Moderate Using Cypress Validation Tool 3.2.3; patients are not being included in the numerator for CQM 146v6 Appropriate Testing for Children with Pharyngitis. We would like to know why the patient did not qualify for the numerator?
The patient's Encounter Date is 1/1/2018; the date defaults to 00:00:00. The patient's "Laboratory Test, Performed: Group A Streptococcus Test" is documented for 1/1/2018 at 00:00:00. Since the numerator is looking for the Strep test to be done "<= 3 day(s) starts before end of Occurrence A Encounter" and the patient's strep test was done at the same time (during) as the Encounter, why isn't the patient included in the numerator?
We are thinking that this may be an issue with the Cypress validation tool not accounting for the test to be done during the encounter. Realistically, the test would be performed during the patient's visit.
The numerator logic is:
| AND: Union of: | |
| "Laboratory Test, Performed: Group A Streptococcus Test (result)" <= 3 day(s) starts before end of "Occurrence A of Encounter, Performed: Ambulatory/ED Visit" | |
| "Laboratory Test, Performed: Group A Streptococcus Test (result)" <= 3 day(s) starts after end of "Occurrence A of Encounter, Performed: Ambulatory/ED Visit" |