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  1. CYPRESS Issue Tracker
  2. CYPRESS-2299

CMS 145v10 QRDA1 Test Failure

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    • Icon: Bug/Issue Bug/Issue
    • Resolution: Resolved
    • Icon: Moderate Moderate
    • 6.2.1

      For 2022, CMS145v10 always seems to have a QRDA-1 calculation error for a patient with the template of Z23 GP Adult

      Calculated value (1) for DENEXCEP (4F8AC400-18CD-418D-BC7B-DBDE7A6BF52C) does not match expected value (0)

      I get this error if I send my generated QRDA1 file, or if I substitute the original (cypress-generated) QRDA-1 file (attached) for mine and submit it.

      Although I have no visibility, my best guess is that the path to DENEXCEP is using "Has Atrioventricular Block with Qualifying CAD Encounter and Moderate or Severe LVSD without Cardiac Pacer" which has this definition:

      "Has Atrioventricular Block with Qualifying CAD Encounter and Moderate or Severe LVSD"
      and not "Has Diagnosis of Cardiac Pacer in Situ with Qualifying CAD Encounter and Moderate or Severe LVSD"
      and not "Has Cardiac Pacer Device Implanted with Qualifying CAD Encounter and Moderate or Severe LVSD"

      using the not "Has Cardiac Pacer Device Implanted with Qualifying CAD Encounter and Moderate or Severe LVSD" path, which I calculate  as true.

       

      exists ["Device, Applied": "Cardiac Pacer"] ImplantedCardiacPacer
      with "Qualifying CAD Encounter and Moderate or Severe LVSD" CADEncounterModerateOrSevereLVSD
      such that ImplantedCardiacPacer.relevantPeriod overlaps after CADEncounterModerateOrSevereLVSD.relevantPeriod
      or ImplantedCardiacPacer.relevantDatetime before
      end of CADEncounterModerateOrSevereLVSD.relevantPeriod

       
       
      Perhaps the Device, Applied is not importing into Cypress correctly?
       
      Otherwise, could you assist me in determining what is incorrect in my generated QRDA-1?
       
      Thanks in Advance

            dczulada David Czulada
            theschmitzer Jeff Schmitz
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              Created:
              Updated:
              Resolved: