Index: qrda/schematron/QRDA_CategoryI_2011-Test.xml =================================================================== --- qrda/schematron/QRDA_CategoryI_2011-Test.xml (revision 914) +++ qrda/schematron/QRDA_CategoryI_2011-Test.xml (revision 921) @@ -73,5 +73,5 @@ Nancy Nightingale - N + MD @@ -112,5 +112,5 @@ Nancy Nightingale - N + MD @@ -122,4 +122,46 @@ + + + + + + + + Nancy + Nightengale + MD + + + + + + + + + + + + + + + + + 123 Maple Ave + Gaithersburg + MD + 20877 + + + + Nancy + Nightengald + MD + + + + + + +
Index: qrda/schematron/QRDA_CategoryI_WorldVistAH-2011-Working.xml =================================================================== --- qrda/schematron/QRDA_CategoryI_WorldVistAH-2011-Working.xml (revision 921) +++ qrda/schematron/QRDA_CategoryI_WorldVistAH-2011-Working.xml (revision 921) @@ -0,0 +1,1712 @@ + + + + + + + + + + + + + + + + + + + + + QRDA Incidence Report + + + + + + + + + + + + + + + + + + + Landy + Ford + + + + 45 Easter Ave. + Rockville + MD + 20850 + + + + + + + + + + + + + + + + + WorldVistA Test Clinic + + + 123 Maple Ave + Gaithersburg + MD + 20877 + + + + + + + + + + + + + + + + + + + + + + + + + + World VistA Test Clinic + + + + + + + + + + + + WorldVistA Test Clinic + + + + + + + + + + + + + + + + + + + + + + + + + + Dr. + Nancy + Anthracite + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 123 Maple Ave + Gaithersburg + MD + 20877 + + + + Nancy + Anthracite + MD + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + 123 Maple Ave + Gaithersburg + MD + 20877 + + + + Nancy + Anthracite + MD + + + + + + + + + + + +
+ + + + + Measure set: CMS EHR Measure Set + 2010 Measures Set Measures + + +
+ + + + + + + + + + + + + + + + + + + + + + + + + + Measure Section + + + + CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus + CMS Measure #2: Diabetes Mellitus: Low Density Lipoprotein (LDL-C) Control in Diabetes Mellitus + CMS Measure #3: Diabetes Mellitus: High Blood Pressure Control in Diabetes Mellitus + CMS Measure #5: Heart Failure: Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) + CMS Measure #7: Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) + CMS Measure #110: Preventive Care and Screening: Influenza Immunization for Patients >= 50 Years + CMS Measure #111: Preventive Care and Screening: Pneumonia Vaccination for Patients 65 Years and Older + CMS Measure #112: Preventive Care and Screening: Screening Mammography + CMS Measure #113: Preventive Care and Screening: Colorectal Cancer Screening + CMS Measure #124: Health Information Technology (HIT): Adoption/Use of Electronic Health Records (EHR) + CMS Measure eRx:Adoption/Use of Medication Electronic Prescribing Measure + + CMS Measure #39: Screening or Therapy for Osteoporosis for Women Aged 65 Years and Older + CMS Measure #47: Advance Care Plan + CMS Measure #48: Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older + CMS Measure #128: Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up + CMS Measure #173: Preventive Care and Screening: Unhealthy Alcohol Use - Screening + CMS Measure #0013: Hypertension (HTN): Blood Pressure Measurement - QRDA Cat I template + CMS Measure #0022: Drugs to be avoided in the Elderly + CMS Measure #0024: Body Mass Index (BMI) 2 through 18 years of age + CMS Measure #0028: Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention + CMS Measure #0038: Childhood Immunization Status - QRDA Cat I template + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0% + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent LDL-C level in control (less than 100 mg./dL) + + + + + + + + Percentage of patients 18 through 75 years with diabetes mellitus who had most recent blood pressure in control (less than 140/80 mmHg) + + + + + + + + Percentage of patients 18 years and older with a diagnosis of heart frilure and LVSD who were prescribed ACE inhibitor or ARB therapy + + + + + + + + Percentage of patients 18 aged 18 years and older wit a diagnosis of CAD and prior MI who were prescribed beta-blocker therapy + + + + + + + + Percentage of patients aged 50 years and older who received an influenza immunization during the flu season (September through February) + + + + + + + + Percentage of patients afed 65 years and older who have ever received a pneumoccal vaccine + + + + + + + + Percentage of womaen aged 40 through 69 years who had a mammogram to screen for breast cancer within 24 months + + + + + + + + Percentage of patients aged 50 through 80 who received the appropriate colorectal cancer screening + + + + + + + + Documents whether provider has adopted and is using health information technology. To qualify, the provider must havea adopted and be using a certified/qualified electronic health record (EHR) + + + + + + + + Documents whether provider has adopted and is using ePrescribing + + + + + + + + + + Percentage of patients who had a DXA measurement ordered or performed at least once since age 60 or pharmacologic therapy prescribed within 12 months before the end of the measurement period + + + + + + + + Percentage of patients age 65 and older who have an advanced care plan or surrogate decision maker documented in the medical record or documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan. + + + + + + + + Percentage of patients equal to or older than 65 years of age at the beginning of the measurement perion who were assesed for the presence or absence of urinary incontinence within 12 months. + + + + + + + + Percentage of patients aged 18 yesrs and older with a calculate BMI in the past 6 months or during the current visit documented in the medical record and if the most recent BMI is ourtide parameters, a follow-up plan is documented. Ages 65 and older BMI equal to or greater than 30 or less than 22 and ages 18-64, BMI greater than or equal to 25 or less than 18.5 + + + + + + + + Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic method within 24 months + + + + + + + + Percentage of patients aged 18 years and older with a diagnosis of hypertension in the beginning of the measurement period with a blood pressure recoreded. + + + + + + + + Percentage of patients aged 65 years and older who received at least one drug to be acoided in the elderly and/or two different drugs to be avoided in the elderly in the measurement period + + + + + + + + Percentage of children 2-18 years of age at the beginning of the measurement period whose weight is classified based on BMI percentile for age and gender. + + + + + + + + Percentage of patients aged 18 years of older who were screened about tobacco use at least once during the two year measurement preoid AND who received cessation counseling if identified as a tobacco user. + + + + + + + + Percentage of children who turn two years of age during the measurement period who have had four DTaP/DT, three IPV, one MMR and three H influenza type B, three hepatitis B, one chicken pox vaccine (VZV) and four pneumococcal conjugate vaccines by their second birthday + + + + + + + + Documents whether provider has adopted and is using ePrescribing + + + + + +
+ + Reporting Parameters + + + Reporting Period Jan 1, 2010 to Dec 31, 2010 + + + + + + + + + + + +
+ + + +
+ + Patient Data +
+ + + + +
+ + + + Problems + + + + + + + + + + + + + + + + + + + + + + + + +
ConditionEffective DatesCondition Status
Diabetes mellitus2001Active/Chronic
Congestive Heart Failure2003Active/Chronic
Myocardial Infactioon2003Resolved
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + +
+ + + + + Medications + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
MedicationDateStatusFormStrengthQuantitySIGRefillsPrescribed by
GLYBURIDE-METFORMIN 5.0 mg-500 mg oral tablet7-1-2010ACTIVETABLET5.0/500 MG90 TAB ONE BY MOUTH Q12HtwoNancy Anthracite, MD
ATENOLOL 50MG TAB7-1-2010ACTIVETAB50 MG90 TABONE TAB (BY MOUTH) QDTWONancy Anthracite, MD
LISINOPRIL 10MG TAB7-1-2010ACTIVETAB10 MG90 TABONE TAB ORAL (BY MOUTH) QAM2Nancy Anthracite, MD
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + glyburide-metformin + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + atenolol + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + lisinopril + + + + + + +
+ + + +
+ + +Results + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
TestDateResultRef. Range
Calculated LDL7-1-2010LDL CHOLESTEROL 95 MG/DL0-130
HEMOGLOBIN A1C 7-1-2010A1C 9.3 percent H3.5-6.0
EJECTION FRACTION2010020738%55-75
+ + + + + + + + + + + + + + + + + + + + + + + + + + + +0-130 + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +3.5-6.0 + + + + + + + + + + + + + + + + + + + + + + + + +LEFT VERTRICULAR EJECTION FRACTION + + + + + +55-75 + + + + + + + +
+ + + +
+ + +Procedures + + + + + + + + + + + + + + + + + + + + + + +
ProcedureDate Ordered ByPerformed By
Mammogram2-07-2010Nancy Anthracite, MDGrover, Christie & Merritt
Colonoscopy3-17-2010Nancy Anthracite, MDJohn Gallager, MD
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + + +
+ + + History of Immunizations + + + + + + + + + + + + + + + + + + + + + +
VaccineDateStatus
Influenza virus vaccine, splitNov 2 2009Completed
Pneumococcal vaccineFeb 7,2010Completed
+ + + + + + + + + +
+ + + + + + + + + + INFLUENZA VIRUS VACCIINE, SPLIT + + + + + + + + + + + + + + +
+ + + + + + + + + + PNEUMOCCAL VACCINE + + + + + + +
+ + + +
+ + +Vital Signs + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
DateVital SignResultSource
2-10-2010Systolic Blood Pressure115WorldVistA Test Clinic
2-10-2010Diastolic Blood Pressure78WorldVistA Test Clinic
2-10-2010Heart Rate64WorldVistA Test Clinic
7-1-2010Systolic Blood Pressure117WorldVistA Test Clinic
7-1-2010Diastolic Blood Pressure79WorldVistA Test Clinic
7-1-2010Heart Rate67WorldVistA Test Clinic
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + Structured data section + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
Certified System UsedSystem TypeCertification TypeEncounter Date Used
WorldVistA EHR EHRCCHIT Certified2-10-2010
WorldVistA EHREHRQualified System7-1-2010
AllscriptseRxQualified7-1-2010
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ + + + + +
+ + + + </section> + </component> +<!-- + ************************************ + Payers section + + ******************************* + --> + +<component> +<section> +<templateId root="2.16.840.1.113883.10.20.1.9"/> +<!-- 48768-6 is payment sources --> +<code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment sources"/> +<title>Payment Sources + + + + + + + + + + + + + + + + + + + + + + +
Payer nameGroup/TypePrimary Policy Owner/Responsible PartyCovered party IDPayor TelephoneElectronic Claims Payor NumberAuthorized
Mail Handlers Benefit Plan454Jody Jean Jones88888881-800-410-777862413Colonoscopy
+ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +Mail Handler Benefit Plan + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +CMS + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +
+ +
+ +
+ + + + + + + Index: qrda/schematron/templates/2.16.840.1.113883.10.20.12.ent =================================================================== --- qrda/schematron/templates/2.16.840.1.113883.10.20.12.ent (revision 914) +++ qrda/schematron/templates/2.16.840.1.113883.10.20.12.ent (revision 921) @@ -1,25 +1,25 @@ + - + - - HL7 QRDA Category I Header (Section 2) - errors validation phase - - + + HL7 QRDA Category I Header (Section 2) - errors validation phase + + Error: CONF-QRDA1-I: The realmCode element SHALL be present where the value of @code is US. - + Error: CONF-QRDA1-2: The value of typeId/@root SHALL be 2.16.840.1.113883.1.3 and value of typeId/@extension SHALL be POCD_HD000040. - + Error: CONF-QRDA1-3 The CMS EHR QRDA Report SHALL contain at least one ClincalDocument/templateId element - + Error: CONF-QRDA-I-4: The value of one ClinicalDocument/templateId/@root SHALL be 2.16.840.1.113883.10.20.12 and PQRI QRDA category I templateId 'root' value SHALL be 2.16.840.1.113883.3.249.11.100.1. - - - - - - + + Error: CONF-QRDA1-7: A QRDA Category I report SHALL contain exactly one ClinicalDocument/code with a value of 55182-0 2.16.840.1.113883.6.1 LOINC STATIC. - Error: CONF-QRDA1-8: A QRDA Category I report SHALL contain exactly one @@ -41,206 +40,199 @@ Report". - + Error: CONF-QRDA1-10 The effectiveTime value attribute value SHALL be at least precise to the day YYYYMMDD. - + Error: CONF-QRDA1-12: The confidentialityCode 'codeSystem' attribute value SHALL be '2.16.840.1.113883.5.25. The confidentialityCode 'codeSystem' attribute value SHALL be '2.16.840.1.113883.5.25 - + Error: CONF-QRDA1-13: setId element is missing. The 'setId' element SHALL be present. - + Error: CONF-QRDA1-16 versionNumber element is missing. The 'versionNumber' element SHALL be present. - - + Error: CONF-QRDA1-17: versionNumber/@value SHALL be an integer - - - - + + Error: CONF-QRDA1-18: A QRDA Category I report SHALL contain exactly one ClinicalDocument/recordTarget/PatientRole. - - + Error: CONF-QRDA1-19 @root contains OID for the coding system used to identify the patient. The value of @extension is the unique patient identifier the EHR sysetm uses fo record activity on a patient. Commonly used OIDs for entries to identify patient sucha as SSN, TIN, DLN, etc. are available at Appendix_L-OIDs tab of the Downloadable Resources table. - - - + Error: CONF-QRDA1-23 patient's legal 'name' element is expected at least once. The patient's legal 'name' element SHALL be submitted at least exactly once. - + Error: CONF-QRDA1-24 patient's legal name 'given' (first name) element is expected at least once. The patient's legal 'given' (first name) element SHALL be submitted at least exactly once. - - + + Error: CONF-QRDA1-24 patient's legal name 'given' (first name) element value length SHALL not be more than 30 characters. patient's legal name 'given' (first name) element value length SHALL not be more than 30 characters. - - + + Error: CONF-QRDA1-25 patient's legal name 'family' (last name) element is expected at least once. The patient's legal 'family' (last name) element SHALL be submitted at least exactly once. - - + Error: CONF-QRDA1-25 patient's legal name 'family' (last name) element value length SHALL not be more than 30 characters. patient's legal name 'family' (last name) element value length SHALL not be more than 30 characters. - + Error: CONF-QRDA1-26 The patient's ethnic group code 'codeSystem' attribute value SHALL be '2.16.840.1.113883.5.50'. - + Error: CONF-QRDA1-26 The patient's ethnic group 'code' value SHALL be valid according to Appendix_M-Ethnicity in the posted Downloadable Resource table. - - + Error: CONF-QRDA1-27 The 'administrativeGenderCode' element SHALL be present. - + Error: CONF-QRDA1-27 The patient's administrativeGenderCode 'codeSystem' attribute value SHALL be '2.16.840.1.113883.5.1'. - + Error: CONF-QRDA1-27 The patient's administrative gender 'code' value SHALL be valid according to Appendix_N-Gender in the posted Downloadable Resource table. - - + Error: CONF-QRDA1-28 The 'raceCode' element SHALL be present. - + Error: CONF-QRDA1-28 The patient's raceCode 'codeSystem' attribute value SHALL be '2.16.840.1.113883.5.104'. - + Error: CONF-QRDA1-28 The patient's race 'code' attribute value SHALL be valid according to Appendix_O-Race in the posted Downloadable Resource table. - - - + + Error: CONF-QRDA1-29 The 'birthTime' element SHALL be present. - + Error: CONF-QRDA1-30 The birthTime value attribute value SHALL be at least precise to the day (YYYYMMDD). - + Error: CONF-QRDA1-31 The report SHALL contain exactly one /recordTarget/patientRole/providerOrganization. - + Error: CONF-QRDA1-32 The id 'root' attribute value SHALL be '2.16.840.1.113883.4.6'. - - - + + + Error: CONF-QRDA1-32 cda:recordTarget/cda:patientRole/cda:providerOrganization/cda:id[@extension that containst the NPI Failed the NPI validation test!! - + Warning: CONF-QRDA1-33 recordTarget/patientRole/providerOrganization/name element SHOULD be present - + Error: CONF-QRDA1-34 At least one recordTarget/patientRole/providerOrganization/name element SHALL be present - + Warning: CONF-QRDA1-35 recordTarget/patientRole/providerOrganization/addr/streetAddressLine) element MAY be present - + Warning: CONF-QRDA1-36 recordTarget/patientRole/providerOrganization/addr/city) element MAY be present - + Error: CONF-QRDA1-37 recordTarget/patientRole/providerOrganization/addr/state) element SHALL be present and shall be one of the states in the Appendix_V-States Downloadable Resource - + Warning: CONF-QRDA1-38 recordTarget/patientRole/providerOrganization/addr/postalCode) element MAY be present - + Error: CONF-QRDA1-39 Report SHALL contain exactly one recordTarget/patientRole/providerOrganization/asOrganizationPartOf element. - + Error: CONF-QRDA1-40 Report SHALL contain exactly one recordTarget/patientRole/providerOrganization/asOrganizationPartOf/wholeOrganization element. - - + + Error: CONF-QRDA1-41 The id 'root' attribute value SHALL be '2.16.840.1.113883.4.2'. - - + + Error: CONF-QRDA1-41 The patient's provider's organization's id 'extension' attribute value SHALL be present as the provider's TIN (nine-digit value in XXXXXXXXX format). - + CONF-QRDA1-42 Report SHALL contain exactly one /clinicalDocument/author. - + Error: CONF-QRDA1-43 The /clinicalDocument/author/time element shall be present. - + Error: CONF-QRDA1-44 The effectiveTime value attribute value SHALL be at least precise to the day YYYYMMDD. - + Error: CONF-QRDA1-45 clinicalDocument/author/assignedAuthor element SHALL be present. - - Error: CONF-QRDA1-46 clinicalDocument/author/assignedAuthor/id element SHALL be present. The id @root SHALL be 2.16.840.1.113883.249.6 and the @extension SHALL be the CMS Approved Qualified Software Version. - - + + Error: CONF-QRDA1-46 clinicalDocument/author/assignedAuthor/id element SHALL be present. The id @root SHALL be 2.16.840.1.113883.3.249.6 and the @extension SHALL be the CMS Approved Qualified Software Version. + + Warning: CONF-QRDA1-47 and 48: A QRDA Category I report MAY contain a ClinicalDocument/author/assignedAuthor/assignedPerson element and if present may contain exactly one. - + Error: CONF-QRDA1-49: A QRDA Category I report MAY contain at least one legal name ClinicalDocument/author/assignedAuthor/assignedPerson/name. - + Error: CONF-QRDA1-50: A QRDA Category I report MAY contain at least one ClinicalDocument/author/assignedAuthor/assignedPerson/name/given. - + Error: CONF-QRDA1-51: A QRDA Category I report MAY contain at least one ClinicalDocument/author/assignedAuthor/assignedPerson/name/family. - + Error: CONF-QRDA1-52: A QRDA Category I report MAY contain one ClinicalDocument/author/assignedAuthor/representedOrganization. - + Error: CONF-QRDA1-53: A QRDA Category I report MAY contain a ClinicalDocument/author/assignedAuthor/representedOrganization/id element with @root containing the OID of the authoring organization. - + Error: CONF-QRDA1-54: A QRDA Category I report MAY contain a ClinicalDocument/author/assignedAuthor/representedOrganization/name element. - - - + + Error: CONF-QRDA1-55: A QRDA Category I report SHALL contain exactly one ClinicalDocument/informant which may represents the reporting facility. - + Error: CONF-QRDA1-56: A QRDA Category I report SHALL contain exactly one ClinicalDocument/informant/assignedEntity - + Error: CONF-QRDA1-57 and 58 The assignedEntity id element SHALL be present. If there is not valid value informant/assignedEntity/id then @nullFlavor SHALL be NA (Not applicable) (i.e., id nullFlavor="NA") - + Error: CONF-QRDA1-59 The /informant/assignedEntity/representedOraganization element SHALL be present. - + Error: CONF-QRDA1-60 The /informant/assignedEntity/representedOraganization/id element SHALL be present. - + Warning: CONF-QRDA1-61 The /informant/assignedEntity/representedOraganization/name element SHOULD be present. - + Error: CONF-QRDA1-62: A QRDA Category I report SHALL contain exactly one custodian/assignedCustodian/representedCustodianOrganization/ @@ -249,82 +241,198 @@ root of the custodian organization. - + Error: CONF-QRDA1-65 and 66: A QRDA Category I report SHOULD contain a legal authenticatior element and, if present, it SHALL contain exactly one ClinicalDocument/legalAuthenticator/time element. - + Error: CONF-QRDA1-67 If there is a cliniacalDocument/legalAuthenticator/time element,time @value attribute value SHALL be at least precise to the day YYYYMMDD. - + Error: CONF-QRDA1-68: If present, a QRDA Category I report legalAuthenticator SHALL contain exactly one signatureCode element. - + Error: CONF-QRDA1-69: The value of a QRDA ClinicalDocument/signatureCode/@code SHALL be S. - + Error: CONF-QRDA1-70: If present, a QRDA Category I report legalAuthenticator SHALL contain exactly one assignedEntity element that represents the legal authenticator of the document. - + Error: CONF-QRDA1-71: If present,the ClinicalDocument/legalAuthenticator/assignedEntity SHALL contain an id element. - + Warning: CONF-QRDA1-72: If the legalAuthenticatior element is present, the, ClinicalDocument/legalAuthenticator/assignedEntity/assignedPerson SHOULD be present contain and assignedPerson element. - + Warning: CONF-QRDA1-73: If the legalAuthenticatior element is present, the ClinicalDocument/legalAuthenticator/assignedEntity/assignedPerson/name/given MAY be present. - + Warning: CONF-QRDA1-74: If the legalAuthenticatior element is present, the ClinicalDocument/legalAuthenticator/assignedEntity/assignedPerson/name/family MAY be present. - + Warning: CONF-QRDA1-75: If the legalAuthenticatior element is present, the ClinicalDocument/legalAuthenticator/assignedEntity/representedOrganization SHOULD be present. - + Warning: CONF-QRDA1-76: If the legalAuthenticatior element is present, the ClinicalDocument/legalAuthenticator/assignedEntity/representedOrganization/id element SHALL be present. - + Warning: CONF-QRDA1-77: If the legalAuthenticatior element is present, the ClinicalDocument/legalAuthenticator/assignedEntity/representedOrganzation/name/ SHOULD be present. - - - - - Error: CONF-QRDA-I-20: A QRDA Category I report SHALL contain exactly one + + + Error: CONF-QRDA1-78 The 'participant' element SHALL be present and the clinicalDocument/participant@typeCode SHALL be "PRF" (performer). + + + Error: CONF-QRDA1-79 and 80 The clinicalDocument/participant/functionCode element SHALL be present and the code SHALL be "PCP" (primary care physician) + + + Error: CONF-QRDA1-81 The clinicalDocument/participant/functionCode element SHALL be present and the codeSystem SHALL be 2.16.840.1.113883.5.88 (ParticipationFunction from HL7) + + + Error: CONF-QRDA1-82 and 83 The clinicalDocument/participant/associatedEntity element SHALL be present and the @classCode shall be PROV (healthcare provider). + + + Error: CONF-QRDA1-84 The clinicalDocument/participant/associatedEntity/id/@root SHALL be present. + + + Warning: CONF-QRDA1-85 The clinicalDocument/participant/associatedEntity/associatedPerson element SHOULD be present. + + + Warning: CONF-QRDA1-86 If the clinicalDocument/participant/associatedEntity/associatedPerson element is present,at least one legal given name MAY be present in the clinicalDocument/participant/associatedEntity/associatedPerson/name/given element. + + + Warning: CONF-QRDA1-87 If the clinicalDocument/participant/associatedEntity/associatedPerson element is present, the clinicalDocument/participant/associatedEntity/associatedPerson/name/family at least one legal family name MAY be present. + + + + Error: CONF-QRDA1-88 A CMS EHR QRDA report SHALL contain one or more clinicalDocument/documentationOf elements. + + + Error: CONF-QRDA1-88 A CMS EHR QRDA report SHALL contain one or more clinicalDocument/documentationOf/code elements and the codes and code system that may be used are found in tab B of the downloadable resource. + + + Error: CONF-QRDA1-91 and 92 the clinicalDocument/documentationOf/serviceEvent/effectiveTime element SHALL contain one low element and one high element for starting and ending times of the encounter. + + + Error: CONF-QRDA1-93 The clinicalDocument/documentationOf/serviceEvent/effectiveTime/low and clinicalDocument/documentationOf/serviceEvent/effectiveTime/high value attribute values SHALL be at least precise to the day YYYYMMDD. + + + Error: CONF-QRDA1-94 A documentationOf/serviceEvent/performer@typeCode SHALL be either PRF(performer- a person wo actually and principally carries out an actions) or PPRF 9primary performer - principa performer of the Service event) or SPRF (secondary performer - a person assisting in the Service event through their substantial presence and involvement. This may include assistants, technicians, associates or other performers). + + + CONF-QRDA1-96 A documentationOf/serviceEvent/performer/assignedEntity element SHALL be present. + + + Error: CONF-QRDA1-96 The id 'root' attribute value SHALL be '2.16.840.1.113883.4.6'. + + + + + Error: CONF-QRDA1-96 documentationOf/serviceEvent/performer/assignedEntity/id[@extension that containst the NPI Failed the NPI validation test!! + + + Warning: CONF-QRDA1-97 A documentationOf/serviceEvent/performer/assignedEntity/code element SHOULD be present. + + + Warning: CONF-QRDA1-98 A documentationOf/serviceEvent/performer/assignedEntity/addr element SHOULD be present. + + + Warning: CONF-QRDA1-99 If a documentationOf/serviceEvent/performer/assignedEntity/addr element is present a documentationOf/serviceEvent/performer/assignedEntity/addr/streetAddressLine element SHOULD be present. + + + Warning: CONF-QRDA1-100 If a documentationOf/serviceEvent/performer/assignedEntity/addr element is present a documentationOf/serviceEvent/performer/assignedEntity/addr/city element SHOULD be present. + + + Error: CONF-QRDA1-37 The recordTarget/patientRole/providerOrganization/addr/state) element SHOULD be present and all of the states that can be used in this element are in the Appendix_V-States Downloadable Resource + + + Warning: CONF-QRDA1-102 If a documentationOf/serviceEvent/performer/assignedEntity/addr element is present a documentationOf/serviceEvent/performer/assignedEntity/addr/postalCode element SHOULD be present. + + + Warning: CONF-QRDA1-103 A documentationOf/serviceEvent/performer/assignedEntity/assignedPerson element SHOULD be present. + + + Warning: CONF-QRDA1-105 If a documentationOf/serviceEvent/performer/assignedEntity/assignedPerson element is present at least one legal name documentationOf/serviceEvent/performer/assignedEntity/assignedPerson/name element MAY be present. + + + Warning: CONF-QRDA1-106 If a documentationOf/serviceEvent/performer/assignedEntity/assignedPerson element is present at least one legal name documentationOf/serviceEvent/performer/assignedEntity/assignedPerson/given element MAY be present. + + + Warning: CONF-QRDA1-107 If a documentationOf/serviceEvent/performer/assignedEntity/assignedPerson element is present at least one legal name documentationOf/serviceEvent/performer/assignedEntity/assignedPerson/name/family element MAY be present. + + + + + + Error: CONF-QRD1-113: A QRDA Category I report SHALL contain exactly one ClinicalDocument/component/structuredBody. - + + Error: CONF-QRDA1-114 The The CMS EHR QRDA Report SHALL contain exactly one Measure Set section. + + + + +Error: CONF-QRDA1-115: The Measure Set section SHALL contain one nested Measure section and SHALL NOT contain more than one nested Measure section. + + + + + + Error: CONF-QRDA1-116: The Measure Set section SHALL contain a templateId uniquely identifying the Measure Set name and version. The supplied value does not identify the 2011 Measure Set. + + + + + Error: CONF-QRDA1-117: The Measure Set section SHALL contain a section/code element. + + + + + Error: CONF-QRDA1-118: The value for section/code SHALL be 55185-3 MEASURE SET 2.16.840.1.113883.6.1 LOINC STATIC. + + + + + + Error: CONF-QRDA1-119: The Measure Set section SHALL be valued with section/title with a case-insensitive, text string containing Measure set: CMS EHR Measure Set. + + + + + + + + + + + + Error: CONF-QRDA1-123: A nested Measure section SHALL be valued with section/title with a case-insensitive, text string containing Measure section. + + + Error: CONF-QRDA1-123: The nested measure section SHALL contain section/code element. In the nested measure section, the value for section/code SHALL be 55186-1 MEASURE 2.16.840.1.113883.6.1 LOINC STATIC + + + + +Error: CONF-QRDA1-124: A nested Measure section SHALL contain at least one templateId corresponding to the measures. Refer Appendix_U-Custom_Template_IDs tab of the Downloadable Resources table. + -Changed as per email discussion between Len Gallagher and Liora Alschuler - - - Error: CONF-QRDA-I-21: A QRDA Category I report SHALL contain at least one and MAY contain - more than one non-nested top-level Measure section each containing - information about a single measure. - ---> - - - Error: CONF-QRDA-I-21: A QRDA Category I report SHALL contain at least one and MAY contain - more than one Measure section each containing information about a single measure. - - - - - - - - - + + - - Error: CONF-QRDA-I-22: The Measure section SHALL be a top-level section if it is not part of a - measure set. - - - + + + Error: CONF-QRDA1-125,CONF-QRDA1-133 and CONF-QRDA1-134: A Measure section SHALL contain exactly one nested Reporting Parameters section (as described in Section 2.3.3 Reporting Parameters + Section) with a code element with the code 55187-9 and code system 2.16.840.1.113883.6.1 + + + + Error: CONF-QRDA1-126: A Measure section SHALL contain exactly one nested Patient Data section (as described in Section 2.4.4 Patient Data Section). - - Error: CONF-QRDA-I-42: Each measure SHALL be represented with act. - CONF-QRDA-I-43: For each act in the Measure section, the value for act/@classCode - in a measure act SHALL be ACT 2.16.840.1.113883.5.6 ActClass STATIC. - CONF-QRDA-I-44: For each act in the Measure section the act/@moodCode in a - measure act SHALL be DEF 2.16.840.1.113883.5.1001 ActMood STATIC. - - + + Warning: CONF-QRDA1-127 the Measure secton MAY contain a section/text element for the description of the measures. + - - - - - Error: CONF-QRDA-I-45: For each act in the Measure section there SHALL be an act/code + + Error: CONF-QRDA1-128: Each measure SHALL be represented with act. + CONF-QRDA1-129: For each act in the Measure section,in a measure act SHALL be ACT 2.16.840.1.113883.5.6 ActClass STATIC. + CONF-QRDA1-130: For each act in the Measure section the act/@moodCode in a + measure act SHALL be DEF 2.16.840.1.113883.5.1001 ActMood STATIC. + + + + Warning: CONF-QRDA1-132 Each measure act MAY contain a act/text element for the description of the measures. + + + + + + Error: CONF-QRDA1-135: A reporting parameters section which is a nested section in the measures section which is nested in the Measures Set section section SHALL valued with a section/title containing a case insensitive, text string containing Reporting Parameters. + + + + + + - - - + --> + + + + Error: CONF-QRDA-I-24: The Measure Set section SHALL contain one nested Measure section and SHALL NOT contain more than one nested Measure section. - + Error: CONF-QRDA-I-26: The Measure Set section SHALL contain a templateId uniquely identifying the Measure Set name and version. - + Error: CONF-QRDA-I-29: The Measure Set section SHALL be valued with section/title with a case-insensitive, text string containing "Measure set: <measure set name>". - + Error: CONF-QRDA-I-31: The nested Measure section SHALL contain at least one measure that belongs to the measure set. - - - - - - + + + + Error: CONF-QRDA-I-49: The Reporting Parameters section SHALL be valued with section/title with a case-insensitive, text string containing "Reporting Parameters". - + Error: CONF-QRDA-I-50: The Reporting Parameters section SHALL contain exactly one Observation Parameters Act, represented as an act. @@ -421,81 +531,56 @@ Parameters 2.16.840.1.113883.6.96 SNOMED-CT STATIC. - + Error: CONF-QRDA-I-54: The reporting time period SHALL be represented with an effectiveTime/low element combined with a high element representing respectively the first and last days of the period reported. - - - - - - + + + + Error: CONF-QRDA-I-57: The Patient Data section SHALL be valued with section/title with a case-insensitive, text string containing "Patient Data". - - - - - - - HL7 QRDA Category I Header (Section 2) - warning validation phase - - + + + + HL7 QRDA Category I Header (Section 2) - warning validation phase + + Warning: CONF-QRDA-I-14: A QRDA Category I report SHOULD contain exactly one legalAuthenticator element. - - - - - HL7 QRDA Category I Header (Section 2) - note validation phase - - - Note: CONF-QRDA-I-21: A QRDA Category I report ... MAY contain - more than one non-nested top-level Measure section each containing - information about a single measure. - - + + + + HL7 QRDA Category I Header (Section 2) - note validation phase + + Note: CONF-QRDA-I-23: A QRDA Category I report MAY contain one or more Measure Set sections. - - Note: CONF-QRDA-I-25: A QRDA Category I report MAY contain both Measure Set sections and - individual top-level Measure sections. - - - - - - - - - + + + + Note: CONF-QRDA-I-41: The Measure section MAY contain a section/text element for the description of the measure(s). - - - - - - + + + + Note: CONF-QRDA-I-46: Each measure act MAY contain an act/text element containing a description of the measure. - - - - - - + + + + Note: CONF-QRDA-I-30: The Measure Set section MAY contain a section/text element for the description of the measure set or MAY contain a formal representation of a description of the measure set. - - - + +