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  1. CYPRESS Issue Tracker
  2. CYPRESS-201

Risk Category Assessment Depression Screening result codes in QRDA CAT 1

    Details

    • Guidance required:
      How do we determine that a depression screening is negative or positive, when the QRDA CAT 1 file does not contain the negative/positive codes?
    • Solution:
      Hide
      For Cypress 2.3 and earlier what I would suggest as guidance for the ATLs is that they understand it is a necessity for anyone consuming the Cat I documents for the Depression Screening measures or any other measure that contains a Risk Category Assessment data criteria to be allowed to alter the documents to include the correct coded values. Or that they will need to be modified in the system after the import for the calculation results to match.

      This is fixed as of Cypress 2.4.1
      Show
      For Cypress 2.3 and earlier what I would suggest as guidance for the ATLs is that they understand it is a necessity for anyone consuming the Cat I documents for the Depression Screening measures or any other measure that contains a Risk Category Assessment data criteria to be allowed to alter the documents to include the correct coded values. Or that they will need to be modified in the system after the import for the calculation results to match. This is fixed as of Cypress 2.4.1
    • 2015 Performance Period EP eCQMs :
      CMS2v1/NQF0418
    • Impact:
      Impairs our ability to accurately calculate QRDA CAT 3 for certification.

      Description

      In the measure there are numerous references to positive and negative Depression Screening results. We are using the value set codes from the data criteria to search for the result in the patient data. What we have found is that the codes within the value set are not present in the patient data (QRDA Cat I). But we did find a Diagnosis, Active: Depression diagnosis occurred after a Risk Category Assessment: Adolescent Depression Screening.

      I have attached the files for patients GP_Peds B and Heart_Adult C (from the master list).

      I've also included the QRDA CAT 1 entries for both adolescent and adult depression screening.

      Risk Category Assessment: Adolescent Depression Screening entry:

      <entry>
      <observation classCode="OBS" moodCode="EVN" >
      <!-- Consolidation Assessment Scale Observation templateId -->
      <templateId root="2.16.840.1.113883.10.20.22.4.69"/>
      <!-- Risk Category Assessment -->
      <templateId root="2.16.840.1.113883.10.20.24.3.69"/>
      <id root="1.3.6.1.4.1.115" extension="51df16e91fe297a9ce0001f9"/>
      <code code="73831-0" codeSystem="2.16.840.1.113883.6.1" sdtc:valueSet="2.16.840.1.113883.3.600.2452"><originalText>Risk Category Assessment: Adolescent Depression Screening (Code List: 2.16.840.1.113883.3.600.2452)</originalText></code>
      <statusCode code="completed"/>
      <effectiveTime>
      <low value='20120130122500'/>
      <high value='20120130122500'/>
      </effectiveTime>
      <value xsi:type="CD" nullFlavor="UNK"/>
      </observation>
      </entry>

      Risk Category Assessment: Adult Depression Screening entry:

      <entry>
      <observation classCode="OBS" moodCode="EVN" >
      <!-- Consolidation Assessment Scale Observation templateId -->
      <templateId root="2.16.840.1.113883.10.20.22.4.69"/>
      <!-- Risk Category Assessment -->
      <templateId root="2.16.840.1.113883.10.20.24.3.69"/>
      <id root="1.3.6.1.4.1.115" extension="51df16e91fe297a9ce00027e"/>
      <code code="73832-8" codeSystem="2.16.840.1.113883.6.1" sdtc:valueSet="2.16.840.1.113883.3.600.2449"><originalText>Risk Category Assessment: Adult Depression Screening (Code List: 2.16.840.1.113883.3.600.2449)</originalText></code>
      <statusCode code="completed"/>
      <effectiveTime>
      <low value='20120301110000'/>
      <high value='20120301111500'/>
      </effectiveTime>
      <value xsi:type="CD" nullFlavor="UNK"/>
      </observation>
      </entry>

        Attachments

        1. 0_GP_Peds_B.html
          52 kB
        2. 0_GP_Peds_B.xml
          317 kB
        3. 0_Heart_Adult_C.html
          34 kB
        4. 0_Heart_Adult_C.xml
          208 kB

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              • Assignee:
                rdrr Robert Dingwell
                Reporter:
                rcallsbrooks Robert Allsbrooks
              • Votes:
                3 Vote for this issue
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                • Created:
                  Updated:
                  Resolved:
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