projecttacoma / fqm-execution

fqm-execution is a library that allows users to calculate FHIR-based electronic Clinical Quality Measures (eCQMs) and retrieve the results in a variety of formats
https://projecttacoma.github.io/fqm-execution/
Apache License 2.0
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Coverage has been updated for a measure #263

Closed mcmcphillips closed 11 months ago

mcmcphillips commented 1 year ago

Summary

Updates to FQM execution appear to have modified the coverage of an existing measure from 100% to 85% and measure developers are requesting an explanation as to why this may have happened.

External Tracking Ticket

https://oncprojectracking.healthit.gov/support/browse/BONNIEMAT-1525

Expected Behavior

Updates to fqm-execution would not modify existing coverage of a measure

Version or Commit

Inputs (e.g. Measure Bundle, Patient Bundle, CQL Library)

image

CMS349FHIR-v0.0.001-FHIR4 (2) (2).zip

Relevant Calculation Options (e.g. Measurement Period, meta.profile Validation)

cql-to-elm Version Used for Measure Logic Translation (if known)

Any Additional Info

laclark22 commented 1 year ago

@mcmcphillips Could you please provide patient bundles for this issue? Our team has no ability of replicating this without the patients being used.

hossenlopp commented 1 year ago

@mcmcphillips This JSON appears to be a MongoDB export of a bunch of data. We will need JSON FHIR patient bundles to reproduce and debug this in our environment.

I took a peek at this measure in MADiE. It seems the SDEs are what is causing the coverage to not be 100%. Is it possible that the measure developer recently added SDEs to the measure and did not expect them to affect coverage?

mcmcphillips commented 1 year ago

@hossenlopp Sorry, let me get back to you

mcmcphillips commented 1 year ago

@hossenlopp

I've provided the testcase bundles, measure bundle, and valusets. Let me know if I can provide any more information.

CMS349ValueSets.txt CMS349TestCaseBundles.txt CMS349MeasureBundle.txt

I have also posed the question to the measure developers on ONC jira and will update here accordingly