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Thank you for your inquiry regarding CMS506v7 Safe Use of Opioids - Concurrent Prescribing. Patients who left against medical advice are excluded from this measure. The value set related specific to this denominator exclusion is "Left Against Medical Advice" (2.16.840.1.113883.3.117.1.7.1.308). The denominator exclusion logic is as follows:
"Inpatient Encounters with an Opioid or Benzodiazepine at Discharge" InpatientEncounter
where exists ( ["Diagnosis": "Cancer Related Pain"] Cancer
where Cancer.prevalencePeriod overlaps day of InpatientEncounter.relevantPeriod
)
or exists ( ["Diagnosis": "Sickle Cell Disease with and without Crisis"] SickleCellDisease
where SickleCellDisease.prevalencePeriod overlaps InpatientEncounter.relevantPeriod
)
or exists ( InpatientEncounter.diagnoses Diagnosis
where Diagnosis.code in "Cancer Related Pain"
)
or exists ( ["Diagnosis": "Opioid Use Disorder"] OUD
where start of OUD.prevalencePeriod before day of end of InpatientEncounter.relevantPeriod
)
or exists ( "Treatment for Opioid Use Disorders" OUDTreatment
where Coalesce(start of Global."NormalizeInterval"(OUDTreatment.relevantDatetime, OUDTreatment.relevantPeriod), OUDTreatment.authorDatetime) during day of InpatientEncounter.relevantPeriod
)
or exists ( "Intervention Palliative or Hospice Care" PalliativeOrHospiceCare
where Coalesce(start of Global."NormalizeInterval"(PalliativeOrHospiceCare.relevantDatetime, PalliativeOrHospiceCare.relevantPeriod), PalliativeOrHospiceCare.authorDatetime) during Global."HospitalizationWithObservation" ( InpatientEncounter )
)
or ( InpatientEncounter.dischargeDisposition in "Discharge To Acute Care Facility"
or InpatientEncounter.dischargeDisposition in "Hospice Care Referral or Admission"
or InpatientEncounter.dischargeDisposition in "Patient Expired"
or InpatientEncounter.dischargeDisposition in "Left Against Medical Advice"
)
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Thank you for your inquiry regarding CMS506v7 Safe Use of Opioids - Concurrent Prescribing. Patients who left against medical advice are excluded from this measure. The value set related specific to this denominator exclusion is "Left Against Medical Advice" (2.16.840.1.113883.3.117.1.7.1.308). The denominator exclusion logic is as follows:
"Inpatient Encounters with an Opioid or Benzodiazepine at Discharge" InpatientEncounter
where exists ( ["Diagnosis": "Cancer Related Pain"] Cancer
where Cancer.prevalencePeriod overlaps day of InpatientEncounter.relevantPeriod
)
or exists ( ["Diagnosis": "Sickle Cell Disease with and without Crisis"] SickleCellDisease
where SickleCellDisease.prevalencePeriod overlaps InpatientEncounter.relevantPeriod
)
or exists ( InpatientEncounter.diagnoses Diagnosis
where Diagnosis.code in "Cancer Related Pain"
)
or exists ( ["Diagnosis": "Opioid Use Disorder"] OUD
where start of OUD.prevalencePeriod before day of end of InpatientEncounter.relevantPeriod
)
or exists ( "Treatment for Opioid Use Disorders" OUDTreatment
where Coalesce(start of Global."NormalizeInterval"(OUDTreatment.relevantDatetime, OUDTreatment.relevantPeriod), OUDTreatment.authorDatetime) during day of InpatientEncounter.relevantPeriod
)
or exists ( "Intervention Palliative or Hospice Care" PalliativeOrHospiceCare
where Coalesce(start of Global."NormalizeInterval"(PalliativeOrHospiceCare.relevantDatetime, PalliativeOrHospiceCare.relevantPeriod), PalliativeOrHospiceCare.authorDatetime) during Global."HospitalizationWithObservation" ( InpatientEncounter )
)
or ( InpatientEncounter.dischargeDisposition in "Discharge To Acute Care Facility"
or InpatientEncounter.dischargeDisposition in "Hospice Care Referral or Admission"
or InpatientEncounter.dischargeDisposition in "Patient Expired"
or InpatientEncounter.dischargeDisposition in "Left Against Medical Advice"
)
EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
Moderate