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Impact:
Potential for inaccurate date/time being reported for the Procedure Performed Not Done element used in the Numerator leasing to inaccurate and inconsistent measure results.
Solution:

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Thank you for your comments. In regard to your original question in the Word document you attached, we chose to use authorDatetime in relation to the Negation Rationale attribute because it is accounting for a single point in time that something was not done.

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Thank you for your comments. In regard to your original question in the Word document you attached, we chose to use authorDatetime in relation to the Negation Rationale attribute because it is accounting for a single point in time that something was not done.

Attached word document provides the details of my question.

Thanks in advance for your review and response.