CMS1028v2-Delivery Encounters with Gestational Age Greater than or Equal to 20 Weeks Based on Coding

XMLWordPrintable

    • Type: Question
    • Resolution: Resolved
    • Priority: Moderate
    • None
    • CMS1028v2

      Hi Team,

      We have got an Output mismatch for cms1028v2 on Cypress and HARP(HQR portal).
      Patient is expected to qualify for denominator and fail the numerator.

      Patient should qualify for below mentioned of denominator criteria:
      Delivery Encounters with Gestational Age Greater than or Equal to 20 Weeks Based on Coding
      PCMaternal."Delivery Encounter with Age Range" DeliveryEncounter
        let CGA: PCMaternal."CalculatedGestationalAge" ( DeliveryEncounter ),
        EGA: PCMaternal."LastEstimatedGestationalAge" ( DeliveryEncounter )
        where CGA is null
          and EGA is null
          and exists ( DeliveryEncounter.diagnoses EncounterDiagnoses
              where EncounterDiagnoses.code in "20 to 42 Plus Weeks Gestation"
          )

      As per above definition, we understand CGA and EGA should be NULL for a patient to qualify for "Delivery Encounters with Gestational Age Greater than or Equal to 20 Weeks Based on Coding"
      However, it is mandatory for patient's data to have code "Date and time of obstetric delivery" ("LOINC Code (93857-1)") and code "Delivery date Estimated" ("LOINC Code (11778-8)") which are part of definition for "CalculatedGestationalAge" based on which CGA is calculated and through it's result we can identify if CGA is null or not.
      Also, the data should have "Estimated Gestational Age at Delivery" (2.16.840.1.113762.1.4.1045.26) based on which we can identify if EGA null or not.

      The above mentioned codes are absent from Patient's data which help in computing and identifying CGA and EGA as Null.
      Kindly help us understand this scenario.

      PFA, patient's QRDA file.

            Assignee:
            David Czulada
            Reporter:
            Prajakta Ghadigaonkar
            Votes:
            0 Vote for this issue
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved: