I'm looking for guidance on how to evaluate data elements that are captured Coding and in clinical documentation. In these scenarios, the clinical documentation is going to have the most accurate date and time, as Coding does not always accurately capture the date and time of procedure.

Example:

Intubation is a data element in the new PRF eCQM.

Intubation captured in Coding doesn't have the true date/time the patient was intubated

Intubation captured in clinical or surgical documentation will have the accurate date/time of intubation.

How should this be handled since the measure logic evaluates all data with codes from the value set? Are we supposed to exclude the documentation in Coding from evaluation?

We see this same issue with C-section in the PC measures.

Thanks