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  1. eCQM Issue Tracker
  2. CQM-883

Numerator compliance

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    • Icon: Intent/Governance affecting more than 1 eCQM Intent/Governance affecting more than 1 eCQM
    • Resolution: Answered
    • Icon: Minor Minor
    • Certification
    • Numerator compliance
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      There are two ‘AND’ logical operators in the second level of nesting. These represent the two requirements that should be met within the specified timing constraints, ‘starts after start of Occurrence A of [Encounter, Performed]’. Because the second ‘AND’ logical operator has two ‘OR’ logical operators nested under it, one of those two ‘OR’ statements need to be satisfied to meet the above ‘AND’ requirement.
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      There are two ‘AND’ logical operators in the second level of nesting. These represent the two requirements that should be met within the specified timing constraints, ‘starts after start of Occurrence A of [Encounter, Performed]’. Because the second ‘AND’ logical operator has two ‘OR’ logical operators nested under it, one of those two ‘OR’ statements need to be satisfied to meet the above ‘AND’ requirement.

      The numerator:
      ■AND: "Communication: From Provider to Provider: Level of Severity of Retinopathy Findings"
      ■AND: ■OR: "Communication: From Provider to Provider: Macular Edema Findings Present"
      ■OR: "Communication: From Provider to Provider: Macular Edema Findings Absent"

      Appears to look for 3 pieces of information - level of severity, macular edema present or absent and communication. Do all 3 peices need to be documented in order to meet the numerator criteria, or does only communication to the provider managing diabetes need to be documented? The intent appears to be communication but the numerator statement and the associated value sets also implies that multiple pieces must be documented/captured in order to meet the numerator.

            eribeiro eldred (Inactive)
            lisa.shepherd74@yahoo.com Lisa Shepherd (Inactive)
            Minet Javellana (Inactive)
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