fix: visit encounter logic update for cqm438 and cqm420

tuva-health · Jan 3, 2025 · aeea766 · aeea766
1 parent 59bc3a7
commit aeea766
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Showing 2 changed files with 9 additions and 8 deletions.
diff --git a/...apy_for_patients_with_cardiovascular_disease/quality_measures__int_cqm438_denominator.sql b/...apy_for_patients_with_cardiovascular_disease/quality_measures__int_cqm438_denominator.sql
@@ -74,11 +74,13 @@ with patients_with_ascvd as (
         and  coalesce(encounter.encounter_start_date,encounter.encounter_end_date) <= pp.performance_period_end
     where lower(encounter_type) in (
           'home health'
-        , 'office visit'
-        , 'outpatient'
-        , 'outpatient rehabilitation'
         , 'telehealth'
     )
+
+    or lower(encounter_group) in (
+          'office based'
+        , 'outpatient'
+    )
 
 )
 

diff --git a/...diate/nqf0420_pain_assessment_and_follow_up/quality_measures__int_nqf0420_denominator.sql b/...diate/nqf0420_pain_assessment_and_follow_up/quality_measures__int_nqf0420_denominator.sql
@@ -28,11 +28,10 @@ with visit_codes as (
     inner join {{ ref('quality_measures__int_nqf0420__performance_period') }} as pp
         on coalesce(encounter.encounter_end_date, encounter.encounter_start_date) >= pp.performance_period_begin
             and coalesce(encounter.encounter_start_date, encounter.encounter_end_date) <= pp.performance_period_end
-    where lower(encounter_type) in (
-          'home health'
-        , 'office visit'
-        , 'outpatient'
-        , 'outpatient rehabilitation'
+    where lower(encounter_type) = 'home health'
+        or lower(encounter_group) in (
+              'office based'
+            , 'outpatient'
     )
 
 )