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Adoption of the Emergency Care Access & Timeliness eCQM as an optional measure into the REHQR Program measure set, as discussed in section XVI.C.2.c

These patients often display multisystem involvement, including hepatomegaly, hypoketotic hypoglycemia, elevated ammonia levels in blood, organic acidosis, and hepatic encephalopathy

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Some people may use both, but the combination should have a clear purpose

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