| 1 | <!-- HL7 QRDA BMI (Section 6) -->
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| 2 |
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| 3 | <!-- errors -->
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| 4 | <pattern id="p-qrda_bmi-errors">
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| 5 | <title>HL7 QRDA BMI (Section 6) - errors validation phase</title>
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| 6 | <rule context='/'>
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| 7 |
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| 8 | <assert test='count(/cda:ClinicalDocument/cda:recordTarget/cda:patientRole/cda:patient/cda:birthTime) = 1'>
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| 9 | Error: CONF-QRDA_BMI-1: Category I BMI QRDA report SHALL contain exactly one
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| 10 | ClinicalDocument/recordTarget/patientRole/patient/birthTime.
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| 11 | </assert>
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| 12 |
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| 13 | <assert test='string-length(/cda:ClinicalDocument/cda:recordTarget/cda:patientRole/cda:patient/cda:birthTime/@value) >= 8'>
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| 14 | Error: CONF-QRDA_BMI-2: The birthTime SHALL be precise to the day and MAY be precise to
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| 15 | the second.
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| 16 | </assert>
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| 17 |
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| 18 | <assert test='.//cda:section/cda:templateId[@root="2.16.840.1.113883.10.20.12.2"]'>
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| 19 | Error: CONF-QRDA_BMI-3: A Body Mass Index QRDA SHALL contain a non-nested top-level
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| 20 | Measure section containing information about the Body Mass Index
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| 21 | measure.
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| 22 | </assert>
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| 23 | </rule>
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| 24 |
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| 25 | <rule context='*[cda:templateId/@root="2.16.840.1.113883.10.20.12.2"]'>
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| 26 | <assert test="contains(translate(cda:title,'QWERTYUIOPASDFGHJKLZXCVBNM','qwertyuiopasdfghjklzxcvbnm'),'measure: body mass index percentile')">
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| 27 | Error: CONF-QRDA_BMI-5: The Body Mass Index Measure section SHALL contain exactly one
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| 28 | section/title valued with a case-insensitive, text string containing,
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| 29 | "Measure: Body Mass Index Percentile".
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| 30 | </assert>
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| 31 |
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| 32 | <assert test='cda:entry/cda:act/cda:code[@code="BMIV1-X" and @codeSystem="2.16.840.1.113883.6.1"]'>
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| 33 | Error: CONF-QRDA_BMI-6: The value for act/code SHALL be BMIV1-X Body Mass Index,
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| 34 | V1 2.16.840.1.113883.6.1 LOINC STATIC.
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| 35 | </assert>
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| 36 | </rule>
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| 37 |
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| 38 | <!-- This context comes from the definition of Reporting Parameters Section
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| 39 |
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| 40 | CONF-QRDA-II-24: The value for section/code SHALL be 55187-9 Reporting
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| 41 | Parameters 2.16.840.1.113883.6.1 LOINC STATIC.
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| 42 |
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| 43 | -->
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| 44 |
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| 45 | <rule context='*[cda:code/@code="55187-9" and cda:code/@codeSystem="2.16.840.1.113883.6.1"]'>
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| 46 | <assert test='string-length(cda:entry/cda:act[cda:code[@code="252116004" and @codeSystem="2.16.840.1.113883.6.96"]]/cda:effectiveTime/cda:low/@value) >= 8 and
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| 47 | string-length(cda:entry/cda:act[cda:code[@code="252116004" and @codeSystem="2.16.840.1.113883.6.96"]]/cda:effectiveTime/cda:high/@value) >= 8'>
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| 48 | Error: CONF-QRDA_BMI-8: The reporting time period in a Reporting Period Observation SHALL
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| 49 | be represented with an effectiveTime/low element with a value of the first
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| 50 | day of the month combined with a high element with a value of the last day
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| 51 | of the month OR the reporting time period in a Reporting Period Observation
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| 52 | SHALL be represented with an effectiveTime/low element with a value of
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| 53 | the first day of the quarter combined with a high element with a value of
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| 54 | the last day of the quarter representing respectively the first and last days of
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| 55 | the period reported.
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| 56 | </assert>
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| 57 | </rule>
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| 58 |
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| 59 | <!-- This context comes from the definition of Patient Data Section
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| 60 |
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| 61 | CONF-QRDA-I-56: The value for section/code SHALL be 55188-7 Patient Data
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| 62 | 2.16.840.1.113883.6.1 LOINC STATIC.
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| 63 |
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| 64 | -->
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| 65 | <rule context='*[cda:code/@code="55188-7" and cda:code/@codeSystem="2.16.840.1.113883.6.1"]'>
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| 66 | <assert test='cda:entry/cda:encounter'>
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| 67 | Error: CONF-QRDA_BMI-9: The Body Mass Index QRDA Patient Data Section encounter
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| 68 | information SHALL be represented with encounter.
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| 69 | </assert>
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| 70 | <assert test='cda:entry/cda:encounter/@classCode="ENC"'>
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| 71 | Error: CONF-QRDA_BMI-11: The value for encounter/@classCode in an Encounter activity
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| 72 | SHALL be ENC 2.16.840.1.113883.5.6 ActClass STATIC.
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| 73 | </assert>
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| 74 | <assert test='cda:entry/cda:encounter/@moodCode="EVN"'>
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| 75 | Error: CONF-QRDA_BMI-12: The value for encounter/@moodCode in an Encounter activity
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| 76 | SHALL be EVN 2.16.840.1.113883.5.1001 ActMood STATIC.
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| 77 | </assert>
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| 78 | <assert test='count(cda:entry/cda:encounter/cda:code) = 1'>
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| 79 | Error: CONF-QRDA_BMI-14: An Encounter activity SHALL contain exactly one encounter/code.
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| 80 | </assert>
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| 81 | <assert test='cda:entry/cda:encounter/cda:code/@codeSystem="2.16.840.1.113883.5.4" and (
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| 82 | cda:entry/cda:encounter/cda:code/@code="AMB" or
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| 83 | cda:entry/cda:encounter/cda:code/@code="EMER" or
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| 84 | cda:entry/cda:encounter/cda:code/@code="HH" or
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| 85 | cda:entry/cda:encounter/cda:code/@code="IMP" or
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| 86 | cda:entry/cda:encounter/cda:code/@code="SS")'>
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| 87 | Error: CONF-QRDA_BMI-15: The value for encounter/code in the Encounter activity SHALL be
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| 88 | selected from Value Set BMIPhysicalEncounter 2.16.840.1.113883.11.20.2.1 STATIC 20090215.
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| 89 | </assert>
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| 90 | <assert test='count(cda:entry/cda:encounter/cda:effectiveTime) = 1'>
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| 91 | Error: CONF-QRDA_BMI-16: An Encounter activity SHALL contain exactly one
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| 92 | encounter/effectiveTime to indicate date and time of the encounter.
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| 93 | </assert>
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| 94 | <assert test='string-length(cda:entry/cda:encounter/cda:effectiveTime/@value) >= 8'>
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| 95 | Error: CONF-QRDA_BMI-17: The encounter/effectiveTime SHALL be accurate to the day.
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| 96 | </assert>
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| 97 | <assert test='cda:entry/cda:encounter/cda:entryRelationship[@typeCode="COMP"]/cda:organizer'>
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| 98 | Error: CONF-QRDA_BMI-18: The Encounter activity SHALL contain exactly one
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| 99 | entryRelationship where the value of @typeCode SHALL be COMP, whose
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| 100 | target act is a principal diagnosis organizer (as described in Section 6.6.3.2
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| 101 | Clinical Statement Conformance Principle Diagnosis).
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| 102 | </assert>
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| 103 | </rule>
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| 104 |
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| 105 | <!-- Body Mass Index Percentile -->
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| 106 |
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| 107 | <rule context='*[cda:code/@code="55188-7" and cda:code/@codeSystem="2.16.840.1.113883.6.1"]/cda:entry/cda:observation'>
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| 108 |
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| 109 | <assert test='cda:statusCode'>
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| 110 | Error: CONF-QRDA_BMI-36: A Body Mass Index Percentile Observation SHALL contain exactly
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| 111 | one observation/statusCode.
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| 112 | </assert>
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| 113 | <assert test='cda:statusCode[@code="completed"]'>
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| 114 | Error: CONF-QRDA_BMI-37: The value of observation/statusCode SHALL be completed.
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| 115 | </assert>
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| 116 | <assert test='cda:effectiveTime'>
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| 117 | Error: CONF-QRDA_BMI-38: A Body Mass Index Percentile Observation SHALL contain exactly
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| 118 | one observation/effectiveTime, which represents the time the percentile
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| 119 | was measured.
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| 120 | </assert>
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| 121 | <assert test='string-length(cda:effectiveTime/@value) >= 8'>
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| 122 | Error: CONF-QRDA_BMI-39: The observation/effective Time SHALL be accurate to the day
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| 123 | and MAY be accurate to the second.
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| 124 | </assert>
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| 125 | <assert test='cda:code[@code="1111111" and @codeSystem="2.16.840.1.113883.6.96"]'>
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| 126 | Error: CONF-QRDA_BMI-40: A Body Mass Percentile Observation SHALL contain exactly one
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| 127 | observation/code where the value is TempSNOMEDcode 1111111 Body Mass
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| 128 | Percentile 2.16.840.1.113883.6.96 SNOMED-CT STATIC.
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| 129 | </assert>
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| 130 | <assert test='cda:value[@xsi:type="PQ"]'>
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| 131 | Error: CONF-QRDA_BMI-41: The value for value/xsi:type SHALL be PQ.
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| 132 | </assert>
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| 133 | <assert test='cda:value[@unit = "%"]'>
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| 134 | Error: CONF-QRDA_BMI-42: The observation/value SHALL be expressed using a valid UCUM
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| 135 | Physical Quantity Unit = "%" (percent).
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| 136 | </assert>
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| 137 | </rule>
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| 138 |
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| 139 | <!-- Rule context comes from above Patient Data context plus XPath to bring us down to Principle Diagnosis Organizer -->
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| 140 |
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| 141 | <rule context='*[cda:code/@code="55188-7" and cda:code/@codeSystem="2.16.840.1.113883.6.1"]/cda:entry/cda:encounter/cda:entryRelationship[@typeCode="COMP"]/cda:organizer'>
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| 142 | <assert test='@classCode="CLUSTER"'>
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| 143 | Error: CONF-QRDA_BMI-20: The value for organizer/@classCode in a Principle Diagnosis
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| 144 | Organizer SHALL be CLUSTER 2.16.840.1.113883.5.6 ActClass STATIC.
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| 145 | </assert>
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| 146 | <assert test='@moodCode="EVN"'>
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| 147 | Error: CONF-QRDA_BMI-21: The value for organizer/@moodCode in a Principle Diagnosis
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| 148 | Organizer SHALL be EVN 2.16.840.1.113883.5.1001 ActMood STATIC.
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| 149 | </assert>
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| 150 | <assert test='cda:code[@code = "8319008" and @codeSystem="2.16.840.1.113883.6.96"]'>
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| 151 | Error: CONF-QRDA_BMI-22: The value for organizer/code SHALL be 8319008 Principle
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| 152 | diagnosis 2.16.840.1.113883.6.96 SNOMED-CT STATIC.
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| 153 | </assert>
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| 154 | <assert test='count(cda:statusCode) = 1'>
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| 155 | Error: CONF-QRDA_BMI-23: A Principle Diagnosis Organizer SHALL contain exactly one
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| 156 | organizer/statusCode.
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| 157 | </assert>
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| 158 | <assert test='cda:statusCode[@code = "completed"]'>
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| 159 | Error: CONF-QRDA_BMI-24: The value for organizer/statusCode in a Principle Diagnosis
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| 160 | Organizer SHALL be completed 2.16.840.1.113883.5.14 ActStatus STATIC.
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| 161 | </assert>
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| 162 | <assert test='cda:component'>
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| 163 | Error: CONF-QRDA_BMI-25: A Principle Diagnosis Organizer SHALL contain one or more
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| 164 | organizer/component.
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| 165 | </assert>
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| 166 | <assert test='cda:component/cda:observation[@classCode = "OBS" and @moodCode="EVN"]/cda:code[@code = "ASSERTION" and @codeSystem = "2.16.840.1.113883.5.4"]'>
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| 167 | Error: CONF-QRDA_BMI-26: The target of the Principle Diagnosis Organizer
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| 168 | organizer/component relationship SHALL be a Principle Diagnosis
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| 169 | Observation.
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| 170 | CONF-QRDA_BMI-27: The Principle Diagnosis Observation SHALL be represented with an
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| 171 | observation element where the value of @classCode is OBS and the value
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| 172 | of @moodCode is EVN.
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| 173 | CONF-QRDA_BMI-28: The value for code/@code SHALL be ASSERTION and
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| 174 | code/@codeSystem SHALL be 2.16.840.1.113883.5.4 HL7 ActCode
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| 175 | Complete STATIC.
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| 176 | </assert>
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| 177 | </rule>
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| 178 | <!-- Rule context comes from above context plus XPath to bring us down to Principle Diagnosis Observation -->
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| 179 |
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| 180 | <rule context='*[cda:code/@code="55188-7" and cda:code/@codeSystem="2.16.840.1.113883.6.1"]/cda:entry/cda:encounter/cda:entryRelationship[@typeCode="COMP"]/cda:organizer/cda:component/cda:observation[@classCode = "OBS" and @moodCode="EVN"][cda:code[@code = "ASSERTION" and @codeSystem = "2.16.840.1.113883.5.4"]]'>
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| 181 | <assert test='cda:statusCode[@code="completed"]'>
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| 182 | Error: CONF-QRDA_BMI-29: A statusCode element SHALL be present where the value of @code
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| 183 | is completed.
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| 184 | </assert>
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| 185 | <assert test='cda:value[@xsi:type = "CD"]'>
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| 186 | Error: CONF-QRDA_BMI-30: The value for value/@xsi:type SHALL be CD.
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| 187 | </assert>
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| 188 | <!--
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| 189 |
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| 190 | This rule was from the April 2009 version... Removed?
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| 191 |
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| 192 | <assert test='cda:value[@codeSystem="2.16.840.1.113883.6.2" or @codeSystem="2.16.840.1.113883.6.96"]'>
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| 193 | Error: CONF-QRDA_BMI-30: The value for value/@code SHALL be selected from
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| 194 | 2.16.840.1.113883.6.2 ICD9 CM Diagnoses or
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| 195 | 2.16.840.1.113883.6.96 SNOMED-CT.
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| 196 | </assert>
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| 197 | -->
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| 198 |
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| 199 | <assert test='cda:value[@code="102506008" or @codeSystem="2.16.840.1.113883.6.96"]'>
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| 200 | Error: CONF-QRDA_BMI-31: The value for value/@code shall be "102506008" (Well Child), from
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| 201 | codeSystem 2.16.840.1.113883.6.96 (SNOMED-CT).
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| 202 | </assert>
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| 203 |
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| 204 | </rule>
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| 205 |
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| 206 | </pattern>
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| 207 |
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| 208 | <pattern id="p-qrda_bmi-warnings">
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| 209 | <title>HL7 QRDA BMI (Section 6) - warning validation phase</title>
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| 210 | <!--
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| 211 | <rule context='*[cda:templateId/@root="1.3.6.1.4.1.19376.1.5.3.1.1.1"]'>
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| 212 |
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| 213 | </rule>
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| 214 | -->
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| 215 | <rule context='*[cda:code/@code="55188-7" and cda:code/@codeSystem="2.16.840.1.113883.6.1"]'>
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| 216 | <assert test='count(cda:entry/cda:encounter/cda:id) >= 1'>
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| 217 | Warning: CONF-QRDA_BMI-13: An Encounter activity SHOULD contain at least one encounter/id.
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| 218 | </assert>
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| 219 | <assert test='cda:entry/cda:observation/cda:id'>
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| 220 | Warning: CONF-QRDA_BMI-35: A Body Mass Index Percentile Observation SHOULD contain at
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| 221 | least one observation/id.
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| 222 | </assert>
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| 223 |
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| 224 | </rule>
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| 225 |
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| 226 | <rule context='*[cda:code/@code="55188-7" and cda:code/@codeSystem="2.16.840.1.113883.6.1"]'>
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| 227 | <assert test='cda:entry/cda:observation'>
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| 228 | Warning: CONF-QRDA_BMI-32: The Body Mass Index Percentile QRDA Patient Data section SHOULD
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| 229 | contain exactly one Body Mass Index Percentile Observation.
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| 230 | </assert>
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| 231 | </rule>
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| 232 |
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| 233 | </pattern>
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| 234 |
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| 235 | <pattern id="p-qrda_bmi-notes">
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| 236 | <title>HL7 QRDA BMI (Section 6) - note validation phase</title>
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| 237 | <rule context='/'>
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| 238 |
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| 239 | <assert test='string-length(/cda:ClinicalDocument/cda:recordTarget/cda:patientRole/cda:patient/cda:birthTime/@value) >= 14'>
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| 240 | Note: CONF-QRDA_BMI-2: The birthTime [...] MAY be precise to the second.
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| 241 | </assert>
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| 242 | </rule>
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| 243 | <rule context='*[cda:templateId/@root="2.16.840.1.113883.10.20.12.2"]'>
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| 244 |
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| 245 | <assert test="contains(translate(cda:entry/cda:act/cda:text,'QWERTYUIOPASDFGHJKLZXCVBNM','qwertyuiopasdfghjklzxcvbnm'),'Children ages 2-18 who had an encounter in the measurement period AND whose weight was classified based on CDC BMI percentile for age and gender.')">
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| 246 | Note: CONF-QRDA_BMI-7: The value for act/text element MAY contain a case-insensitive,
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| 247 | text string containing the description of the measure, "Children ages 2-18
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| 248 | who had an encounter in the measurement period AND whose
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| 249 | weight was classified based on CDC BMI percentile for age and
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| 250 | gender."
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| 251 | </assert>
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| 252 | </rule>
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| 253 |
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| 254 | <rule context='*[cda:code/@code="55188-7" and cda:code/@codeSystem="2.16.840.1.113883.6.1"]'>
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| 255 | <assert test='string-length(cda:entry/cda:encounter/cda:effectiveTime/@value) >= 14'>
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| 256 | Note: CONF-QRDA_BMI-17: The encounter/effectiveTime ... MAY be accurate to the second.
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| 257 | </assert>
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| 258 | <assert test='string-length(cda:entry/cda:observation/cda:effectiveTime/@value) >= 14'>
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| 259 | Note: CONF-QRDA_BMI-39: The observation/effective Time ... MAY be accurate to the second.
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| 260 | </assert>
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| 261 |
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| 262 | </rule>
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| 263 | </pattern>
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| 264 |
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