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  1. eCQM Issue Tracker
  2. CQM-6140

CMS771v5-Urinary Symptom Score Assessment Result

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      ​Thank you for your question about CMS771v5 Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia.

       

      Query 1: The updated information the Guidance section was added to explain the 'as Integer' requirement since representation of the structured data other than as an Integer datatype (i.e., a number or quantity with value and units) during data capture, transmission, or tooling would exclude the value from evaluation. The Symptom Score is defined as Property = Score and Scale = Qn (Quantitative). Per LOINC, Quantitative is defined as "The result of the test is a numeric value that relates to a continuous numeric scale. Reported either as an integer, a ratio, a real number, or a range. The test result value may optionally contain a relational operator from the set {<=, <, >, >=}. Valid values for a quantitative test are of the form “7”, “-7”, “7.4”, “-7.4”, “7.8912”, “0.125”, “<10”, “<10.15”, “>12000”, 1-10, 1:256". LOINC does not constrain to Integer.

       

      Query 2: Yes, the IPPSAssessment.result of a decimal value such as 7.4 is acceptable. The value will be converted to an integer through the ‘as Integer’ function.

       

      We hope this helps.
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      ​Thank you for your question about CMS771v5 Urinary Symptom Score Change 6-12 Months After Diagnosis of Benign Prostatic Hyperplasia.   Query 1: The updated information the Guidance section was added to explain the 'as Integer' requirement since representation of the structured data other than as an Integer datatype (i.e., a number or quantity with value and units) during data capture, transmission, or tooling would exclude the value from evaluation. The Symptom Score is defined as Property = Score and Scale = Qn (Quantitative). Per LOINC, Quantitative is defined as "The result of the test is a numeric value that relates to a continuous numeric scale. Reported either as an integer, a ratio, a real number, or a range. The test result value may optionally contain a relational operator from the set {<=, <, >, >=}. Valid values for a quantitative test are of the form “7”, “-7”, “7.4”, “-7.4”, “7.8912”, “0.125”, “<10”, “<10.15”, “>12000”, 1-10, 1:256". LOINC does not constrain to Integer.   Query 2: Yes, the IPPSAssessment.result of a decimal value such as 7.4 is acceptable. The value will be converted to an integer through the ‘as Integer’ function.   We hope this helps.
    • CMS0771v5

      Hi Team,

      Consider the below definitions applicable for IPP of cms771v5.

      Documented IPSS Assessment Result
      ["Assessment, Performed": "International Prostate Symptom Score [IPSS]"] IPSSAssessment
        where IPSSAssessment.result is not null
        return

      {     assessmentDatetime: Global.EarliestOf ( IPSSAssessment.relevantDatetime, IPSSAssessment.relevantPeriod ),     result: IPSSAssessment.result as Integer   }

       
      AUA Symptom Index and Quality of Life Assessment Result
      ["Assessment, Performed": "American Urological Association Symptom Index [AUASI]"] AUASIAssessment
        let LastQOLOnDate: Last(["Assessment, Performed": "If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that [IPSS]"] QOLAssessment
            where Global.EarliestOf(QOLAssessment.relevantDatetime, QOLAssessment.relevantPeriod)same day as Global.EarliestOf(AUASIAssessment.relevantDatetime, AUASIAssessment.relevantPeriod)
              and QOLAssessment.result is not null
            sort by Global.EarliestOf(relevantDatetime, relevantPeriod)
        )
        where AUASIAssessment.result is not null
          and LastQOLOnDate.result is not null
        return Tuple

      {     assessmentDatetime: Global.EarliestOf ( AUASIAssessment.relevantDatetime, AUASIAssessment.relevantPeriod ),     result: ( AUASIAssessment.result as Integer ) + ( LastQOLOnDate.result as Integer )   }

      Query 1
      As per above statements from CQL section of the measure specification, Urinary Symptom Score Assessment result (IPSS/AUASIA/QOL) should be an Integer value.
      However, the guidance section states- 
      The result of the test is a numeric value that relates to a continuous numeric scale. 
      Reported either as an integer, a ratio, a real number, or a range. 
      The test result value may optionally contain a relational operator from the set {<=, <, >, >=}. 
      Valid values for a quantitative test are of the form “7”, “-7”, “7.4”, “-7.4”, “7.8912”, “0.125”, “<10”, “<10.15”, “>12000”, 1-10, 1:256. 

      Kindly provide more clarity on the above statements.

      Query 2
      If the IPSSAssessment.result is a decimal value (example: 7.4). 
      Is the value acceptable?

      Kindly assist us on the above queries urgently as client deliverables are dependent upon it.

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            edave Mathematica EC eCQM Team
            AkashP Akash Pawar
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