Cypress doesn't show the Measure Calculations correctly for some numerator patients w/Populations when upload QRDA1.

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    • Type: Question
    • Resolution: Resolved
    • Priority: Moderate
    • CMS137v9/NQFna

      Cypress doesn't show the Measure Calculations correctly for some numerator patients w/Populations when uploading QRDA1 for ecqm 137v9 but is correct in our analytics platform.  

      Note the last line of the of the “Dependence Treatment Intervention Initiated” criteria is stating ” TreatmentInitiatedWithIntervention.relevantPeriod starts 14 days or less after day of start of FirstDiagnosed.prevalencePeriod”.The mismatch arises because of the difference in behavior between Cypress and Cql Engine on calculating after day.
       
      In Cql Engine,
      the condition is evaluated to true even though the intervention performed day is same day (i.e zeroth day) as diagnosis day. It includes the diagnosis day as well.
      (for e.g. consider July 22, 2021 11.00 A.M. as diagnosis date, now the above mentioned condition will pass only when the intervention date is between July 22, 2021 and August 5, 2021 [Being compared irrespective of time ]). Cql Engine behaves this way because of the xml in the measure files from the Ecqm website. 
       
      Whereas In Cypress,
      the condition is evaluated to true only when the intervention performed day falls between any day from next day of diagnosis to 14th day of diagnosis.
      (for e.g. consider July 22, 2021 11.00 A.M. as diagnosis date, now the above mentioned condition will pass only when the intervention date is between July 23, 2021 and August 5, 2021 [Being compared irrespective of time ]).
       
      we need guidance as to which to use to certify the measure, the CQL logic or Cypress.
      Analytics Platform results:

      Cypress results:

        1. CQM137,C1num1.xml
          13 kB
        2. CQM137,C1num3.xml
          22 kB
        3. CQM137,C1num4.xml
          19 kB
        4. elm schema.png
          elm schema.png
          83 kB
        5. expression in CMS137.png
          expression in CMS137.png
          52 kB
        6. image-2021-09-02-14-26-18-161.png
          image-2021-09-02-14-26-18-161.png
          39 kB
        7. image-2021-09-02-14-27-41-789.png
          image-2021-09-02-14-27-41-789.png
          23 kB
        8. image-2021-09-02-14-28-18-696.png
          image-2021-09-02-14-28-18-696.png
          22 kB
        9. image-2021-09-02-14-28-43-844.png
          image-2021-09-02-14-28-43-844.png
          24 kB
        10. QRDA1-CQM137_09_01_2021_new.zip
          29 kB

            Assignee:
            David Czulada
            Reporter:
            Victoria Mclean (Inactive)
            Alex Borenstein (Inactive), Donnell Gonzales (Inactive), Sheryl Geisler (Greenway Health) (Inactive), Victoria Mclean (Inactive)
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              Created:
              Updated:
              Resolved: