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EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
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Resolution: Unresolved
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Moderate
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None
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None
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deb parnell
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615-202-6718
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Ascension Saint Thomas
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CMS1028v2
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Unable to validate report due to unclear understanding of the specs
In regards to PCMaternal.LastTime of Delivery,
The guidance states "In the case of multiple births, map the first delivery date/time (Baby A) as the delivery date/time for the encounter."
The specs state: PCMaternal.LastTimeOfDelivery(Encounter "Encounter, Performed")
Last(["Assessment, Performed": "Date and time of obstetric delivery"] TimeOfDelivery where Global."EarliestOf"(TimeOfDelivery.relevantDatetime, TimeOfDelivery.relevantPeriod)during "HospitalizationWithEDOBTriageObservation"(Encounter) and TimeOfDelivery.result as DateTime during "HospitalizationWithEDOBTriageObservation"(Encounter) sort by Global."EarliestOf"(relevantDatetime, relevantPeriod)).result as DateTime
The use of "Last", "Earliest of" & use baby 'A' (which would not be the last delivery D/T documented is confusing.
Can you please clarify how these statements are to be used to determine which Delivery D/T is to be used in the case of multiple births?