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Bug/Issue
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Resolution: Fixed
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Blocker
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Use of High-Risk Medications in the Elderly
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CMS 156
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NUMERPop2Pass AmoxapineX2, plus others
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Unable to determine if the logic is valid.
There appears to be 2 issues:
1) We believe the Population 1 Numerator should be met if Population 2 Numerator is met, see test case - NUMERPop2Pass Hyos/Meth/Mblue/Biphosx2 where this patient has 2 medication orders for 'Hyoscyamine / Methenamine / Mblue / Sodium Biphosphate' - this same medication (code) is also in the High Risk Medications for the Elderly value set used in the logic for Population 1 Numerator. The only way to get this patient to be included in Population 1 Numerator is to add a 'Medication: Order: High Risk Medications for the Elderly' data element.
2) However, this brings up the second issue, see test case - NUMERPop2Pass AmoxapineX2 where this patient meets the Population 2 numerator, but even having the High Risk Medications for the Elderly data element added to the History, the patient is still not passing in spite of adding 19 eligible codes. Other codes will work, but it is apparent not all codes are recognized.