Ignore:
Timestamp:
Sep 6, 2010, 11:25:41 AM (14 years ago)
Author:
George Lilly
Message:

midnight update

File:
1 edited

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  • qrda/schematron/templates/2.16.840.1.113883.10.20.12.ent

    r927 r929  
    616616        Warning: CONF-QRDA1-159, CONF-QRDA1-160:  A problem MAY reference a problem observation, alert observation or othe clinical statement this is the subject of concern, by setting the value for Act /entryRelationship / @typeCode to be SUBJ 2.16.840.1.113883.5.1002 ActRelationshipType STATIC. The target of a problem  act with Act /entryRelationship / @typeCode SUBJ SHOULD be a problem observation (in the Problem section) or alert observation but MAY be some other clinical statement.
    617617        </assert>
    618         </rule>
     618       <assert test='cda:entryRelationship/cda:observation/cda:templateId[@root="2.16.840.1.113883.10.20.1.28"]'> Error: CONF-QRDA1-161 The CMS EHR QRDA Report Problem observation (2.16.840.1.113883.3.249.11.100.8) SHALL confirm to the rules of Problem observation (2.16.840.1.113883.10.20.1.28) and SHALL be represented with Observation.
     619        </assert>
    619620         <!-- this goes in Social History
    620621         <assert test="count(cda:templateId[@root='2.16.840.1.113883.10.20.1.41']) &lt;= 1">A problem act MAY contain exactly one episode observation. The template identifier for an episode observation is 2.16.840.1.113883.10.20.1.41.</assert> -->
    … …  
    622623
    623624<!-- Problem observation template is 2.16.840.1.113883.10.20.1.28-->
     625       
     626         </rule>
    624627    <rule context='*[cda:templateId/@root="2.16.840.1.113883.10.20.1.28"]'>
    625628    <!--DAVID LOOK BELOW IT WORKS BUT DOES NOT MAKE MUCH SENSE TO ME-->
    626         <assert test="self::cda:observation[@moodCode='EVN']">
    627         Errror: CONF-QRDA1-161 CONF-QRDA1-162:A problem observation (templateId 2.16.840.1.113883.10.20.1.28) SHALL be represented with Observation. The value for "Observation / moodCode" in a problem observation SHALL be "EVN"  2.16.840.1.113883.5.1001 ActMood STATIC.</assert>
     629        <!--<assert test='cda:observation\cda:templateId[@root="2.16.840.1.113883.3.249.11.100.8"]'> Error: CONF-QRDA1-161 The CMS EHR QRDA Report Problem observation (2.16.840.1.113883.3.249.11.100.8) SHALL confrim to the rules of Problem observation (2.16.840.1.113883.10.20.1.28) and SHALL be represented with Observation.
     630        </assert>-->
     631       
     632        <assert test='self::cda:observation[@moodCode="EVN"]'>
     633        Error: CONF-QRDA1-161 CONF-QRDA1-162:A problem observation (templateId 2.16.840.1.113883.10.20.1.28) SHALL be represented with Observation. The value for "Observation / moodCode" in a problem observation SHALL be "EVN"  2.16.840.1.113883.5.1001 ActMood STATIC.
     634        </assert>
    628635        <assert test="count(cda:statusCode)=1">
    629636        Error: CONF-QRDA1-163 problem observation SHALL include exactly one Observation / statusCode.
    … …  
    637644        </assert>
    638645        <!--The next node is for when neither precise dates nor ages are known-->
    639         <assert test='cda:entryRelationship[@typeCode="SUBJ"]'> Warning: CONF-QRDA1-167 The value for Observation / entry Relationship / @typeCode in a problem observation MAY be SUBJ 2.16.840.1.113883.5.1002 ActRelationshipType STATIC to reference an age observation (templateId 2.16.840.1.113883.10.20.1.38)
    640         </assert>
     646       
    641647        <!--Additional information for the next assertion -  the Problem Type Codes 2.16.840.1.113883.1.11.20.14 include 64572001 with displayName="condition", 418799008 with displayName="symptom", 404684003 with displayName="finding", 409586006 with displayName="complaint", and 24853006 with displayName="functional limitation".  The code system is SNOMED CT and the codeType="CD".)-->
    642648        <assert test='cda:code[(@code="64572001") or (@code="418799008") or (@code="404684003") or (@code="409586006") or (@code="24853006")]'> Warning: CONF-QRDA1-166 The value for Observation /code in a problem observation MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.14 ProblemTypeCode STATIC 20061017.
    643649        </assert>
     650        <!--<assert test='cda:entryRelationship[@typeCode="SUBJ"]'> Warning: CONF-QRDA1-167 The value for Observation / entry Relationship / @typeCode in a problem observation MAY be SUBJ 2.16.840.1.113883.5.1002 ActRelationshipType STATIC to reference an age observation (templateId 2.16.840.1.113883.10.20.1.38)
     651        </assert>-->
    644652        <!--for CONF-QRDA1-168 see the include file referenced below-->
    645653        <include href="./templates/2.16.840.113883.10.20.1.28-AppendixC-2011.entInclude"/>
    646        <!--<assert test='cda:observation/cda:value[(@codeSystemName="I9" and @codeSystem="2.16.840.1.113883.6.103" and @code="637.92" and @displayName="AB NOS UNCOMPLICAT-COMP")]'>
    647         Error:  CONF-QRDA1-168 he value for Observation / value/ @code in a problem observation SHALL be from Appendix_C-Problems tab of the Downloadable resources table.
    648         </assert>-->
     654        <assert test='cda:entryRelationship/cda:observation/cda:templateId[@root="2.16.840.1.113883.10.20.1.50"]'>  Error: CONF-QRDA1-169 A CMS EHR QRDA Problem status observation (2.16.840.1.113883.3.249.11.100.12) SHALL conform to the rules of the Problem status Observation problem status observation (2.16.840.1.113883.10.20.1.50).
     655        </assert>
     656        </rule>
     657        <rule context='*[cda:templateId/@root="2.16.840.1.113883.10.20.1.50"]'>
     658        <assert test='count(self::cda:observation) = 1'> Error: CONF-QRDA1-169 A problem observation SHALL contain exactly one CMS EHR QRDA Problem status observation.  The template identifier for a problem status observation is 2.16.840.1.113883.10.20.1.50.
     659        </assert> 
     660        <assert test='self::cda:observation/cda:code[@code="33999-4"]'> Error: CONF-QRDA1-170 the value for observation/code/@code in problem status observation (templateId 2.16.840.1.113883.10.20.1.50) SHALL be 33999-4 status 2.16.840.1.113883.6.1 LOINC STATIC.
     661        </assert>
     662        <assert test='self::cda:observation/cda:value[(@code="55561003" and @displayName="Active" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="73425007" and @displayName="Inactive" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="90734009" and @displayName="Chronic" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="7087005" and @displayName="Intermittent" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="255227004" and @displayName="Recurrent" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="415684004" and @displayName="Rule out" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="410516002" and @displayName="Ruled out" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="413322009" and @displayName="Resolved" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM")]'>
     663        Error: CONF-QRDA1-171 The value for Observation / value in a problem status observation SHALL be seleced from ValuseSet 2.16.840.1.113883.1.11.20.13 ProbleStatusCode STATIC 20061017. Refer Apendix_P-Vocabs_and_ValueSets tab of the Downloadabe Resources table.
     664        </assert>
    649665       
    650         <!--<assert test="count(cda:templateId[@root='2.16.840.1.113883.10.20.1.50']) &lt; 2">A problem observation MAY contain exactly one problem status observation. The template identifier for a problem status observation is 2.16.840.1.113883.10.20.1.50.</assert>
    651         <assert test="count(cda:templateId[@root='2.16.840.1.113883.10.20.1.51']) &lt; 2">A problem observation MAY contain exactly one problem healthstatus observation. The template identifier for a problem healthstatus observation is 2.16.840.1.113883.10.20.1.51.</assert>
    652         <assert test="count(cda:templateId[@root='2.16.840.1.113883.10.20.1.48']) &lt; 2">A problem observation MAY contain exactly one patient awareness.</assert>
    653666        </rule>
    654         <rule context='*[cda:templateId/@root="2.16.840.1.113883.10.20.1.28"]'>
    655         <assert test="count(cda:effectiveTime)=1">A problem observation SHOULD contain exactly one Observation / effectiveTime, to indicate the timing of condition (e.g. the time the condition started, the onset of the illness or symptom).</assert>
    656 </rule>-->
    657 
    658 
    659    </rule>
     667       <!--<assert test='count(cda:observation/cda:templateId[@root='2.16.840.1.113883.10.20.1.51']) = 1"> Warning: CONF-QRDA1-172 A problem observation MAY contain exactly one problem healthstatus observation. The template identifier for a problem healthstatus observation is 2.16.840.1.113883.10.20.1.51.
     668       </assert>-->
     669        <rule context='*[cda:templateId/@root="2.16.840.1.113883.10.20.1.51"]'>
     670        <assert test='count(self::cda:observation) = 1'> Warning: CONF-QRDA1-172 A problem observation MAY contain exactly one problem healthstatus observation. The template identifier for a problem healthstatus observation is 2.16.840.1.113883.10.20.1.51.
     671        </assert>
     672       <assert test='cda:value[(@code="81323004" and @displayName="Alive and well" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="313386006" and @displayName="In remission" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="162467007" and @displayName="Symptom free" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="161901003" and @displayName="Chronically ill" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="271593001" and @displayName="Severely ill" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="21134002" and @displayName="Disabled" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="161045001" and @displayName="Severely disabled" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM") or (@code="419099009" and @displayName="Deceased" and @codeSystem="2.16.840.1.113883.6.96" and @codeSystemName="SNM")]'> Error: CONF-QRDA1-173 The value for Observation /value in a problem healthstatusobservation SHALL be selected from ValuseSet 2.16.840.1.113883.1.11.20.12 ProblemHealthStatus STATIC 20061017.  Refer Appendix_P-Vocabs_and_ValueSets tab of the Downloadable Resources table.
     673       </assert>
     674        </rule>
     675       
     676
     677
    660678
    661679</pattern>
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