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  1. CYPRESS Issue Tracker
  2. CYPRESS-1924

CMS 145 Denominator Issue

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Details

    • Bug/Issue
    • Resolution: Resolved
    • Moderate
    • Bug/Issue EP/EC eCQMs/Logic/Intent/Data Elements/Value Sets Question
    • Cypvress v4.0.3
    • CMS145v7/NQF70

    Description

      We are testing CMS 145 QRDA I files in the Cypress Validation Utility and are getting a mismatch on some of our denominator outcomes. Based on the stratum 2 denominator criteria of "Qualifying CAD Encounter and Prior MI", an MI diagnosis ending on the same day of the encounter should not qualify the encounter for the denominator of stratum 2. The attached file has a diagnosis that ends during the encounter, but is still qualifying for the denominator in CVU when it should only be falling in the IPP. 

       

      We are also seeing the same mismatch in bonnie.

       

      Qualifying CAD Encounter and Prior MI

      • "Qualifying CAD Encounter" EncounterWithCADProxy
        with ["Diagnosis": "Myocardial Infarction"] MyocardialInfarction
        such that MyocardialInfarction.prevalencePeriod ends 3 years or less before day of start of EncounterWithCADProxy.relevantPeriod

      Attachments

        1. image001.jpg
          image001.jpg
          4 kB
        2. image002.jpg
          image002.jpg
          3 kB
        3. Screen Shot 2019-12-09 at 11.42.51 AM.png
          Screen Shot 2019-12-09 at 11.42.51 AM.png
          522 kB
        4. test2.xml
          21 kB

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              dczulada David Czulada
              matt.hardman Matt Hardman (Inactive)
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                Created:
                Updated:
                Resolved: