Hi Team,
We are getting output mismatch for cms108v12 for denominator exclusion.
The patient has two qualifying IP encounters.
As per cypress, the patient should qualify numerator for one of the encounter and should qualify denominator exclusion for another encounter.

Encounter 1(Emergency to Inpatient)
Codes:
SNOMEDCT: 32485007 - Hospital admission (procedure)
Time Elements:
Relevant Period Start: 2022-02-25T15:39:00.000Z
Relevant Period End: 2022-02-27T19:56:00.000Z

Codes:
SNOMEDCT: 4525004 - Emergency department patient visit (procedure)
Time Elements:
Relevant Period Start: 2022-02-25T13:46:00.000Z
Relevant Period End: 2022-02-25T15:39:00.000Z
Author Date/Time: 2022-02-25T13:46:00.000+00:00
Other Fields:
Facility: 4525004 (SNOMEDCT) - Emergency department patient visit (procedure)

Encounter 2(Inpatient)
Encounter Inpatient
Codes:
SNOMEDCT: 32485007 - Hospital admission (procedure)
Time Elements:
Relevant Period Start: 2022-02-27T19:56:00.000Z
Relevant Period End: 2022-03-04T13:50:00.000Z

As per cypress, patient should qualify for criteria- Encounter with Intervention Comfort Measures From Day of Start of Hospitalization To Day After Admission.
However when we check data, comfort measures were performed/ordered on 2022-02-27T19:00:00.000+00:00. If we compare this date with Encounter 1(Emergency to Inpatient) it does not satisfy the validation for VTE.FromDayOfStartOfHospitalizationToDayAfterAdmission(Encounter "Encounter, Performed") as the Relevant Period End is on 2022-02-27T19:56:00.000Z.
We cannot consider data for comfort measures for Encounter2 as 2022-02-27T19:00:00.000+00:00(comfort measures start date/authordatetime) is prior to start(2022-02-27T19:56:00.000Z) of Inpatient encounter.
Kindly help us understand why the Patient is expected to qualify for denominator exclusion.

PFA, Data snapshots and Patient's QRDA file.