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  1. CYPRESS Issue Tracker
  2. CYPRESS-132

NQF0164 - Issue how to determine the presence of an attribute if the values set is missing

    Details

    • Type: Value Sets
    • Status: Closed
    • Priority: Minor
    • Resolution: Answered
    • Labels:
    • Solution:
      Hide
      This issue will be fixed in the Cypress v2.4. The Cypress Team will add the procedure result that is tied to the attribute in the HTML that is generated. See the Release Notes at the following link - http://projectcypress.org/release.html.
      Show
      This issue will be fixed in the Cypress v2.4. The Cypress Team will add the procedure result that is tied to the attribute in the HTML that is generated. See the Release Notes at the following link - http://projectcypress.org/release.html .
    • 2015 Reporting Period EH eCQMs:
      CMS60v1/NQF0164

      Description

      For measure 60, NQF0164, in the first part of the denominator, it has:

      Denominator =
      AND: "Initial Patient Population"
      AND:
      AND: FIRST:"Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG" during
      OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
      OR: "Occurrence A of Encounter, Performed: Hospital Measures-Encounter ED" <= 1 day(s) starts before start of "Occurrence A of Encounter, Performed: Hospital Measures-Encounter Inpatient"
      AND:
      OR: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-ST-segment elevation')"
      OR: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures - Acute or Evolving MI')"
      OR: "Occurrence A of Diagnostic Study, Result: Hospital Measures-ECG (result: 'Hospital Measures-LBBB')"
      In the specifications, for the attribute about acute or evolving MI, it has this listed as the criteria:
      Attribute: "Result: Hospital Measures-Acute or Evolving MI" using "Hospital Measures-Acute or Evolving MI Grouping Value Set (2.16.840.1.113883.3.666.5.3022)"

      However, in the QRDA Cat 1 file for the patient, if you look at the value element below, the only way to know that it is acute or evolving MI is by the text. The *.3022 code for that attribute is nowhere in the file. So my question is: How can we determine the presence of an attribute?

      Below is the section of the QRDA Cat 1 patient data file in question.

      <entry>
      <observation classCode="OBS" moodCode="EVN" >
      <!-- Consolidated Result Observation templateId (Implied Template) -->
      <templateId root="2.16.840.1.113883.10.20.22.4.2"/>
      <!-- Diagnostic Study, Result template -->
      <templateId root="2.16.840.1.113883.10.20.24.3.20"/>
      <id root="1.3.6.1.4.1.115" extension="51a647876debeaf8d1000010"/>
      <code code="8601-7" codeSystem="2.16.840.1.113883.6.1" xsi:type="CD" sdtc:valueSet="2.16.840.1.113883.3.666.5.3018"><originalText>Diagnostic Study, Result: Hospital Measures-ECG Impression (Code List: 2.16.840.1.113883.3.666.5.3018)</originalText></code>
      <text>Diagnostic Study, Result: Hospital Measures-ECG Impression (Code List: 2.16.840.1.113883.3.666.5.3018)</text>
      <statusCode code="completed"/>

      <effectiveTime>
      <low value='20120430131000'/>
      <high value='20120430131000'/>
      </effectiveTime>
      <value code="10273003" codeSystem="2.16.840.1.113883.6.96" xsi:type="CD"><originalText>Hospital Measures-Acute or Evolving MI</originalText><translation code="410.00" codeSystem="2.16.840.1.113883.6.103"/>
      <translation code="I21.01" codeSystem="2.16.840.1.113883.6.90"/>
      </value>

      </observation>
      </entry>

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              • Assignee:
                rdrr Robert Dingwell
                Reporter:
                rcallsbrooks Robert Allsbrooks
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                • Created:
                  Updated:
                  Resolved:
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