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  1. CYPRESS Issue Tracker
  2. CYPRESS-1660

Test Patients fails IPP for CMS 169 measures

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      Fix the encounter that starts after start of diagnosis of depression or bipolar disorder to
      1. start <42 days before end of measurement period (or)
      2. start after 180 days of diagnosis (or)
      3. start before start of diagnosis (or)
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      Fix the encounter that starts after start of diagnosis of depression or bipolar disorder to 1. start <42 days before end of measurement period (or) 2. start after 180 days of diagnosis (or) 3. start before start of diagnosis (or)
    • Other

      Consider the test Patients A, BH_Adult and B, BH_Adult.

      Both the patients above has more than one encounter that satisfies the $BHEncounter criteria below:

      $BHEncounter =
      "Encounter, Performed: BH Outpatient encounter" satisfies all
      >= 42 day(s) starts before end of "Measurement Period"
      starts after start of "Measurement Period"

      But, they fail one of the IPP condition below:
      AND NOT: Occurrence A of $BHEncounter < 180 day(s) starts after start of Union of:
      "Encounter, Performed: BH Outpatient encounter" satisfies any
      during "Diagnosis, Active: BH Condition Involving Bipolar Disorder"
      during "Diagnosis, Active: BH Condition Involving Unipolar Depression"
      ................................
      ...........

      The issue is, we have two or more encounters that starts >=42 days before the end of measurement period and at least one encounter that starts less than 180 days after start of unipolar depression or bipolar disorder diagnosis. As a result, both the patients fails IPP so we could not match the population counts with cypress for these patients only for this measure.

            dczulada David Czulada
            gnanaskandhank Gnanas Kailasam (Inactive)
            Gnanas Kailasam (Inactive), Prabakaran Thangamani (Inactive), Ryan Brunswick (Inactive)
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              Created:
              Updated:
              Resolved: