[QRDA-423] Need sources to understand QRDA 1 Measure's PatientData section logic in detail Created: 12/27/16  Updated: 12/22/20  Resolved: 02/15/17

Status: Resolved
Project: QRDA Issue Tracker
Component/s: None

Type: QRDA-I Standard Priority: Moderate
Reporter: vibin chander (Inactive) Assignee: Yan Heras
Resolution: Done Votes: 0
Labels: QRDA-1, QRDA-3, cypress3.0.3

Impact: Need sources to understand QRDA 1 Measure's PatientData section logic in detail
Institution/Name: CESIT
Contact Name: VibinChander
Contact Email: vibinchander@outlook.com
Contact Phone: 8526363508
Solution: Whether negationInd is required or not depends on the measure definition and the specific data elements you are reporting. negationInd is used to indicate "not done".

Use CMS72v4 as an example, if you are submitting data to satisfy this logic, because it is "Medication, Administered" in this measure criteria, negationInd should not be set to true for that data instance.
OR:
Union of:
"Medication, Administered: Thrombolytic (t-PA) Therapy"
"Procedure, Performed: Intravenous or Intra-arterial Thrombolytic (t-PA) Therapy"
<= 24 hour(s) starts before start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
OR: "Medication, Administered: Thrombolytic (t-PA) Therapy" satisfies all
starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
starts before end of Occurrence A of $EncounterInpatientNonElective

However, if you are submitting data to satisfy "Medication, Administered not done" in the logic below, because it is "not done", negationInd must set to be true.

AND: Union of:
"Medication, Order not done: Medical Reason" for "Antithrombotic ingredient specific"
"Medication, Administered not done: Medical Reason" for "Antithrombotic Therapy"
"Medication, Order not done: Patient Refusal" for "Antithrombotic ingredient specific"
"Medication, Administered not done: Patient Refusal" for "Antithrombotic Therapy"
<= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"

 Description   

Base Line : Need sources to understand QRDA 1 Measure's PatientData section logic in detail

QRDA 1 Testing for 2015 (C1+C3) :

1. While testing QRDA 1 (C1) for the measure CMS72v4, we encountered an issue in the *Medication, Administered *part of patientData section. There is a presence of negationInd="true" attribute as provided below

<act classCode="ACT" moodCode="EVN" negationInd="true">
<templateId extension="2014-12-01" root="2.16.840.1.113883.10.20.24.3.42"/>

The above tag popped error on cypress 3.0.3, and it got fixed when the attribute negationInd="true" part was removed.

But the same "Medication, Administered" part of patientData section throws error for several other measures and those measures requires the attribute* negationInd="true"*. I wanted to understand the logic behind this.

2. Is there a way we can get all the available logic as stated above for the QRDA 1 ?, If so kindly provide those resource,

3. Does HL7 QRDA-I Implementation Guide available for 2015 edition or can we develop QRDA 1 based on previous version, if it does not make any impact.

 Comments   
Comment by Yan Heras [ 01/10/17 ]

Whether negationInd is required or not depends on the measure definition and the specific data elements you are reporting. negationInd is used to indicate "not done".

Use CMS72v4 as an example, if you are submitting data to satisfy this logic, because it is "Medication, Administered" in this measure criteria, negationInd should not be set to true for that data instance.
OR:
Union of:
"Medication, Administered: Thrombolytic (t-PA) Therapy"
"Procedure, Performed: Intravenous or Intra-arterial Thrombolytic (t-PA) Therapy"
<= 24 hour(s) starts before start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
OR: "Medication, Administered: Thrombolytic (t-PA) Therapy" satisfies all
starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"
starts before end of Occurrence A of $EncounterInpatientNonElective

However, if you are submitting data to satisfy "Medication, Administered not done" in the logic below, because it is "not done", negationInd must set to be true.

AND: Union of:
"Medication, Order not done: Medical Reason" for "Antithrombotic ingredient specific"
"Medication, Administered not done: Medical Reason" for "Antithrombotic Therapy"
"Medication, Order not done: Patient Refusal" for "Antithrombotic ingredient specific"
"Medication, Administered not done: Patient Refusal" for "Antithrombotic Therapy"
<= 1 day(s) starts after start of "Occurrence A of Encounter, Performed: Emergency Department Visit"

Comment by vibin chander (Inactive) [ 12/30/16 ]

Please act on it as early as possible.

Comment by QRDA-ICF [ 12/27/16 ]

Your ticket is being reviewed by our experts. We will provide you feedback as soon as possible. Thank you for your patience.

Comment by vibin chander (Inactive) [ 12/27/16 ]

Please Take this as high priority and answer as early as possible

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