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Question
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Resolution: Delivered
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Moderate
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Logic affecting more than 1 eCQM
Based on the data in the QRDA-1 file cypress expected results are expecting that this patient will be in the IPP and Denom.
We are calculating this patient as not in the IPP
This patient has two inpatient encounters
For the first visit we are seeing the Principle Diagnosis of VTE
Encounter Date
<low value="20150421080000" />
<high value="20150425081500" />
Diagnosis
]<observation classCode="OBS" moodCode="EVN">
<code code="8319008" codeSystem="2.16.840.1.113883.6.96" displayName="Principal Diagnosis" codeSystemName="SNOMED CT" />
[-|#]<value code="266267005" codeSystem="2.16.840.1.113883.6.96" xsi:type="CD" sdtc:valueSet="2.16.840.1.113883.3.117.1.7.1.279">
For the second Visit
<low value="20150517080000" />
<high value="20150522081500" />
We are seeing the VTE Diagnosis Study
Diagnostic Study, Performed template -->
<templateId root="2.16.840.1.113883.10.20.24.3.18" extension="2016-02-01" />
<id root="1.3.6.1.4.1.115" extension="57b46518aeac5006929a96a6" />
[-|#] <code code="69399-4" codeSystem="2.16.840.1.113883.6.1" sdtc:valueSet="2.16.840.1.113883.3.117.1.7.1.276">
<originalText>Diagnostic Study, Performed: Vte Diagnostic Test</originalText>
</code>
<text>Diagnostic Study, Performed: Vte Diagnostic Test</text>
<statusCode code="completed" />
[-|#] <effectiveTime>
<!--
Attribute: Start Datetime -->
<low value="20150517080000" />
<!--
Attribute: End Datetime -->
<high value="20150517080000" />
</effectiveTime>
Based on the IPP of the measure this would make not make the patient eligible for the measure.
ND: Age>= 18 year(s) at: Occurrence A of $EncounterInpatient
AND NOT: Union of:
Intersection of:
Occurrence A of $EncounterInpatient
"Encounter, Performed: Encounter Inpatient" satisfies any:
(diagnosis: Obstetrics)
(diagnosis: Venous Thromboembolism)
(diagnosis: Obstetrics VTE)
Union of:
"Diagnosis: Obstetrics"
$DiagnosisVTE
starts during Occurrence A of $EncounterInpatient
I am seeking guidance on why the patient is in the IPP and Denom based on the expected results