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299 Uric acid deposition-induced inflammation, resulting in endothelial dysfunction and vascular damage (referred to as vascular gout), can occur at serum uric acid levels exceeding 6.5 mg/dL

The commenter provided the example that if CMS would like to access health information typically stored in a financial or billing product along with clinical health information for a dQM, the implementation guidance would likely be different than if CMS is looking to use clinical data only for a dQM

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