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  1. CYPRESS Issue Tracker
  2. CYPRESS-1461

Z21 GP Adult race code mismatch, possible miscalculation

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    • Bug/Issue
    • Resolution: Resolved
    • Moderate
    • Question

    Description

      I am working with patient "Z21 GP Adult" in measure CMS249. According to Cypress, she should not meet meeting the Exclusions for this measure. But as far as I can tell she has the correct criteria to do so.

      But there is one oddity about this patient that I was unable to find addressed in JIRA:
      <raceCode code="2106-3" displayName="Black or African American" codeSystemName="CDC Race and Ethnicity" codeSystem="2.16.840.1.113883.6.238"/>

      Other than the description mismatch, the patient is 50 years as of start of Measurement Period and has the following causing her to meet the exclusions:

      Diagnosis
      Code: 90739004 SNOMED-CT
      PrevalencePeriod: 7/12/2017 8:00:00 AM to 12/31/9999 11:59:59 PM

      Diagnosis
      Code: 203453001 SNOMED-CT
      PrevalencePeriod: 7/6/2018 8:00:00 AM to 9/23/2018 8:15:00 AM

      Diagnosis
      Code: 733.90 ICD-9-CM
      PrevalencePeriod: 7/12/2017 8:00:00 AM to 12/31/9999 11:59:59 PM

      PatientCharacteristicRace
      Code: 2106-3

      I do not see any reason to remove her from this population.

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            dczulada David Czulada
            Matthew Matthew Dugal
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              Updated:
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