[CYPRESS-272] Patient B, Eye_Adult missing attribute required to meet numerator for CMS167 Created: 11/12/13  Updated: 06/20/18  Resolved: 12/12/13

Status: Closed
Project: CYPRESS Issue Tracker
Component/s: None

Type: Question Priority: Minor
Reporter: Matthew Dugal Assignee: Renee Rookwood (Inactive)
Resolution: Delivered Votes: 0
Labels: None

Solution: This will be fixed as part of the next point release. It has the same root cause as CYPRESS-201.
Previous Issue Type: Logic affecting more than 1 eCQM

 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.

 Comments   
Comment by Samuel Sayer (Inactive) [ 02/12/14 ]

Thomas,

I've addressed this in a few topics, but I just posted a new one to the Talk List (https://groups.google.com/d/topic/project-cypress-talk/Ys2VAv-akMc/discussion). Please follow the instructions in the post and re-download the Cat I document. If you're still seeing this issue, please post here.

Comment by Thomas Ryabin (Inactive) [ 02/12/14 ]

This issue does not appear to be fixed in Cypress 2.4.1. When I downloaded the QRDA Cat 1 file for Eye_Adult B I only found one instance of the code "193349004" (Level of Severity of Retinopathy Findings), and it appeared in an entry for "Communication from provider to provider", and not in an entry for "Diagnostic Study, Result".

Comment by Samuel Sayer (Inactive) [ 11/22/13 ]

This will be fixed as part of the next point release. It has the same root cause as CYPRESS-201.

Comment by Matthew Dugal (Inactive) [ 11/22/13 ]

Is there any update on this issue?

Generated at Thu Apr 25 19:42:48 EDT 2024 using Jira 9.12.4#9120004-sha1:625303b708afdb767e17cb2838290c41888e9ff0.