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  1. CYPRESS Issue Tracker
  2. CYPRESS-1345

VTE-2 outcomes discrepancies between Cypress validation tool and expected outcome

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    • Icon: Bug/Issue Bug/Issue
    • Resolution: Duplicate
    • Icon: Moderate Moderate
    • None
    • Implementation Problem

      Validating a QRDA Cat1 R4 document against the 2018 CMS HQR_EHR Combined IG.
      VTE-2 outcomes discrepancies between validation tool and expected outcome

      1) Medications documented before ICU still qualify for VTE-2 Numerator (example file 363_1)
      2) Inpatient encounter with LOS > 1 day are being excluded and the measure breakdown should inpatient encounter LOS < 2 days. (example file 361_1)
      3) Principal procedure before ICU admit is putting patient into Exclusions. (example file 365_1)
      4) Medication <= 1 day after ICU start is not counted for the numerator. (example file 376_1)
      5) Comfort measures between ip admit and icu admit is not counted for Denominator Exclusions. (example file 377_1)
      6) Device applied <= 1 day after ICU start is not counted for the numerator. (example file 411_1)

      Attached xml files. Any guidance would be appreciated.
      Thanks.

        1. cern_hcd_QRDA_361_1.xml
          19 kB
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        2. cern_hcd_QRDA_363_1.xml
          22 kB
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        3. cern_hcd_QRDA_365_1.xml
          21 kB
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        4. cern_hcd_QRDA_376_1.xml
          17 kB
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        5. cern_hcd_QRDA_377_1.xml
          18 kB
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        6. cern_hcd_QRDA_411_1.xml
          28 kB
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            dczulada David Czulada
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              Created:
              Updated:
              Resolved: