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  1. eCQM Issue Tracker
  2. CQM-1713

Crosswalk of codes between value sets in different populations makes a patient evaluate improperly

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    • Icon: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals
    • Resolution: Answered
    • Icon: Minor Minor
    • ValueSet
    • None
    • Sharon Sebastian
    • MITRE
    • Thank you for your question/comment. As part of the 2016 annual update, we will be reviewing all value sets to make certain the drugs are accurate for each of them, there are no duplicates and that the correct codes are in the correct value set.
    • CMS188v5/NQF0147

      While building a test patient to evaluate against the DEN EXCEP portion of the logic, I noticed that when I add the Medication, Active: Systemic Corticosteroid/Prednisone Therapy data element, if a prednisone RxNorm code is populated within the data element (e.g., 1303125 - Prednisone 1 mg delayed release oral tablet) the patient evaluates as positive for the Medication, Active: Systemic Immunosuppressive Therapy data element in the DEN EXCL. If a non-prednisone code is populated in the data element, it evaluates as expected.

      I did not evaluate the full extent of crosswalk between these two value sets. Most likely, there are several other RxNorm codes that cause the same problem.

            JLeflore Joelencia Leflore
            ssebastian Sharon Sebastian (Inactive)
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