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  1. CYPRESS Issue Tracker
  2. CYPRESS-1265

Patient expected to not meet Numerator Cumulative Medication Duration

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    • Icon: Bug/Issue Bug/Issue
    • Resolution: Resolved
    • Icon: Moderate Moderate
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    • Logic affecting more than 1 eCQM Question

      CMS 128v5
      Patient Z1 BH Adult

      Numerator for Population 1 reads as:
      AND: Sum>= 84 day(s): "Medication, Active: Antidepressant Medication (cumulative medication duration)" <= 114 day(s) ends after start of $InitialDepMedication

      Meaning, for the 114 days after the InitialDepMedication, if the patient has 84 days of Antidepressant Medication, then patient meets numerator.

      For this patients, InitialDepMedication is:
      Medication Dispensed
      Code: RXNORM, 993541, Medication, Dispensed: Antidepressant Medication
      Date: 2015-10-06 09:00:00 AM to 2015-10-06 09:00:00 AM

      This is followed by a 210 days supply of:
      Medication Active
      Code: RXNORM, 993541, Medication, Active: Antidepressant Medication
      Date: 2015-10-06 09:00:00 AM to 2016-05-04 09:00:00 AM

      So the patient does have >= 84 days of medication following 2015-10-06. In Cypress he is listed as not meeting the numerator, but as far as I can tell he should be meeting numerator.

      This patients appears in the numerator for Population 2.

      Specifically the medication is as follows:

      Medication, Active: Antidepressant Medication
      RxNorm 993541
      2015/10/06 09:00 to 2016/05/04 09:00

      Fulfillment History
      2015-10-06 (90 days supply)
      October 6th +90 days = January 3

      2016-01-04 (90 days supply)
      January 4th +90 days = April 3

      2016-04-04 (30 days supply)
      April 4th + 30 days = May 4th

      So that gives us 210 days of continuous supply starting October 6th and ending May 4th.

            dczulada David Czulada
            Matthew Matthew Dugal
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              Created:
              Updated:
              Resolved: