[MADIE-324] Full testedmeasure showing 100% coverage on patient side but 95% coverage on measure side. Cannot resolve. Created: 07/24/17  Updated: 05/11/18  Resolved: 09/24/17

Status: Closed
Project: MADiE Issue Tracker
Component/s: Measure View
Affects Version/s: None
Fix Version/s: None

Type: Bug/Issue Priority: Major
Reporter: Colleen Parker (Inactive) Assignee: Lizzie Charbonneau
Resolution: Answered Votes: 0
Labels: LOGIC
Remaining Estimate: Not Specified
Time Spent: Not Specified
Original Estimate: Not Specified

Attachments: Zip Archive PCAwithosteoporosistreatment_v4_6_Artifacts (21).zip     PNG File tohline-screenshot.png    
Measure/Library Title: Treatment of Osteopenia or Osteoporosis in Men with Non-Metastatic Prostate Cancer on androgen Deprivation Therapy
CBE Number: CM770v0
Test Case Name(s): NUMER Timing
Impact: Unable to complete testing on a measure currently on the MUC list.

 Description   

We have a measure that appears to test properly at the patient level in the Numerator.

The problem is at the Numerator. Each UNION has a timing element of ends before start of. It tests properly at the patient level, but does not turn "blue" at the measure level. All of the NUMER testing indicates the measure is working as intended.

NUMERATOR:(STATUS: TRUE)
TOGGLE NUMERATOR

• AND :(status: true)
o OR :(status: true)
 UNION OF:
 Medication, Active: Calcium And Vitamin D For Male Urology Care(status: true)

 UNION OF:
 Laboratory Test, Performed: Calcium, Total(status: true)
 Laboratory Test, Performed: Vitamin D, 25 Hydroxy, Total(status: true)
 ends before start ofMedication, Active: Osteoporosis Medications For Urology Care(status: true)
o OR :(status: true)
 UNION OF:
 Medication, Active: Calcium And Vitamin D For Male Urology Care(status: true)

 UNION OF:
 Laboratory Test, Performed: Calcium, Total(status: true)
 Laboratory Test, Performed: Vitamin D, 25 Hydroxy, Total(status: true)
 ends before start of Medication, Order: Osteoporosis Medications For Urology Care
As you see, the ends before start of turns green at the patient level.

However, at the measure summary level, we get the following:
AND :
• OR :
o UNION OF:
 Medication, Active: Calcium And Vitamin D For Male Urology Care(status: covered)

 UNION OF:
 Laboratory Test, Performed: Calcium, Total(status: covered)
 Laboratory Test, Performed: Vitamin D, 25 Hydroxy, Total(status: covered)
 ends before start of Medication, Active: Osteoporosis Medications For Urology Care(status: covered)
• OR :
o UNION OF:
 Medication, Active: Calcium And Vitamin D For Male Urology Care(status: covered)

 UNION OF:
 Laboratory Test, Performed: Calcium, Total(status: covered)
 Laboratory Test, Performed: Vitamin D, 25 Hydroxy, Total(status: covered)
 ends before start of Medication, Order: Osteoporosis Medications For Urology Care
The ends before start of does not turn blue and our %coverage is 95%. This is the only part of the measure that does not appear to work.
We are trying to express: The patient is actively on calcium and Vitamin D and had a Calcium and Vitamin D level completed prior to the start of osteoporosis medication.

 Comments   
Comment by Lizzie Charbonneau [ 09/25/17 ]

Hi Colleen,

We will begin investigating the new ticket, BONNIE-364.

Thank you,
Lizzie

Comment by Colleen Parker (Inactive) [ 09/24/17 ]

You have received a secure message from "Parker, Colleen" <Colleen@oregonurology.com> entitled, "RE: [ONC-JIRA] (BONNIE-324) Full testedmeasure showing 100% coverage on patient side but 95% coverage on measure side. Cannot resolve.".

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Comment by Chris Tohline (Inactive) [ 07/26/17 ]

Colleen,

I have investigated your coverage issue. Your initial assumption about ends before start changing green/red but not blue was a good guess but unfortunately that is unrelated - this phrase is never colored blue in Bonnie.

The missing item from coverage is "Barrett's Esophagus Diagnosis".

When I tested locally, I can get 100% coverage by adding this Barrett’s Esophagus diagnosis. I dragged this element into the history and the below image is with me mousing over the unlabeled check (circled in red). The issue appears to be the diagnosis was authored incorrectly to be under the Lab Test, instead of ORed like the rest of the NUMEX diagnoses.

I believe you can fix the confusing item in Bonnie if you fix this issue in the MAT, re-package, re-export, and re-upload again to Bonnie. Then you should see the "Barrett's Esophagus Diagnosis" in your numerator exclusions logic.

Please let us know if you have any further issues, or if this is enough to resolve your problem.

Thanks,
--Chris

Comment by Colleen Parker (Inactive) [ 07/26/17 ]

I attached a copy of the measure package as requested by Rose Almonte.

Thanks, Colleen Parker

Comment by Rose Almonte [ 07/26/17 ]

Hi Colleen,
Could you please attach a copy of the measure package to this issue?
Thank you!
Rose

Comment by Rose Almonte [ 07/24/17 ]

Hi Colleen,
Thank you for reporting the issue. We'll investigate and get back to you.
Rose

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