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  1. eCQM Issue Tracker
  2. CQM-734

Issue with the MU2 usage core objective smoking status codes

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    • Icon: Value Sets Value Sets
    • Resolution: Answered
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      CMS and ONC recognize there are domains of value sets that contain high levels of variation despite one would expect each EHR to capture them in one way. Furthermore, there are significant differences between MU1, MU2 and other measures as well as discrepancies between the objectives and the measures in regards to value set content.

      CMS, ONC, and NLM are working to start larger scale harmonization processes for correcting this misalignment, You should anticipate the MU2 measure updates in 2014 will include one set of aligned smoking codes that match the objectives published. We will update this issue when harmonization can occur; however please anticipate this process should not be complete for a few months.
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      CMS and ONC recognize there are domains of value sets that contain high levels of variation despite one would expect each EHR to capture them in one way. Furthermore, there are significant differences between MU1, MU2 and other measures as well as discrepancies between the objectives and the measures in regards to value set content. CMS, ONC, and NLM are working to start larger scale harmonization processes for correcting this misalignment, You should anticipate the MU2 measure updates in 2014 will include one set of aligned smoking codes that match the objectives published. We will update this issue when harmonization can occur; however please anticipate this process should not be complete for a few months.

      Following are the codes provided in core objective of smoking status usage measure objective:
      (1) Current every day smoker. 449868002
      (2) Current some day smoker. 428041000124106
      (3) Former smoker. 8517006
      (4) Never smoker. 266919005
      (5) Smoker, current status unknown. 77176002
      (6) Unknown if ever smoked. 266927001
      (7) Heavy tobacco smoker. 428071000124103
      (8) Light tobacco smoker. 428061000124105
      However, 266927001 is not part of MU2 Value set.

      Kindly clarify.

            julia.skapik Julia Skapik (Inactive)
            jyotim Jyoti Moryani (Inactive)
            Kevin Larsen (Inactive), Rob McClure (Inactive), Steve Emrick (Inactive)
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