Hi guys,

I am validating cms138v5 on Cypress version 3.2.2.

There is one IPP patient that isnt falling in the numerator but in the DENEXCEP. But after reading the criteria over again and again, this patient could have fallen in the numerator if the numerator is being calculated first as it meets this criteria:

OR:
AND: "Risk Category Assessment: Tobacco Use Screening" <= 24 month(s) starts before end of "Measurement Period"
AND: "Occurrence A of Patient Characteristic: Tobacco Non-User" <= 24 month(s) starts before end of "Measurement Period"
AND NOT: "Patient Characteristic: Tobacco User" satisfies all:
<= 24 month(s) starts before end of "Measurement Period"
starts after end of "Occurrence A of Patient Characteristic: Tobacco Non-User"

The patient's information is: ZSIX GP Adult, NO Patient Characteristic: Tobacco User" BUT with:

Risk Category Assessment: Tobacco Use Screening
LOINC
39240-7
Start Time
March 6, 2016 8:15am
End Time
March 6, 2016 8:15am

Patient Characteristic: Tobacco Non-User
SNOMED-CT
105539002
Start Time
March 6, 2016 8:00am

Could you please advice whether the patient should fall in the Numerator or DENEXCEP? Attached is the patient xml download file. Thank you very much.

Wen