Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-7741

CMS646v5 and previous measures

XMLWordPrintable

    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Icon: Moderate Moderate
    • None
    • None
    • Josh Frazer
    • Hide
      Thank you for your inquiry regarding CMS646v5. You correctly identified an edge case where a patient who received chemotherapy or radiation treatment documented solely with a relevantDatetime, and not a relevantPeriod, in the 6 months prior to tumor staging does not meet the Denominator Exclusion definition. To promote interoperability and reduce implementer burden, we will consider including the use of Global.“NormalizeInterval” in the “Has Excluding Chemotherapy or Radiotherapy Procedure Before Staging” definition in a future annual update cycle.
      Show
      Thank you for your inquiry regarding CMS646v5. You correctly identified an edge case where a patient who received chemotherapy or radiation treatment documented solely with a relevantDatetime, and not a relevantPeriod, in the 6 months prior to tumor staging does not meet the Denominator Exclusion definition. To promote interoperability and reduce implementer burden, we will consider including the use of Global.“NormalizeInterval” in the “Has Excluding Chemotherapy or Radiotherapy Procedure Before Staging” definition in a future annual update cycle.
    • CMS0646v5
    • CMS0646v4
    • Leaves the possibility of incorrect results.

      For CMS646v4, we have:

      And for CMS646v5, we have something similar:

      If this element only has a relevant datetime that does start 6 months or less it won't satisfy this condition even though the timing is correct just within a seperate field. I do remember within this issue, CYPRESS-2299, its stated that we choose either relevant datetime or relevant period depending on what is provided through the QRDA. Is there a reason why this doesn't implement NormalizeInterval()?

        1. image-2025-03-18-13-58-11-348.png
          image-2025-03-18-13-58-11-348.png
          17 kB
        2. image-2025-03-18-13-59-11-828.png
          image-2025-03-18-13-59-11-828.png
          17 kB

            AIR EC eCQM Team AIR EC eCQM Team
            jfrazer Joshua Frazer
            Votes:
            0 Vote for this issue
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: