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  1. CYPRESS Issue Tracker
  2. CYPRESS-717

Trouble meeting Diagnosis Active for C1

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    • Icon: Question Question
    • Resolution: Fixed
    • Icon: Minor Minor
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    • Logic affecting more than 1 eCQM

      Trouble meeting Diagnosis Active for C1

      We are having trouble meeting the Diagnosis active for C1 for measure CMS108v4. Here is what Cypress is requiring and what we are sending. It's not clear what we are missing.

      Diagnosis, Active
      Valuesets
      Mental Disorders: 2.16.840.1.113883.3.117.1.7.1.262
      Hemorrhagic Stroke: 2.16.840.1.113883.3.117.1.7.1.212
      Ischemic Stroke: 2.16.840.1.113883.3.117.1.7.1.247
      Attributes
      Ordinality Principal: 2.16.840.1.113883.3.117.1.7.1.14

      <entry>
          <act classCode="ACT" moodCode="EVN">
              <!-- Conforms to C-CDA Problem Concern Act (V2) -->
              <templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2014-06-09" />
              <!-- Diagnosis Active Concern Act -->
              <templateId root="2.16.840.1.113883.10.20.24.3.121" extension="2014-12-01" />
              <id root="88dadca0-3763-0134-a496-000c29a1c739" />
              <code code="CONC" codeSystem="2.16.840.1.113883.5.6" displayName="Concern" />
              <!-- The statusCode represents whether this is an active (active),       inactive (suspended) or resolved (completed) diagnosis -->
              <statusCode code="active" />
              <effectiveTime>
                  <!-- Attribute: admission datetime -->
                  <low value='20150520080000'/>
                  <!-- Attribute: discharge datetime -->
                  <high value='20150522080000'/>
              </effectiveTime>
              <entryRelationship typeCode="SUBJ">
                  <observation classCode="OBS" moodCode="EVN">
                      <!--  Problem observation template -->
                      <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2014-06-09"/>
                      <!--  Diagnosis active template -->
                      <templateId root="2.16.840.1.113883.10.20.24.3.11" extension="2014-12-01"/>
                      <id root="1.3.6.1.4.1.115" extension="579ac1c26362390d2e3d238f"/>
                      <code code="29308-4" displayName="diagnosis" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
                      <text>Diagnosis, Active: Psychiatric/Mental Health Patient</text>
                      <statusCode code="completed"/>
                      <effectiveTime>
                          <!-- Attribute: admission datetime -->
                          <low value='20150520080000'/>
                          <!-- Attribute: discharge datetime -->
                          <high value='20150522080000'/>
                      </effectiveTime>
                      <priorityCode  code="63161005"  codeSystem="2.16.840.1.113883.6.96" sdtc:valueSet="2.16.840.1.113883.3.117.1.7.1.14" />
                      <value code="192080009" codeSystem="2.16.840.1.113883.6.96" xsi:type="CD" sdtc:valueSet="2.16.840.1.113883.3.117.1.7.1.262" />
                  </observation>
              </entryRelationship>
          </act>
      </entry>
      

      Additionally we are having a similar problem with Procedure Performed:

      Procedure, Performed
      Valuesets
      General Surgery: 2.16.840.1.113883.3.117.1.7.1.255
      Gynecological Surgery: 2.16.840.1.113883.3.117.1.7.1.257
      Hip Fracture Surgery: 2.16.840.1.113883.3.117.1.7.1.258
      Hip Replacement Surgery: 2.16.840.1.113883.3.117.1.7.1.259
      Intracranial Neurosurgery: 2.16.840.1.113883.3.117.1.7.1.260
      Knee Replacement Surgery: 2.16.840.1.113883.3.117.1.7.1.261
      Urological Surgery: 2.16.840.1.113883.3.117.1.7.1.272
      Attributes
      Ordinality Principal: 2.16.840.1.113883.3.117.1.7.1.14

      <entry>
          <procedure classCode="PROC" moodCode="EVN" >
              <!--  Procedure performed template -->
              <templateId root="2.16.840.1.113883.10.20.24.3.64" extension="2014-12-01"/>
              <!-- Procedure Activity Procedure-->
              <templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/>
              <id root="1.3.6.1.4.1.115" extension="579ac1c36362390d2e3d2580"/>
              <code code="25353009" codeSystem="2.16.840.1.113883.6.96" sdtc:valueSet="2.16.840.1.113883.3.117.1.7.1.260" />
              <text>Procedure, Performed: 25353009</text>
              <statusCode code="completed"/>
              <effectiveTime>
                  <low value='20150506070000'/>
                  <high value='20150506075000'/>
              </effectiveTime>
              <priorityCode  code="63161005"  codeSystem="2.16.840.1.113883.6.96" sdtc:valueSet="2.16.840.1.113883.3.117.1.7.1.14" />
          </procedure>
      </entry>
      

            dczulada David Czulada
            Matthew Matthew Dugal
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              Created:
              Updated:
              Resolved: