[CQM-1713] Crosswalk of codes between value sets in different populations makes a patient evaluate improperly Created: 09/21/15  Updated: 12/14/17  Resolved: 07/20/16

Status: Closed
Project: eCQM Issue Tracker
Component/s: ValueSet

Type: EH/CAH eCQMs - Eligible Hospitals/Critical Access Hospitals Priority: Minor
Reporter: Sharon Sebastian (Inactive) Assignee: Joelencia Leflore
Resolution: Answered Votes: 0
Labels: None

Issue Links:
Relates
relates to CQM-1870 Value set crosswalk causing variation... Closed
Contact Name: Sharon Sebastian
Contact Email: ssebastian@mitre.org
Institution/Name: MITRE
Solution: Thank you for your question/comment. As part of the 2016 annual update, we will be reviewing all value sets to make certain the drugs are accurate for each of them, there are no duplicates and that the correct codes are in the correct value set.
2016 Reporting Period EH eCQMs:
CMS188v5/NQF0147

 Description   

While building a test patient to evaluate against the DEN EXCEP portion of the logic, I noticed that when I add the Medication, Active: Systemic Corticosteroid/Prednisone Therapy data element, if a prednisone RxNorm code is populated within the data element (e.g., 1303125 - Prednisone 1 mg delayed release oral tablet) the patient evaluates as positive for the Medication, Active: Systemic Immunosuppressive Therapy data element in the DEN EXCL. If a non-prednisone code is populated in the data element, it evaluates as expected.

I did not evaluate the full extent of crosswalk between these two value sets. Most likely, there are several other RxNorm codes that cause the same problem.


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