| 1 | <!-- HL7 QRDA Category I Header (Section 2) -->
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| 2 |
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| 3 | <!-- errors -->
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| 4 | <pattern id="p-2.16.840.1.113883.10.20.12-errors">
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| 5 | <title>HL7 QRDA Category I Header (Section 2) - errors validation phase</title>
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| 6 |
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| 7 | <rule context='/'>
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| 8 | <assert test='.//cda:templateId/@root="2.16.840.1.113883.10.20.12"'>
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| 9 | Error: CONF-QRDA-I-5: The value of one ClinicalDocument/templateId/@root SHALL be
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| 10 | 2.16.840.1.113883.10.20.12 representing conformance to the generic
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| 11 | QRDA Category I framework constraints.
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| 12 | </assert>
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| 13 | </rule>
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| 14 |
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| 15 | <rule context='*[cda:templateId/@root="2.16.840.1.113883.10.20.12"]'>
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| 16 | <assert test='cda:realmCode[@code = "US"]'>
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| 17 | Error: CONF-QRDA-I-2: The realmCode element SHALL be present where the value of @code is US.
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| 18 | </assert>
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| 19 | <assert test='cda:typeId[@root = "2.16.840.1.113883.1.3" and @extension = "POCD_HD000040"]'>
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| 20 | Error: CONF-QRDA-I-3: The value of typeId/@root SHALL be 2.16.840.1.113883.1.3 and value of
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| 21 | typeId/@extension SHALL be POCD_HD000040.
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| 22 | </assert>
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| 23 | <assert test='count(cda:code) = 1 and cda:code[@code="55182-0" and @codeSystem="2.16.840.1.113883.6.1"]'>
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| 24 | Error: CONF-QRDA-I-6: A QRDA Category I report SHALL contain exactly one
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| 25 | ClinicalDocument/code with a value of 55182-0 2.16.840.1.113883.6.1
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| 26 | LOINC STATIC.
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| 27 | </assert>
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| 28 | <assert test="contains(translate(cda:title,'QWERTYUIOPASDFGHJKLZXCVBNM','qwertyuiopasdfghjklzxcvbnm'),'qrda incidence report') or
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| 29 | contains(translate(cda:title,'QWERTYUIOPASDFGHJKLZXCVBNM','qwertyuiopasdfghjklzxcvbnm'),'quality measure report')">
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| 30 | Error: CONF-QRDA-I-7: A QRDA Category I report SHALL contain exactly one
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| 31 | ClinicalDocument/title element valued with a case-insensitive, text
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| 32 | string containing "QRDA Incidence Report" or "Quality measure
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| 33 | Report".
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| 34 | </assert>
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| 35 | <assert test='count(cda:recordTarget/cda:patientRole) = 1'>
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| 36 | Error: CONF-QRDA-I-8: A QRDA Category I report SHALL contain exactly one
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| 37 | ClinicalDocument/recordTarget/PatientRole.
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| 38 | </assert>
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| 39 | <assert test='cda:author/cda:assignedAuthor/cda:assignedPerson or
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| 40 | cda:author/cda:assignedAuthor/cda:assignedAuthoringDevice '>
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| 41 | Error: CONF-QRDA-I-9: A QRDA Category I report SHALL contain one or more
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| 42 | ClinicalDocument/author/assignedAuthor/assignedPerson and/or
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| 43 | ClinicalDocument/author/assignedAuthor/assignedAuthoringDevice.
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| 44 | </assert>
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| 45 | <assert test='count(cda:informant) = 1'>
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| 46 | Error: CONF-QRDA-I-10: A QRDA Category I report SHALL contain exactly one
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| 47 | ClinicalDocument/informant, which represents the reporting facility.
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| 48 | CONF-QRDA-I-11: An organization source of information SHALL be represented with
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| 49 | informant.
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| 50 | </assert>
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| 51 | <assert test='cda:custodian/cda:assignedCustodian/cda:representedCustodianOrganization/cda:id/@root or
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| 52 | cda:custodian/cda:assignedCustodian/cda:representedCustodianOrganization/cda:id[@nullFlavor="MSK"]'>
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| 53 | Error: CONF-QRDA-I-12: A QRDA Category I report SHALL contain exactly one
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| 54 | custodian/assignedCustodian/representedCustodianOrganization/
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| 55 | id element.
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| 56 | CONF-QRDA-I-13: The value of custodian/assignedCustodian/
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| 57 | representedCustodianOrganization/id element @root SHALL be the id
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| 58 | root of the custodian organization.
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| 59 | </assert>
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| 60 | <assert test='not(cda:legalAuthenticator) or count(cda:legalAuthenticator/cda:time) = 1'>
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| 61 | Error: CONF-QRDA-I-15: If present, a QRDA Category I report legalAuthenticator SHALL
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| 62 | contain exactly one ClinicalDocument/legalAuthenticator/time element.
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| 63 | </assert>
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| 64 | <assert test='not(cda:legalAuthenticator) or count(cda:legalAuthenticator/cda:signatureCode) = 1'>
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| 65 | Error: CONF-QRDA-I-16: If present, a QRDA Category I report legalAuthenticator SHALL
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| 66 | contain exactly one signatureCode element.
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| 67 | </assert>
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| 68 | <assert test='not(cda:legalAuthenticator) or
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| 69 | cda:legalAuthenticator/cda:signatureCode[@code="S"] or
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| 70 | cda:legalAuthenticator/cda:signatureCode[@nullFlavor="MSK"]'>
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| 71 | Error: CONF-QRDA-I-17: The value of a QRDA ClinicalDocument/signatureCode/@code
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| 72 | SHALL be S.
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| 73 | </assert>
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| 74 | <assert test='not(cda:legalAuthenticator) or
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| 75 | cda:legalAuthenticator/cda:assignedEntity'>
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| 76 | Error: CONF-QRDA-I-18: If present, a QRDA Category I report legalAuthenticator SHALL
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| 77 | contain exactly one assignedEntity element that represents the legal
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| 78 | authenticator of the document.
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| 79 | </assert>
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| 80 | <assert test='not(cda:legalAuthenticator) or
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| 81 | cda:legalAuthenticator/cda:assignedEntity/cda:id'>
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| 82 | Error: CONF-QRDA-I-19: The ClinicalDocument/legalAuthenticator/assigned entity
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| 83 | SHALL contain an id element.
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| 84 | </assert>
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| 85 | <assert test='cda:component/cda:structuredBody'>
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| 86 | Error: CONF-QRDA-I-20: A QRDA Category I report SHALL contain exactly one
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| 87 | ClinicalDocument/component/structuredBody.
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| 88 | </assert>
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| 89 | <!--
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| 90 |
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| 91 | Changed as per email discussion between Len Gallagher and Liora Alschuler
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| 92 |
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| 93 | <assert test='count(cda:component/cda:structuredBody/cda:component/cda:section/cda:code[@code="55186-1" and @codeSystem="2.16.840.1.113883.6.1"]) > 0'>
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| 94 | Error: CONF-QRDA-I-21: A QRDA Category I report SHALL contain at least one and MAY contain
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| 95 | more than one non-nested top-level Measure section each containing
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| 96 | information about a single measure.
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| 97 | </assert>
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| 98 | -->
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| 99 |
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| 100 | <assert test='count(.//cda:section/cda:code[@code="55186-1" and @codeSystem="2.16.840.1.113883.6.1"]) > 0'>
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| 101 | Error: CONF-QRDA-I-21: A QRDA Category I report SHALL contain at least one and MAY contain
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| 102 | more than one Measure section each containing information about a single measure.
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| 103 | </assert>
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| 104 |
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| 105 | </rule>
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| 106 |
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| 107 |
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| 108 | <!-- Measure Section -->
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| 109 |
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| 110 | <rule context='*[cda:code[@code="55186-1" and @codeSystem="2.16.840.1.113883.6.1"]]'>
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| 111 | <!--
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| 112 | <assert test='self::/cda:ClinicalDocument/cda:component/cda:structuredBody/cda:component/cda:section or
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| 113 | parent::cda:section[@code="55185-3" and @codeSystem="2.16.840.1.113883.6.1"]/cda:component'>
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| 114 | Error: CONF-QRDA-I-22: The Measure section SHALL be a top-level section if it is not part of a
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| 115 | measure set.
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| 116 | </assert>
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| 117 | -->
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| 118 | <assert test='self::cda:section[parent::cda:component[parent::cda:structuredBody[parent::cda:component[parent::cda:ClinicalDocument]]]] or
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| 119 | parent::cda:section[@code="55185-3" and @codeSystem="2.16.840.1.113883.6.1"]/cda:component'>
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| 120 | Error: CONF-QRDA-I-22: The Measure section SHALL be a top-level section if it is not part of a
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| 121 | measure set.
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| 122 | </assert>
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| 123 |
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| 124 | <assert test='cda:templateId'>
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| 125 | Error: CONF-QRDA-I-33: The Measure section SHALL contain at least one templateId uniquely
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| 126 | identifying each Measure name and version
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| 127 | </assert>
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| 128 | <assert test='not(parent::cda:section[@code="55185-3" and @codeSystem="2.16.840.1.113883.6.1"]/cda:entry) or
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| 129 | contains(translate(cda:title,"QWERTYUIOPASDFGHJKLZXCVBNM","qwertyuiopasdfghjklzxcvbnm"),"measure section: ")'>
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| 130 | Error: CONF-QRDA-I-36: A non-nested Measure section SHALL be valued with section/title
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| 131 | with a case-insensitive, text string containing "measure section:
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| 132 | <measure name>".
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| 133 | </assert>
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| 134 | <assert test='not(parent::cda:ClinicalDocument/cda:component/cda:structuredBody/cda:component/cda:section) or
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| 135 | contains(translate(cda:title,"QWERTYUIOPASDFGHJKLZXCVBNM","qwertyuiopasdfghjklzxcvbnm"),"measure section")'>
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| 136 | Error: CONF-QRDA-I-37: A nested Measure section SHALL be valued with section/title with
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| 137 | a case-insensitive, text string containing "measure section".
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| 138 | </assert>
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| 139 | <assert test='count(.//cda:section[cda:code[@code = "55187-9" and @codeSystem="2.16.840.1.113883.6.1"]]) = 1'>
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| 140 | Error: CONF-QRDA-I-39: A Measure section SHALL contain exactly one nested Reporting
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| 141 | Parameters section (as described in Section 2.4.3 Reporting Parameters
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| 142 | Section).
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| 143 | </assert>
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| 144 | <assert test='count(.//cda:section[cda:code[@code = "55188-7" and @codeSystem="2.16.840.1.113883.6.1"]]) = 1'>
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| 145 | Error: CONF-QRDA-I-40: A Measure section SHALL contain exactly one nested Patient Data
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| 146 | section (as described in Section 2.4.4 Patient Data Section).
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| 147 | </assert>
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| 148 | <assert test='cda:entry/cda:act[@classCode="ACT" and @moodCode="DEF"]'>
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| 149 | Error: CONF-QRDA-I-42: Each measure SHALL be represented with act.
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| 150 | CONF-QRDA-I-43: For each act in the Measure section, the value for act/@classCode
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| 151 | in a measure act SHALL be ACT 2.16.840.1.113883.5.6 ActClass STATIC.
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| 152 | CONF-QRDA-I-44: For each act in the Measure section the act/@moodCode in a
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| 153 | measure act SHALL be DEF 2.16.840.1.113883.5.1001 ActMood STATIC.
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| 154 | </assert>
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| 155 | </rule>
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| 156 |
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| 157 | <!-- Measure -->
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| 158 |
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| 159 | <rule context='*[cda:code[@code="55186-1" and @codeSystem="2.16.840.1.113883.6.1"]]/cda:entry/cda:act[@classCode="ACT" and @moodCode="DEF"]'>
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| 160 | <assert test='cda:code'>
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| 161 | Error: CONF-QRDA-I-45: For each act in the Measure section there SHALL be an act/code
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| 162 | reflecting the measure name and version.
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| 163 | </assert>
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| 164 | </rule>
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| 165 |
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| 166 | <!-- Measure Set Section -->
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| 167 |
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| 168 | <rule context='*[cda:code[@code="55185-3" and @codeSystem="2.16.840.1.113883.6.1"]]'>
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| 169 | <assert test='count(.//cda:section[cda:code[@code="55186-1" and @codeSystem="2.16.840.1.113883.6.1"]]) = 1'>
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| 170 | Error: CONF-QRDA-I-24: The Measure Set section SHALL contain one nested Measure section
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| 171 | and SHALL NOT contain more than one nested Measure section.
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| 172 | </assert>
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| 173 | <assert test='cda:templateId'>
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| 174 | Error: CONF-QRDA-I-26: The Measure Set section SHALL contain a templateId uniquely
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| 175 | identifying the Measure Set name and version.
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| 176 | </assert>
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| 177 | <assert test="contains(translate(cda:title,'QWERTYUIOPASDFGHJKLZXCVBNM','qwertyuiopasdfghjklzxcvbnm'),'measure set: ')">
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| 178 | Error: CONF-QRDA-I-29: The Measure Set section SHALL be valued with section/title with a
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| 179 | case-insensitive, text string containing "Measure set: <measure set
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| 180 | name>".
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| 181 | </assert>
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| 182 | <assert test='count(.//cda:section/cda:code[@code="55186-1" and @codeSystem="2.16.840.1.113883.6.1"]) > 0 '>
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| 183 | Error: CONF-QRDA-I-31: The nested Measure section SHALL contain at least one measure that
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| 184 | belongs to the measure set.
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| 185 | </assert>
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| 186 | </rule>
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| 187 |
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| 188 | <!-- Reporting Parameters Section -->
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| 189 |
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| 190 | <rule context='*[cda:code[@code="55187-9" and @codeSystem="2.16.840.1.113883.6.1"]]'>
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| 191 | <assert test='contains(translate(cda:title,"QWERTYUIOPASDFGHJKLZXCVBNM","qwertyuiopasdfghjklzxcvbnm"),"reporting parameters")'>
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| 192 | Error: CONF-QRDA-I-49: The Reporting Parameters section SHALL be valued with
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| 193 | section/title with a case-insensitive, text string containing "Reporting
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| 194 | Parameters".
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| 195 | </assert>
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| 196 | <assert test='cda:entry/cda:act[@classCode="ACT" and @moodCode="EVN"]/cda:code[@code="252116004" and @codeSystem="2.16.840.1.113883.6.96"]'>
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| 197 | Error: CONF-QRDA-I-50: The Reporting Parameters section SHALL contain exactly one
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| 198 | Observation Parameters Act, represented as an act.
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| 199 | CONF-QRDA-I-51: The value for act/@classCode in an Observation Parameters Act
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| 200 | SHALL be ACT 2.16.840.1.113883.5.6 ActClass STATIC.
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| 201 | CONF-QRDA-I-52: The value for act/@moodCode in an Observation Parameters Act
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| 202 | SHALL be EVN 2.16.840.1.113883.5.1001 ActMood STATIC.
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| 203 | CONF-QRDA-I-53: The value for act/code SHALL be 252116004 Observation
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| 204 | Parameters 2.16.840.1.113883.6.96 SNOMED-CT STATIC.
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| 205 | </assert>
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| 206 | <assert test='cda:entry/cda:act[@classCode="ACT" and @moodCode="EVN"][cda:code[@code="252116004" and @codeSystem="2.16.840.1.113883.6.96"]]/cda:effectiveTime[cda:low and cda:high]'>
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| 207 | Error: CONF-QRDA-I-54: The reporting time period SHALL be represented with an
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| 208 | effectiveTime/low element combined with a high element representing
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| 209 | respectively the first and last days of the period reported.
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| 210 | </assert>
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| 211 | </rule>
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| 212 |
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| 213 | <!-- Patient Data Section -->
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| 214 |
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| 215 | <rule context='*[cda:code[@code="55188-7" and @codeSystem="2.16.840.1.113883.6.1"]]'>
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| 216 | <assert test='contains(translate(cda:title,"QWERTYUIOPASDFGHJKLZXCVBNM","qwertyuiopasdfghjklzxcvbnm"),"patient data")'>
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| 217 | Error: CONF-QRDA-I-57: The Patient Data section SHALL be valued with section/title with a
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| 218 | case-insensitive, text string containing "Patient Data".
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| 219 | </assert>
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| 220 |
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| 221 | </rule>
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| 222 |
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| 223 | </pattern>
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| 224 |
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| 225 | <pattern id="p-2.16.840.1.113883.10.20.12-warnings">
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| 226 | <title>HL7 QRDA Category I Header (Section 2) - warning validation phase</title>
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| 227 | <rule context='*[cda:templateId/@root="2.16.840.1.113883.10.20.12"]'>
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| 228 | <assert test='count(cda:legalAuthenticator) = 1'>
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| 229 | Warning: CONF-QRDA-I-14: A QRDA Category I report SHOULD contain exactly one
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| 230 | legalAuthenticator element.
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| 231 | </assert>
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| 232 | </rule>
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| 233 | </pattern>
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| 234 |
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| 235 | <pattern id="p-2.16.840.1.113883.10.20.12-notes">
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| 236 | <title>HL7 QRDA Category I Header (Section 2) - note validation phase</title>
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| 237 | <rule context='*[cda:templateId/@root="2.16.840.1.113883.10.20.12"]'>
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| 238 | <assert test='count(cda:component/cda:structuredBody/cda:component/cda:section/cda:code[@code="55186-1" and @codeSystem="2.16.840.1.113883.6.1"]) > 1'>
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| 239 | Note: CONF-QRDA-I-21: A QRDA Category I report ... MAY contain
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| 240 | more than one non-nested top-level Measure section each containing
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| 241 | information about a single measure.
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| 242 | </assert>
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| 243 | <assert test='.//cda:section/cda:code[@code="55185-3" and @codeSystem="2.16.840.1.113883.6.1"]'>
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| 244 | Note: CONF-QRDA-I-23: A QRDA Category I report MAY contain one or more Measure Set
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| 245 | sections.
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| 246 | </assert>
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| 247 | <assert test='cda:component/cda:structuredBody/cda:component/cda:section/cda:code[@code="55186-1" and @codeSystem="2.16.840.1.113883.6.1"] and
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| 248 | .//cda:section/cda:code[@code="55185-3" and @codeSystem="2.16.840.1.113883.6.1"]'>
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| 249 | Note: CONF-QRDA-I-25: A QRDA Category I report MAY contain both Measure Set sections and
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| 250 | individual top-level Measure sections.
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| 251 | </assert>
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| 252 |
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| 253 | </rule>
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| 254 |
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| 255 | <!-- Measure Section -->
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| 256 |
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| 257 | <rule context='*[cda:code[@code="55186-1" and @codeSystem="2.16.840.1.113883.6.1"]]'>
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| 258 |
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| 259 | <assert test='cda:text'>
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| 260 | Note: CONF-QRDA-I-41: The Measure section MAY contain a section/text element for the
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| 261 | description of the measure(s).
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| 262 | </assert>
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| 263 | </rule>
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| 264 |
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| 265 | <!-- Measure -->
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| 266 |
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| 267 | <rule context='*[cda:code[@code="55186-1" and @codeSystem="2.16.840.1.113883.6.1"]]/cda:entry/cda:act[@classCode="ACT" and @moodCode="DEF"]'>
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| 268 | <assert test='cda:text'>
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| 269 | Note: CONF-QRDA-I-46: Each measure act MAY contain an act/text element containing a
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| 270 | description of the measure.
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| 271 | </assert>
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| 272 | </rule>
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| 273 |
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| 274 | <!-- Measure Set Section -->
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| 275 |
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| 276 | <rule context='*[cda:code[@code="55185-3" and @codeSystem="2.16.840.1.113883.6.1"]]'>
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| 277 | <assert test='cda:text'>
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| 278 | Note: CONF-QRDA-I-30: The Measure Set section MAY contain a section/text element for
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| 279 | the description of the measure set or MAY contain a formal representation of
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| 280 | a description of the measure set.
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| 281 | </assert>
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| 282 | </rule>
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| 283 | </pattern>
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| 284 |
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