The BH_Adult_D.html file from the Cypress 2.3 bundle has a medication with a "Cumulative Medication Duration" (CMD) field that has a value of 106 days. How is this value for the CMD supposed to be represented in the QRDA Cat 1 file for the BH Adult D patient?
Right now it seems that the CMD is represented in the QRDA Cat 1 as the difference between the high and low values of the medication's effective time. This does not seem correct according to the QRDA Cat 1 Implementation Guide where in section 7.25.1 it states the the CMD can be computed as:
"the sum of the number of medication dispensed days x number of medication refills over a set period of time, excluding any gaps during which a medication was not dispensed"
The QRDA Cat 1 file for the patient BH Adult D does not have any data regarding medication refills.
Attached is the HTML and QRDA Cat 1 files for the BH Adult D patient.