Hello,

With the recent update to CQMCommon my test cases are no longer passing that contain a principal diagnosis code.  The update is impacting multiple measures CMS 104,71,72(STK 2,3,5) and CMS 108,190 (VTE 1,2). The revision is noted here:

Previous:

define function "PrincipalDiagnosis"(Encounter Encounter ):

                singleton from ((Encounter.diagnosis D where D.rank = 1) PD

      return singleton from ([Condition] C where C.id = PD.condition.reference.getId())

                )

Updated:

define function "PrincipalDiagnosis"(Encounter Encounter ):

                singleton from (

                (Encounter.diagnosis D where D.rank = 1 and D.use ~ "Billing") PD

      return singleton from ([Condition] C where C.id = PD.condition.reference.getId())

                )

I added the billing concept under encounter diagnosis and the case is still failing and the highlighting is not giving a specific as to why. 

CMS104FHIR-v0.9.000-FHIR4-TestCases (4).zip