be addressed.