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  1. CYPRESS Issue Tracker
  2. CYPRESS-272

Patient B, Eye_Adult missing attribute required to meet numerator for CMS167

    Details

    • Type: Logic affecting more than 1 eCQM
    • Status: Closed
    • Priority: Minor
    • Resolution: Delivered
    • Labels:
      None
    • Target Cypress Version Fix:
      Cypress v2.4.0
    • Solution:
      Hide
      This will be fixed as part of the next point release. It has the same root cause as CYPRESS-201.
      Show
      This will be fixed as part of the next point release. It has the same root cause as CYPRESS-201 .
    • 2015 Performance Period EP eCQMs :
      CMS167v1/NQF0088

      Description

      Patient B, Eye_Adult is expected to populate the numerator.

      The numerator includes the following statement:
      AND: "Occurrence A of Diagnostic Study, Result: Macular Exam (result: 'Level of Severity of Retinopathy Findings')"

      The patient has a diagnostic study result but the result code is not in the list for 'level of severity' so it incorrectly does not meet the numerator.

      The Data Criteria for the above statement:
      Attribute: "Result: Level of Severity of Retinopathy Findings" using "Level of Severity of Retinopathy Findings Grouping Value Set (2.16.840.1.113883.3.526.3.1283)"

      Group Value Set list for 2.16.840.1.113883.3.526.3.1283 includes codes: 193349004, 312903003, 312904009, 312905005, 390834004, 408411003, 408412005

      The patient QRDA generated by Cypress includes one Macular Exam entry:

      <entry>
      <observation classCode="OBS" moodCode="EVN" >
      <!-- Consolidated Result Observation templateId (Implied Template) -->
      <templateId root="2.16.840.1.113883.10.20.22.4.2"/>
      <!-- Diagnostic Study, Result template -->
      <templateId root="2.16.840.1.113883.10.20.24.3.20"/>
      <id root="1.3.6.1.4.1.115" extension="526421cd1d41c844210001c5"/>
      <code code="32451-7" codeSystem="2.16.840.1.113883.6.1" xsi:type="CD" sdtc:valueSet="2.16.840.1.113883.3.526.3.1251"><originalText>Diagnostic Study Result: Macular Exam (Code List: 2.16.840.1.113883.3.526.3.1251)</originalText></code>
      <text>Diagnostic Study Result: Macular Exam (Code List: 2.16.840.1.113883.3.526.3.1251)</text>
      <statusCode code="completed"/>
      <effectiveTime>
      <low value='20120104120500'/>
      <high value='20120104120500'/>
      </effectiveTime>
      <value code="428341000124108" codeSystem="2.16.840.1.113883.6.96" xsi:type="CD" sdtc:valueSet='2.16.840.1.113883.3.526.3.1284'><originalText>Macular Edema Findings Absent</originalText></value>
      </observation>
      </entry>

      This entry does not seem to meet the criteria of 'Level of Severity of Retinopathy Findings' as described by the numerator.

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            • Assignee:
              renee.rookwood Renee Rookwood
              Reporter:
              Matthew Matthew Dugal
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              Dates

              • Created:
                Updated:
                Resolved:
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