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Can the HYPOPNEA RULES 4a and 4b on page 46 be combined to compute a single AHI?

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Can the HYPOPNEA RULES 4a and 4b on page 46 be combined to compute a single AHI?

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No. Each AHI reported should be based on consistent application of either rule 4a or 4b. Scoring using 4a and 4b cannot be combined to compute a single AHI. Laboratories that choose to use both rules must report AHI for each rule separately. R.15.

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