It looks like the measure author’s intent was to compute the catheter indwelling to occur within the patient encounter as a whole, but end after the patient’s time in either the ICU or PACU. From the measure metadata, it has:

By convention, discharge date post "Encounter inpatient" is used to describe the hospital discharge date. Where logic needs to indicate discharge (or transfer) from one inpatient location to another, the logic uses "Transfer From" or "Transfer To" as the QDS data type.

In this case, we would expect the the logic comparing the catheter indwelling time with the patient’s time in the ICU or PACU to reference "Transfer To" or "Transfer From". However, after reviewing the measure logic, this does not appear to be the case.

The time comparison measure logic for both

Occurrence A of Procedure, Performed: Indwelling urinary catheter" during "Occurrence A of Encounter, Performed: Encounter Inpatient

and

Occurrence A of Procedure, Performed: Indwelling urinary catheter" ends after end of "Occurrence A of Encounter, Performed: Encounter Inpatient (facility location: 'ICU Locations')

both appear to be against the time of Encounter, Performed: Encounter Inpatient and not any transfer times within that criteria. As a result, it would be impossible for a patient to compute to true for both statements.

It appears that Bonnie is behaving properly given the measure and that the measure logic does not represent the author’s intent.

Thanks, we'll take a look at your test case, the Bonnie code, and the spec to determine if Bonnie is working as expected.