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  1. CYPRESS Issue Tracker
  2. CYPRESS-615

QRDA III failing due to logic issue

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      CMS122v3: Diabetes: Hemoglobin A1c Poor Control
      Patient is numerator compliant if most recent HbA1c level >9%, the most recent HbA1c result is missing, or if there are no HbA1c tests performed and results documented during the measurement period.
      • Numerator =
      o AND:
       OR:
       AND: MOST RECENT:"Occurrence A of Laboratory Test, Result: HbA1c Laboratory Test" during "Measurement Period"
       AND: "Occurrence A of Laboratory Test, Result: HbA1c Laboratory Test (result > 9 %)"
       OR:
       AND: MOST RECENT:"Occurrence A of Laboratory Test, Performed: HbA1c Laboratory Test" during "Measurement Period"
       AND NOT: "Occurrence A of Laboratory Test, Result: HbA1c Laboratory Test (result)" starts after start of "Occurrence A of Laboratory Test, Performed: HbA1c Laboratory Test"
       OR NOT: "Laboratory Test, Performed: HbA1c Laboratory Test" during "Measurement Period"
      Problem: Since a “Laboratory Test, Result” is indicative of “Laboratory Test, Performed” it is impossible to indicate that a “Laboratory Test, Result” has taken place after a “Laboratory Test, Performed.” Logically, it will appear that the “Laboratory Test, Result” has taken place at the same time as the “Laboratory Test, Performed.”

      Solution: To be consistent with the intent of the measure, change the “start after start” operand to the “start after or concurrent with start” operand to capture a “Laboratory Test, Result” that occurs concurrently with the “Laboratory Test, Performed”

       OR:
       AND: MOST RECENT:"Occurrence A of Laboratory Test, Performed: HbA1c Laboratory Test" during "Measurement Period"
       AND NOT:
       OR "Occurrence A of Laboratory Test, Result: HbA1c Laboratory Test (result)" starts after or concurrent with start of "Occurrence A of Laboratory Test, Performed: HbA1c Laboratory Test"
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      CMS122v3: Diabetes: Hemoglobin A1c Poor Control Patient is numerator compliant if most recent HbA1c level >9%, the most recent HbA1c result is missing, or if there are no HbA1c tests performed and results documented during the measurement period. • Numerator = o AND:  OR:  AND: MOST RECENT:"Occurrence A of Laboratory Test, Result: HbA1c Laboratory Test" during "Measurement Period"  AND: "Occurrence A of Laboratory Test, Result: HbA1c Laboratory Test (result > 9 %)"  OR:  AND: MOST RECENT:"Occurrence A of Laboratory Test, Performed: HbA1c Laboratory Test" during "Measurement Period"  AND NOT: "Occurrence A of Laboratory Test, Result: HbA1c Laboratory Test (result)" starts after start of "Occurrence A of Laboratory Test, Performed: HbA1c Laboratory Test"  OR NOT: "Laboratory Test, Performed: HbA1c Laboratory Test" during "Measurement Period" Problem: Since a “Laboratory Test, Result” is indicative of “Laboratory Test, Performed” it is impossible to indicate that a “Laboratory Test, Result” has taken place after a “Laboratory Test, Performed.” Logically, it will appear that the “Laboratory Test, Result” has taken place at the same time as the “Laboratory Test, Performed.” Solution: To be consistent with the intent of the measure, change the “start after start” operand to the “start after or concurrent with start” operand to capture a “Laboratory Test, Result” that occurs concurrently with the “Laboratory Test, Performed”  OR:  AND: MOST RECENT:"Occurrence A of Laboratory Test, Performed: HbA1c Laboratory Test" during "Measurement Period"  AND NOT:  OR "Occurrence A of Laboratory Test, Result: HbA1c Laboratory Test (result)" starts after or concurrent with start of "Occurrence A of Laboratory Test, Performed: HbA1c Laboratory Test"
    • Logic affecting more than 1 eCQM

      We encountered an issue during QRDA-III testing,

      The numerator says

      AND: MOST RECENT:"Occurrence A of Laboratory Test, Result: HbA1c Laboratory Test" during "Measurement Period"
      AND: "Occurrence A of Laboratory Test, Result: HbA1c Laboratory Test (result > 9 %)"

      The patient 'Emma Walsh' has a HbA1c of 8%, As per the measure logic, this patient should not meet the numerator criteria.
      But Cypress expects it to meet Numerator, due to which QRDA III output fails.

      Is this a data issue or any change is expected in the measure logic.

      Kindly suggest at the earliest as this is blocking cypress certification.

            ssayer Samuel Sayer
            mangalam Mangala (Inactive)
            Mangala (Inactive), Pranjali Kamat (Inactive), Sanika Parab (Inactive), Sneha Patil (Inactive)
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              Created:
              Updated:
              Resolved: